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Home/Diagnosis/ICD-10 Coding for Right Hip Pain

ICD-10 Coding for Right Hip Pain

M25.551
M16.11
M70.61

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

Also Known as:
Pain in Right Hip
Right Hip Discomfort
R Hip Pain
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Key Information: ICD-10 Coding for Right Hip Pain

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

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 with no other definitive diagnosis.
documentation:
  • • Detailed description of pain characteristics and functional impact.

Applicable To

  • • Right hip pain

Important Notes

  • • Ensure documentation specifies laterality and any aggravating factors.

Unilateral primary osteoarthritis, right hip

Billable Code
M16.11
Billable

Applicable To

  • • Osteoarthritis of right hip

Important Notes

  • • Ensure radiographic evidence is documented.

Trochanteric bursitis, right hip

Billable Code
M70.61
Billable

Applicable To

  • • Bursitis of right hip

Important Notes

  • • Document specific clinical tests confirming bursitis.

Mechanical loosening of internal right hip prosthesis

Billable Code
T84.030A
Billable

Applicable To

  • • Loosening of right hip prosthesis

Important Notes

  • • Ensure imaging confirms prosthesis issue.
Ancillary Codes

Additional codes that may be used with this diagnosis

R26.89

Other abnormalities of gait and mobility

Use when there is an observed antalgic gait due to hip pain.

Frequently Asked Questions

What is the ICD-10 code for right hip pain?

The ICD-10 code for right hip pain is M25.551. It is used when pain is the primary symptom without a definitive diagnosis.

When should M25.551 be used?

Use M25.551 when right hip pain is the primary symptom and no definitive diagnosis like osteoarthritis or bursitis is confirmed.

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