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Home/Diagnosis/ICD-10 Coding for Osteoarthritis

ICD-10 Coding for Osteoarthritis

M17.11
M16.0

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

Also Known as:
Degenerative Joint Disease
Wear-and-Tear Arthritis
OA
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Key Information: ICD-10 Coding for Osteoarthritis

Essential facts and insights about ICD-10 Coding for Osteoarthritis

Use ICD-10 code M17.11 for unilateral primary osteoarthritis, right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unilateral primary osteoarthritis, right knee

Billable Code
M17.11
Billable

Diagnostic Criteria

  • • Presence of primary osteoarthritis symptoms without trauma history

Applicable To

  • • Primary osteoarthritis of the right knee

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Bilateral primary osteoarthritis of hip

Billable Code
M16.0
Billable

Diagnostic Criteria

  • • Bilateral hip involvement
  • • Radiological evidence of osteoarthritis

Applicable To

  • • Primary osteoarthritis of both hips

Important Notes

  • • Document bilateral involvement clearly to support coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

E66.01

Obesity due to excess calories

Use when obesity is a contributing factor to the osteoarthritis.

Frequently Asked Questions

What is the ICD-10 code for primary osteoarthritis of the knee?

The ICD-10 code for unilateral primary osteoarthritis of the right knee is M17.11. Ensure documentation specifies the knee affected and confirms primary osteoarthritis.

How do you code bilateral hip osteoarthritis?

Bilateral primary osteoarthritis of the hip is coded as M16.0. Documentation must confirm bilateral involvement and primary osteoarthritis.

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