What is the ICD-10 code for painful hip?

The ICD-10 code for painful hip is M25.55, which includes specific codes for right (M25.551) and left (M25.552) hip pain.

ICD-10 Coding for Painful Hip(M25.551, G89.29, M16.0)

Q: How do you code chronic hip pain?

Chronic hip pain is coded with M25.55 for site-specific pain and G89.29 for chronic pain when it persists beyond 3 months.

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Explore ICD-10 codes for painful hip, including M25.55 for site-specific pain and G89.29 for chronic pain management. Ensure accurate coding with our detailed guide.

Also known as:

Hip PainCoxalgia

Related ICD-10 Code Ranges

Complete code families applicable to Painful Hip

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
M25.551	Pain in right hip	Use when the patient presents with pain specifically in the right hip without a confirmed underlying condition like osteoarthritis.	Patient reports pain localized to the right hip Physical examination confirms tenderness in the right hip area
M25.552	Pain in left hip	Use when the patient presents with pain specifically in the left hip without a confirmed underlying condition like osteoarthritis.	Patient reports pain localized to the left hip Physical examination confirms tenderness in the left hip area
M16.0	Bilateral primary osteoarthritis of hip	Use when bilateral osteoarthritis is confirmed via imaging.	Radiographic evidence of osteoarthritis in both hips Patient reports bilateral hip pain

Primary ICD-10-CM Codes

Pain in right hip

M25.551Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Unilateral primary osteoarthritis, right hipM16.11

Unilateral primary osteoarthritis, left hipM16.12

Pain in hipM25.55

Documentation & Coding Risks

Avoid these common issues when documenting Painful Hip.

Failing to document the chronicity of pain.

Impact

Clinical: May affect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation

Always document the duration of pain., Include any functional limitations.

Using unspecified codes like M16.9 without proper documentation.

Impact

Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.

Mitigation

Always specify laterality and etiology when known.

Unspecified Coding

Impact

Using unspecified codes without proper documentation.

Mitigation

Ensure all documentation specifies laterality and etiology.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M25.551.

Primary Code

M25.551

Pain in right hip

Quick Navigation

ICD-10 codes9

Coding risks3

FAQs2

ICD-10 Coding for Painful Hip(M25.551, G89.29, M16.0)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for painful hip?

How do you code chronic hip pain?

Related condition guides