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Home/Diagnosis/ICD-10 Coding for Hip Arthritis

ICD-10 Coding for Hip Arthritis

M16.0
M16.1

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

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

Essential facts and insights about ICD-10 Coding for Hip Arthritis

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

  • • Confirmed bilateral primary OA with imaging

Applicable To

  • • Bilateral primary OA of hip

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Unilateral primary osteoarthritis of hip

Non-Billable
M16.1
Non-Billable

Diagnostic Criteria

  • • Use when unilateral primary osteoarthritis is confirmed by imaging.

Applicable To

  • • Unilateral primary OA of hip

Important Notes

  • • Document specific laterality to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.55-

Hip pain

Use when pain is the primary symptom without confirmed OA diagnosis.

G89.29

Chronic pain

Use when chronic pain is documented alongside OA.

Frequently Asked Questions

What is the ICD-10 code for hip arthritis?

The ICD-10 code for primary osteoarthritis of the hip is M16.0 for bilateral and M16.1 for unilateral cases.

How do you code bilateral hip osteoarthritis?

Bilateral hip osteoarthritis is coded as M16.0, which requires confirmation of bilateral involvement through imaging.

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