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Z96.649

Billable

Presence of unspecified artificial hip joint

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

What This Code Means

A patient who has an artificial hip joint replacement, but the specific side or whether it is bilateral is not documented or specified.

Coding Tips

  • This is a non-specific code; query the provider to determine if the replacement is right, left, or bilateral
  • Avoid using this code when laterality can be determined from the medical record

Code Hierarchy

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