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Home/Diagnosis/ICD-10 Coding for Right Total Hip Arthroplasty

ICD-10 Coding for Right Total Hip Arthroplasty

M16.11
Z96.641

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

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

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

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:
  • • Radiological evidence of joint space narrowing
  • • Failed conservative treatment for at least 12 weeks
documentation:
  • • Detailed operative report specifying components used

Applicable To

  • • Primary OA of right hip

Important Notes

  • • Ensure documentation supports the diagnosis of primary OA.

Presence of right artificial hip joint

Billable Code
Z96.641
Billable

Diagnostic Criteria

clinical:
  • • Post-operative documentation of hip prosthesis

Applicable To

  • • Right hip prosthesis

Important Notes

  • • Use in conjunction with primary diagnosis codes post-surgery.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.641

Presence of right artificial hip joint

Use post-operatively to indicate the presence of a prosthesis.

Frequently Asked Questions

What is the ICD-10 code for right total hip arthroplasty?

The ICD-10 code for right total hip arthroplasty is M16.11 for unilateral primary osteoarthritis, right hip, with Z96.641 indicating the presence of a right hip prosthesis post-surgery.

When should Z96.641 be used?

Z96.641 should be used post-operatively to indicate the presence of a right hip prosthesis after a total hip arthroplasty.

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