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Home/Diagnosis/ICD-10 Coding for Painful Hip

ICD-10 Coding for Painful Hip

M25.551
M25.552
M16.0

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

Also Known as:
Hip Pain
Coxalgia
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Key Information: ICD-10 Coding for Painful Hip

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

Use ICD-10 code M25.551 for pain in right hip, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right hip

Billable Code
M25.551
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the right hip without other specific diagnosis
documentation:
  • • Laterality must be specified as right

Applicable To

  • • Right hip pain

Important Notes

  • • Ensure documentation specifies the right hip and any chronicity or etiology if known.

Pain in left hip

Billable Code
M25.552
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the left hip without other specific diagnosis
documentation:
  • • Laterality must be specified as left

Applicable To

  • • Left hip pain

Important Notes

  • • Ensure documentation specifies the left hip and any chronicity or etiology if known.

Bilateral primary osteoarthritis of hip

Billable Code
M16.0
Billable

Diagnostic Criteria

clinical:
  • • Radiographic evidence of osteoarthritis in both hips
documentation:
  • • Bilateral involvement must be confirmed

Applicable To

  • • Bilateral hip osteoarthritis

Important Notes

  • • Document imaging findings and confirm bilateral involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use for chronic pain management when the pain duration exceeds 3 months.

Frequently Asked Questions

What is the ICD-10 code for painful hip?

The ICD-10 code for painful hip is M25.55, which includes specific codes for right (M25.551) and left (M25.552) hip pain.

How do you code chronic hip pain?

Chronic hip pain is coded with M25.55 for site-specific pain and G89.29 for chronic pain when it persists beyond 3 months.

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