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ICD-10 Coding for Greater Trochanteric Bursitis(M70.61, M70.62)

Complete ICD-10-CM coding and documentation guide for Greater Trochanteric Bursitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Trochanteric BursitisHip Bursitis

Related ICD-10 Code Ranges

Complete code families applicable to Greater Trochanteric Bursitis

M70.6-M70.62Primary Range

Bursitis of hip

This range includes codes specific to bursitis of the hip, including laterality.

Gluteal tendinitis

This range is relevant for differential diagnosis when tendinopathy is present.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
M70.61Bursitis of right hipUse when bursitis is confirmed in the right hip with imaging.
  • Tenderness over right greater trochanter
  • Ultrasound confirms fluid in trochanteric bursa
M70.62Bursitis of left hipUse when bursitis is confirmed in the left hip with imaging.
  • Tenderness over left greater trochanter
  • MRI shows subgluteus maximus bursal thickening

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 right greater trochanteric bursitis

Essential facts and insights about Greater Trochanteric Bursitis

The ICD-10 code for right greater trochanteric bursitis is M70.61, requiring imaging confirmation and laterality documentation.

Primary ICD-10-CM Codes for greater trochanteric bursitis

Bursitis of right hip
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed bursitis via imaging

documentation Criteria

  • Detailed documentation of tenderness and imaging

Applicable To

  • Right hip bursitis

Excludes

Clinical Validation Requirements

  • Tenderness over right greater trochanter
  • Ultrasound confirms fluid in trochanteric bursa

Code-Specific Risks

  • Incorrect laterality
  • Lack of imaging documentation

Coding Notes

  • Ensure laterality is documented and confirmed with imaging.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Pain in right hip

M25.551
Use when pain persists post-treatment.

Pain in left hip

M25.552
Use when pain persists post-treatment.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Gluteal tendinitis, right hip

M76.01
Presence of tendinopathy on imaging.

Gluteal tendinitis, left hip

M76.00
Presence of tendinopathy on imaging.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Greater Trochanteric Bursitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M70.61.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Ensure imaging results are documented in the patient's record.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.

Mitigation Strategy

Always specify right or left hip in documentation.

Impact

Lack of imaging confirmation for bursitis diagnosis.

Mitigation Strategy

Ensure all imaging findings are documented and linked to the diagnosis.

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 Greater Trochanteric Bursitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Greater Trochanteric Bursitis

Use these documentation templates to ensure complete and accurate documentation for Greater Trochanteric Bursitis. These templates include all required elements for proper coding and billing.

Orthopedic evaluation of hip pain

Specialty: Orthopedics

Required Elements

  • History of present illness
  • Physical examination findings
  • Imaging results
  • Treatment plan

Examples: Poor vs. Good Documentation

Poor Documentation Example
Lateral hip pain, recommend PT
Good Documentation Example
**HPI**: 54F c/o R lateral hip pain x 3mo, worse climbing stairs. **Exam**: Tenderness over R greater trochanter, + resisted abduction pain. **Imaging**: Ultrasound shows 4mm anechoic fluid in trochanteric bursa. **Assessment**: R trochanteric bursitis (M70.61). Plan: 20610 injection.
Explanation
The good example provides specific details on location, duration, examination findings, and imaging results, which are necessary for accurate coding.

Need help with ICD-10 coding for Greater Trochanteric Bursitis? Ask your questions below.

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