M25.159
BillableFistula, unspecified hip
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
An abnormal tunnel or opening in a hip joint where the specific side is not documented or is unclear.
Coding Tips
- •Attempt to obtain clarification from the provider regarding which hip is affected
- •This unspecified code should be used only when laterality cannot be determined despite documentation review
Code Hierarchy
└M25Other joint disorder, not elsewhere classified└M25.1Fistula of joint└M25.15Fistula, hip└M25.159Fistula, unspecified hip
└M25.159Fistula, unspecified hip