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M16.9

Osteoarthritis of hip, unspecified

Diseases of the musculoskeletal system and connective tissue Billable
Quick Reference
Degenerative joint disease of hip without laterality specification

Clinical Information

When to Use This Code

Degenerative joint disease of hip without laterality specification

Common Clinical Scenarios

  • Hip pain with imaging showing arthritis
  • Chronic hip osteoarthritis
  • Hip injection procedures
  • Total hip replacement evaluation

Documentation Requirements

  • Document imaging findings (joint space narrowing, osteophytes)
  • Specify laterality when possible (right, left, bilateral)
  • Record pain level and functional limitations
  • Note previous treatments attempted

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Hip osteoarthritisDegenerative joint disease of hipHip arthritis

Exclusion Terms

Do NOT use this code for:

  • Post-traumatic hip arthritis (M16.5-)
  • Rheumatoid arthritis of hip (M05-M06)

Coding Notes

Use M16.0 for bilateral, M16.1- for right/left specific
Weight loss and PT before joint replacement
Code obesity separately if contributory

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Code Details

Code
M16.9
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable

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