ICD-10 Coding for Congenital Hip Dysplasia(Q65.01, Q65.89)
Complete ICD-10-CM coding and documentation guide for Congenital Hip Dysplasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Congenital Hip Dysplasia
Q65.0-Q65.9Primary Range
Congenital deformities of hip
This range includes codes for congenital hip deformities, including dislocation and dysplasia.
Osteoarthritis secondary to hip dysplasia
This code is used when osteoarthritis is secondary to congenital hip dysplasia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q65.01 | Congenital dislocation of right hip | Use when congenital dislocation of the right hip is confirmed. |
|
| Q65.89 | Other specified congenital deformities of hip | Use for specified congenital hip deformities not classified elsewhere. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for congenital hip dysplasia
Essential facts and insights about Congenital Hip Dysplasia
Primary ICD-10-CM Codes for congenital hip dysplasia
Decision Criteria
clinical Criteria
- Positive Ortolani test with ultrasound confirmation
Applicable To
- Congenital dislocation of right hip
Excludes
- Acquired hip dislocation (M24.35)
Clinical Validation Requirements
- Positive Ortolani or Barlow test
- Ultrasound showing dislocation
Code-Specific Risks
- Ensure laterality is documented to avoid unspecified coding.
Coding Notes
- Ensure documentation specifies 'congenital' and laterality.
Q65.89 - Other specified congenital deformities of hip
Use for specified congenital hip deformities not classified elsewhere.
Applicable To
- Congenital acetabular dysplasia
Excludes
- Acquired hip deformities (M21.8-)
Clinical Validation Requirements
- Ultrasound showing acetabular dysplasia
- Graf classification
Coding Notes
Ensure documentation includes specific deformity details.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Congenital Hip Dysplasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q65.01.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Educate clinicians on documentation requirements., Use structured templates.
Impact
Reimbursement: May lead to reduced reimbursement due to unspecified coding., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document laterality to use specific codes.
Impact
Risk of audits due to unspecified codes for hip dysplasia.
Mitigation Strategy
Ensure complete documentation of laterality and congenital status.
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 Congenital Hip Dysplasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Congenital Hip Dysplasia
Use these documentation templates to ensure complete and accurate documentation for Congenital Hip Dysplasia. These templates include all required elements for proper coding and billing.
Pediatric Hip Dysplasia Evaluation
Specialty: PediatricsRequired Elements
- Ortolani/Barlow test results
- Ultrasound findings
- Graf classification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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