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M16.50

Billable

Unilateral post-traumatic osteoarthritis, unspecified hip

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

What This Code Means

Osteoarthritis of the hip that developed after an injury, affecting one hip but the specific side is not documented.

Coding Tips

  • •Use this code only when the laterality (left or right) is not specified in the medical record; query the provider if possible for M16.51 or M16.52
  • •This code indicates post-traumatic osteoarthritis, so there should be documentation of a prior hip injury or trauma

Code Hierarchy

└M16Osteoarthritis of hip└M16.5Unilateral post-traumatic osteoarthritis of hip└M16.50Unilateral post-traumatic osteoarthritis, unspecified hip
└M16.50Unilateral post-traumatic osteoarthritis, unspecified hip

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