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Home/Diagnosis/ICD-10 Coding for Hip Surgery

ICD-10 Coding for Hip Surgery

M16.11
27130

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

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

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

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

clinical:
  • • Radiographic evidence of osteoarthritis
documentation:
  • • Detailed history of failed conservative treatments

Applicable To

  • • Primary osteoarthritis of right hip

Important Notes

  • • Ensure documentation supports the diagnosis with imaging and clinical findings.

Total hip arthroplasty

Non-Billable
27130
Non-Billable

Diagnostic Criteria

clinical:
  • • Surgical report detailing both acetabular and femoral component replacement

Applicable To

  • • Total hip replacement

Important Notes

  • • Ensure surgical documentation specifies total replacement.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.641

Presence of right artificial hip joint

Use post-operatively to indicate the presence of a prosthetic joint.

Frequently Asked Questions

What is the ICD-10 code for total hip arthroplasty?

The ICD-10 code for total hip arthroplasty is 27130, used for coding procedures involving the replacement of both acetabular and femoral components.

How do you document medical necessity for hip surgery?

Document medical necessity for hip surgery by detailing failed conservative treatments, radiographic evidence, and the impact on daily activities.

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