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M16.6

Billable

Other bilateral secondary osteoarthritis of hip

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

What This Code Means

Osteoarthritis affecting both hips that is not primary osteoarthritis but resulted from another condition or cause.

Coding Tips

  • •This code indicates bilateral involvement, so both hips must be documented as affected
  • •Identify and document the underlying cause (secondary to another condition) to support medical necessity

Code Hierarchy

└M16Osteoarthritis of hip└M16.6Other bilateral secondary osteoarthritis of hip
└M16.6Other bilateral secondary osteoarthritis of hip

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