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Home/Diagnosis/ICD-10 Coding for Osteoarthritis of the Hip

ICD-10 Coding for Osteoarthritis of the Hip

M16.0
M16.1

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

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

Essential facts and insights about ICD-10 Coding for Osteoarthritis of the Hip

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 confirmation

Applicable To

  • • Bilateral primary OA of hips

Important Notes

  • • Ensure documentation specifies bilateral involvement for accurate coding.

Unilateral primary osteoarthritis of hip

Non-Billable
M16.1
Non-Billable

Diagnostic Criteria

  • • Radiographic evidence of joint space narrowing
  • • Osteophyte formation

Applicable To

  • • Unilateral primary OA of hip

Important Notes

  • • Ensure documentation specifies laterality for accurate coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.55

Pain in hip

Use if pain management is the primary focus before OA diagnosis.

Frequently Asked Questions

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

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

How do you code unilateral hip osteoarthritis?

Unilateral hip osteoarthritis is coded as M16.1, specifying the affected side and confirming with radiographic evidence.

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