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ICD-10 Coding for Unilateral Primary Osteoarthritis of the Right Hip(M16.11, E66.9, M16.0)

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Learn about ICD-10 code M16.11 for unilateral primary osteoarthritis of the right hip, including documentation requirements and coding guidelines.

Also known as:
Right Hip OADegenerative Joint Disease of Right Hip
Related ICD-10 Code Ranges

Complete code families applicable to Unilateral Primary Osteoarthritis of the Right Hip

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

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Primary ICD-10-CM Codes
Unilateral primary osteoarthritis, right hip
M16.11Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Unilateral primary osteoarthritis, left hipM16.12

Use for left hip involvement instead of right.

Unilateral secondary osteoarthritis, right hip, due to dysplasiaM16.31

Use when osteoarthritis is secondary to dysplasia.

Documentation & Coding Risks

Avoid these common issues when documenting Unilateral Primary Osteoarthritis of the Right Hip.

Omitting laterality in documentation

Impact

Clinical: Leads to potential misdiagnosis or treatment errors., Regulatory: Non-compliance with ICD-10 coding standards., Financial: May result in denied claims or reduced reimbursement.

Mitigation

Train staff on importance of documenting laterality., Use templates that prompt for laterality.

Coding unspecified laterality when right hip is documented

Impact

Reimbursement: May result in lower reimbursement due to unspecified coding., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreases accuracy of clinical data.

Mitigation

Ensure documentation specifies 'right hip' and use M16.11.

Laterality Documentation

Impact

Failure to document laterality can lead to audit flags.

Mitigation

Implement mandatory fields in EHR for laterality.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M16.11.