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Home/Diagnosis/ICD-10 Coding for Bilateral Hip Pain

ICD-10 Coding for Bilateral Hip Pain

M25.551
M25.552
M16.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral hip pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pain in both hips
Bilateral hip discomfort
hip arthralgia
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Key Information: ICD-10 Coding for Bilateral Hip Pain

Essential facts and insights about ICD-10 Coding for Bilateral Hip Pain

Use ICD-10 code M25.551 for pain in right hip, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right hip

Billable Code
M25.551
Billable

Diagnostic Criteria

  • • Pain localized to the right hip with no confirmed diagnosis

Applicable To

  • • Right hip joint pain

Important Notes

  • • Ensure documentation specifies the right hip to avoid unspecified coding.

Pain in left hip

Billable Code
M25.552
Billable

Diagnostic Criteria

  • • Pain localized to the left hip with no confirmed diagnosis

Applicable To

  • • Left hip joint pain

Important Notes

  • • Ensure documentation specifies the left hip to avoid unspecified coding.

Bilateral primary osteoarthritis of hip

Billable Code
M16.0
Billable

Diagnostic Criteria

  • • Radiographic evidence of osteoarthritis in both hips

Applicable To

  • • Bilateral hip osteoarthritis

Important Notes

  • • Ensure imaging reports are included in documentation to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use when documenting chronic pain management alongside site-specific pain codes.

Frequently Asked Questions

What is the ICD-10 code for bilateral hip pain?

The ICD-10 codes for bilateral hip pain are M25.551 for right hip pain and M25.552 for left hip pain. Both codes should be used together to specify bilateral involvement.

How do you code bilateral hip pain with osteoarthritis?

If osteoarthritis is confirmed, use M16.0 for bilateral primary osteoarthritis of the hip. Ensure imaging confirms the diagnosis.

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