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M25.459

Billable

Effusion, unspecified hip

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

What This Code Means

Fluid accumulation in the hip joint when the specific side (left or right) is not documented or specified.

Coding Tips

  • Use this code only when laterality cannot be determined from documentation; query provider if possible for specificity
  • This is a less specific code; attempt to obtain laterality information before defaulting to unspecified

Code Hierarchy

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