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Home/Diagnosis/ICD-10 Coding for Hip Pain

ICD-10 Coding for Hip Pain

M16.0
M25.551

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

Also Known as:
Hip Joint Pain
Coxalgia
pain in hip
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Key Information: ICD-10 Coding for Hip Pain

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

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

  • • Radiographic confirmation of osteoarthritis

Applicable To

  • • Osteoarthritis of both hips

Important Notes

  • • Ensure to document the chronicity and functional impact of the pain.

Pain in right hip

Billable Code
M25.551
Billable

Diagnostic Criteria

  • • Patient-reported pain in the right hip
  • • Absence of specific diagnosis like osteoarthritis

Applicable To

  • • Unspecified pain in right hip

Important Notes

  • • Document the nature and duration of the pain.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use for chronic pain management when pain persists beyond three months.

Frequently Asked Questions

What is the ICD-10 code for hip pain?

The ICD-10 code for unspecified hip pain is M25.55-, while specific conditions like osteoarthritis use codes from the M16 range.

How do you code chronic hip pain?

Chronic hip pain is coded with G89.29 when the pain persists beyond three months without a definitive diagnosis.

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