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

ICD-10 Coding for Right Hip Surgery

M16.11
M87.051
S72.001D

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

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

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

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

  • • Radiographic evidence of joint space narrowing
  • • Patient history of pain and limited mobility

Applicable To

  • • Primary osteoarthritis of right hip

Important Notes

  • • Ensure documentation supports primary osteoarthritis diagnosis.

Idiopathic aseptic necrosis of right femur

Billable Code
M87.051
Billable

Diagnostic Criteria

  • • MRI showing subchondral collapse
  • • Patient history of steroid use or alcohol abuse

Applicable To

  • • Idiopathic avascular necrosis of right hip

Important Notes

  • • Document MRI findings and patient history thoroughly.

Fracture of unspecified part of neck of right femur, subsequent encounter

Billable Code
S72.001D
Billable

Diagnostic Criteria

  • • Radiographic evidence of fracture
  • • Documentation of fracture treatment plan

Applicable To

  • • Subsequent encounter for fracture treatment

Important Notes

  • • Ensure correct sequencing with fracture codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.641

Presence of right artificial hip joint

Use post-surgery to indicate the presence of an artificial joint.

Z79.52

Long term (current) use of systemic steroids

Use when steroid use is a contributing factor.

Frequently Asked Questions

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

The ICD-10 code for right hip surgery due to primary osteoarthritis is M16.11. For avascular necrosis, use M87.051.

How do you code a right hip replacement?

Code a right hip replacement with CPT 27130 for total hip arthroplasty, and use M16.11 for primary osteoarthritis.

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