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M16.11

Billable

Unilateral primary osteoarthritis, right 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 the right hip joint that developed without prior injury or underlying condition.

Coding Tips

  • Confirm documentation explicitly states 'right hip' or 'right side' to use this laterality-specific code
  • This is the most specific code for unilateral primary osteoarthritis of the right hip

Code Hierarchy

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