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Home/Diagnosis/ICD-10 Coding for Degenerative Joint Disease of the Hip

ICD-10 Coding for Degenerative Joint Disease of the Hip

M16.0
M16.11

Complete ICD-10-CM coding and documentation guide for icd-10 coding for degenerative joint disease of the hip includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
DJD Hip
Hip Osteoarthritis
OA of the Hip
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Key Information: ICD-10 Coding for Degenerative Joint Disease of the Hip

Essential facts and insights about ICD-10 Coding for Degenerative Joint Disease of the Hip

Use ICD-10 code M16.0 for bilateral primary osteoarthritis of hip, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Bilateral primary osteoarthritis of hip

Billable Code
M16.0
Billable

Diagnostic Criteria

clinical:
  • • Bilateral joint space narrowing on imaging
documentation:
  • • Documented bilateral hip pain affecting activities of daily living

Applicable To

  • • Bilateral hip osteoarthritis

Important Notes

  • • Ensure documentation specifies bilateral involvement and primary nature of OA.

Unilateral primary osteoarthritis, right hip

Billable Code
M16.11
Billable

Diagnostic Criteria

clinical:
  • • Imaging showing joint space narrowing in the right hip
documentation:
  • • Clinical documentation of right hip pain

Applicable To

  • • Right hip osteoarthritis

Important Notes

  • • Ensure documentation specifies right hip involvement and primary nature of OA.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.551

Pain in right hip

Use to specify pain in the right hip alongside primary OA codes.

M25.552

Pain in left hip

Use to specify pain in the left hip alongside primary OA codes.

Frequently Asked Questions

What is the ICD-10 code for DJD of the hip?

The ICD-10 code for bilateral primary osteoarthritis of the hip is M16.0. For unilateral cases, use M16.11 for the right hip and M16.12 for the left hip.

How do you document DJD of the hip?

Document DJD of the hip by including imaging findings, pain assessment, and treatment history. Specify laterality and whether the condition is primary or secondary.

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