ICD-10 Coding for Bursitis of Right Hip(M70.61)
Complete ICD-10-CM coding and documentation guide for Bursitis of Right Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bursitis of Right Hip
M70.6-M70.7Primary Range
Other bursitis of hip
This range includes codes for bursitis of the hip, specifically trochanteric bursitis which is the primary condition discussed.
Key Information: ICD-10 code for bursitis of right hip
Essential facts and insights about Bursitis of Right Hip
Primary ICD-10-CM Code for bursitis of right hip
Decision Criteria
clinical Criteria
- Presence of tenderness over the greater trochanter and pain with specific movements.
documentation Criteria
- Documentation must specify 'right hip' and 'trochanteric bursitis'.
Applicable To
- Inflammation of the trochanteric bursa
Excludes
- Other bursitis of hip (M70.71)
Clinical Validation Requirements
- Tenderness over the greater trochanter
- Pain with resisted hip abduction
- Imaging showing bursal inflammation
Code-Specific Risks
- Confusing laterality or type of bursitis
- Using unspecified codes when laterality is documented
Coding Notes
- Ensure documentation specifies 'trochanteric bursitis' and the affected side.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right hip
M25.551Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other bursitis of hip, right hip
M70.71Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bursitis of Right Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M70.61.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: May result in denied claims.
Mitigation Strategy
Ensure detailed documentation of symptoms and findings.
Impact
Reimbursement: Incorrect coding can lead to underpayment., Compliance: May trigger audits due to lack of specificity., Data Quality: Impacts data accuracy and quality.
Mitigation Strategy
Query provider to confirm affected side and use the specific code.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Ensure documentation supports the most specific code.
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 Bursitis of Right Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bursitis of Right Hip
Use these documentation templates to ensure complete and accurate documentation for Bursitis of Right Hip. These templates include all required elements for proper coding and billing.
Orthopedic Evaluation
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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