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Home/Diagnosis/ICD-10 Coding for Hip Degenerative Conditions

ICD-10 Coding for Hip Degenerative Conditions

M16.0
M16.1
M16.5

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

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

Essential facts and insights about ICD-10 Coding for Hip Degenerative Conditions

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

  • • Bilateral hip pain with radiographic evidence

Applicable To

  • • Degenerative changes of both hips

Important Notes

  • • Ensure documentation specifies bilateral involvement.

Unilateral primary osteoarthritis of hip

Non-Billable
M16.1
Non-Billable

Diagnostic Criteria

  • • Radiographic evidence of joint space narrowing
  • • Clinical documentation of unilateral hip pain

Applicable To

  • • Degenerative changes of one hip

Important Notes

  • • Ensure documentation specifies which hip is affected.

Unilateral post-traumatic osteoarthritis of hip

Non-Billable
M16.5
Non-Billable

Diagnostic Criteria

  • • History of trauma to the hip
  • • Radiographic evidence of degenerative changes

Applicable To

  • • Post-traumatic degenerative changes of hip

Important Notes

  • • Link the osteoarthritis to the traumatic event.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.55

Pain in hip

Use to document pain associated with osteoarthritis.

Frequently Asked Questions

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

The ICD-10 code for bilateral primary osteoarthritis of the hip is M16.0. It is used when both hips are affected by primary osteoarthritis.

How do you code unilateral hip osteoarthritis?

Unilateral primary osteoarthritis of the hip is coded as M16.1. Ensure documentation specifies which hip is affected.

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