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Home/Diagnosis/ICD-10 Coding for Total Hip Replacement (Left)

ICD-10 Coding for Total Hip Replacement (Left)

M16.12
S72.002A
Z96.642

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

Also Known as:
Left Hip Arthroplasty
Left Hip Joint Replacement
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Key Information: ICD-10 Coding for Total Hip Replacement (Left)

Essential facts and insights about ICD-10 Coding for Total Hip Replacement (Left)

Use ICD-10 code M16.12 for unilateral primary osteoarthritis, left hip, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unilateral primary osteoarthritis, left hip

Billable Code
M16.12
Billable

Diagnostic Criteria

  • • Confirmed osteoarthritis with imaging and failed conservative treatment.

Applicable To

  • • Degenerative joint disease of left hip

Important Notes

  • • Ensure documentation supports the diagnosis of osteoarthritis with imaging and clinical history.

Fracture of unspecified part of neck of left femur, initial encounter for closed fracture

Billable Code
S72.002A
Billable

Diagnostic Criteria

  • • X-ray confirming fracture
  • • Acute injury presentation

Applicable To

  • • Closed fracture of left femoral neck

Important Notes

  • • Ensure documentation includes fracture details and treatment plan.

Presence of left artificial hip joint

Billable Code
Z96.642
Billable

Diagnostic Criteria

    Applicable To

    • • Status post left hip replacement

    Important Notes

    • • Ensure surgical history is documented.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    Z96.642

    Presence of left artificial hip joint

    Use as secondary code to indicate prosthetic status.

    Frequently Asked Questions

    What is the ICD-10 code for left total hip replacement?

    The ICD-10 code for the presence of a left artificial hip joint is Z96.642. For osteoarthritis leading to replacement, use M16.12.

    How do you code a left hip replacement due to fracture?

    Use S72.002A for the fracture and Z96.642 for the presence of the prosthetic joint.

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