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Home/Diagnosis/ICD-10 Coding for Hip Arthroplasty

ICD-10 Coding for Hip Arthroplasty

M16.11
T84.5-

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

Also Known as:
Total Hip Replacement
THA
Hip Replacement Surgery
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Key Information: ICD-10 Coding for Hip Arthroplasty

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

Use ICD-10 code M16.11 for unilateral primary osteoarthritis, right hip, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unilateral primary osteoarthritis, right hip

Billable Code
M16.11
Billable

Diagnostic Criteria

  • • Presence of severe osteoarthritis symptoms and imaging findings.

Applicable To

  • • Primary osteoarthritis of right hip

Important Notes

  • • Ensure imaging supports the diagnosis.

Infection and inflammatory reaction due to internal joint prosthesis

Non-Billable
T84.5-
Non-Billable

Diagnostic Criteria

  • • Positive culture from joint aspiration
  • • Elevated ESR and CRP levels

Applicable To

  • • Infection of hip prosthesis

Important Notes

  • • Sequence infection code before revision surgery code.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.61

Methicillin susceptible Staphylococcus aureus infection

Use to specify the organism causing the infection.

Frequently Asked Questions

What is the ICD-10 code for hip arthroplasty?

The ICD-10 code for primary hip arthroplasty due to osteoarthritis is M16.11 for the right hip and M16.12 for the left hip.

How do you code a revision hip arthroplasty?

Revision hip arthroplasty is coded using 27134 for both components, 27137 for acetabular only, and 27138 for femoral only.

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