What is the ICD-10 code for hip pain?

The ICD-10 code for unspecified hip pain is M25.55-, while specific conditions like osteoarthritis use codes from the M16 range.

How do you code chronic hip pain?

Chronic hip pain is coded with G89.29 when the pain persists beyond three months without a definitive diagnosis.

ICD-10 Coding for Hip Pain(M16.0, G89.29, M16.4)

Save

Explore ICD-10 coding for hip pain, including osteoarthritis and chronic pain management. Learn about documentation requirements and coding pitfalls.

Also known as:

Hip Joint PainCoxalgiapain in hip

Related ICD-10 Code Ranges

Complete code families applicable to Hip Pain

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
M16.0	Bilateral primary osteoarthritis of hip	Use when bilateral hip osteoarthritis is confirmed by imaging.	Radiographic evidence of osteoarthritis Documented etiology of primary osteoarthritis
M25.551	Pain in right hip	Use when the patient reports pain in the right hip without a specific diagnosis.	Patient-reported pain in the right hip Absence of specific diagnosis like osteoarthritis

Primary ICD-10-CM Codes

Bilateral primary osteoarthritis of hip

M16.0Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Pain in right hipM25.551

Use when pain is present without confirmed osteoarthritis.

Bilateral primary osteoarthritis of hipM16.0

Documentation & Coding Risks

Avoid these common issues when documenting Hip Pain.

Failure to document laterality

Impact

Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential denial of claims

Mitigation

Always specify left, right, or bilateral in documentation

Using M25.55- when osteoarthritis is confirmed

Impact

Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on the prevalence of osteoarthritis.

Mitigation

Use M16.- series codes when osteoarthritis is confirmed by imaging.

Chronic pain coding

Impact

Inadequate documentation of chronic pain duration and management.

Mitigation

Ensure detailed documentation of pain duration and previous treatments.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M16.0.

Primary Code

M16.0

Bilateral primary osteoarthritis of hip

Quick Navigation

ICD-10 codes6

Coding risks3

FAQs2

ICD-10 Coding for Hip Pain(M16.0, G89.29, M16.4)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for hip pain?

How do you code chronic hip pain?

Related condition guides