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M16.10

Billable

Unilateral primary osteoarthritis, unspecified 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 one hip joint that developed without prior injury or underlying condition, but the specific hip is not documented.

Coding Tips

  • This is a default code when unilateral primary hip osteoarthritis is documented but laterality (right vs left) is not specified
  • Always attempt to obtain laterality information to assign the more specific M16.11 or M16.12 code

Code Hierarchy

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