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

ICD-10 Coding for Right Hip Replacement

M16.11
T84.53XA

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

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

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

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:
  • • Presence of severe osteoarthritis symptoms and imaging findings
documentation:
  • • Detailed operative report specifying components used

Applicable To

  • • Primary osteoarthritis of right hip

Important Notes

  • • Ensure laterality is documented as 'right' for accurate coding.

Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter

Billable Code
T84.53XA
Billable

Diagnostic Criteria

Applicable To

  • • Infection of right hip prosthesis

Important Notes

  • • Document the infectious organism and confirmatory tests.
Ancillary Codes

Additional codes that may be used with this diagnosis

T84.021A

Mechanical loosening of internal right hip prosthesis

Use when there is documented mechanical loosening of the hip prosthesis.

B95.2

Staphylococcus aureus as the cause of diseases classified elsewhere

Use to specify the infectious agent in prosthetic infections.

Frequently Asked Questions

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

The ICD-10 code for right hip replacement due to primary osteoarthritis is M16.11. This code is used when the patient has confirmed primary osteoarthritis of the right hip.

How do you code a right hip replacement with complications?

For a right hip replacement with complications, use M16.11 for the primary condition and add T84.53XA for infection or T84.021A for mechanical loosening.

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