ICD-10 Coding for Avascular Necrosis of the Right Hip(M87.051)
Complete ICD-10-CM coding and documentation guide for Avascular Necrosis of the Right Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Avascular Necrosis of the Right Hip
M87.0-M87.9Primary Range
Osteonecrosis
This range includes codes for avascular necrosis of bones, specifying etiology and site.
Key Information: ICD-10 code for avascular necrosis of right hip
Essential facts and insights about Avascular Necrosis of the Right Hip
Primary ICD-10-CM Code for avascular necrosis right hip
Decision Criteria
clinical Criteria
- MRI confirmation of AVN without trauma or drug history.
documentation Criteria
- Documentation must specify 'idiopathic' and 'right femoral head'.
Applicable To
- Idiopathic avascular necrosis of right femoral head
Clinical Validation Requirements
- MRI showing Ficat Stage I-III changes
- Absence of trauma or drug history
- Localized groin pain
Code-Specific Risks
- Risk of using unspecified codes when laterality is documented.
Coding Notes
- Ensure documentation specifies idiopathic nature and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unilateral primary osteoarthritis, right hip
M16.11Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Avascular Necrosis of the Right Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M87.051.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure documentation explicitly states causal relationships., Use templates to guide comprehensive documentation.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always confirm and document laterality to use specific codes.
Impact
Using unspecified codes when specific laterality and etiology are documented.
Mitigation Strategy
Implement regular documentation audits and coder training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Avascular Necrosis of the Right Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Avascular Necrosis of the Right Hip
Use these documentation templates to ensure complete and accurate documentation for Avascular Necrosis of the Right Hip. These templates include all required elements for proper coding and billing.
Post-Core Decompression Follow-Up
Specialty: OrthopedicsRequired Elements
- Patient-reported outcomes
- MRI findings
- Physical exam results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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