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M16.0

Billable

Bilateral primary osteoarthritis of hip

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Wear-and-tear arthritis of both hip joints that developed without a prior injury or underlying condition.

Coding Tips

  • •This code specifically indicates bilateral involvement, so confirm documentation states both hips are affected
  • •Distinguish from secondary osteoarthritis codes (M16.2-M16.4) which indicate an underlying cause like dysplasia or trauma

Code Hierarchy

└M16Osteoarthritis of hip└M16.0Bilateral primary osteoarthritis of hip
└M16.0Bilateral primary osteoarthritis of hip

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