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Home/Diagnosis/ICD-10 Coding for Hemiarthroplasty

ICD-10 Coding for Hemiarthroplasty

S72.001A
M16.11

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

Also Known as:
Partial Hip Replacement
Hip Hemiarthroplasty
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Key Information: ICD-10 Coding for Hemiarthroplasty

Essential facts and insights about ICD-10 Coding for Hemiarthroplasty

Use ICD-10 code S72.001A for fracture of unspecified part of neck of right femur, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of unspecified part of neck of right femur, initial encounter

Billable Code
S72.001A
Billable

Diagnostic Criteria

  • • Presence of a traumatic event leading to fracture

Applicable To

  • • Displaced femoral neck fracture

Important Notes

  • • Ensure trauma is documented to justify the use of this code.

Primary osteoarthritis, right hip

Billable Code
M16.11
Billable

Diagnostic Criteria

  • • Imaging showing joint space narrowing
  • • Documentation of pain and functional limitation

Applicable To

  • • Degenerative joint disease

Important Notes

  • • Ensure degenerative condition is well-documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

T84.51XA

Infection and inflammatory reaction due to internal joint prosthesis, initial encounter

Use if there is an infection related to the prosthesis.

Z47.1

Aftercare following joint replacement surgery

Use for follow-up care post-surgery.

Frequently Asked Questions

What is the ICD-10 code for hemiarthroplasty due to fracture?

The ICD-10 code for hemiarthroplasty due to a femoral neck fracture is S72.001A. This code is used when the procedure is performed following a traumatic fracture.

How do you code hemiarthroplasty for osteoarthritis?

For hemiarthroplasty due to osteoarthritis, use ICD-10 code M16.11. This code applies to primary osteoarthritis of the right hip.

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