ICD-10 Coding for Hip Bursitis(M70.71, M70.72)
Complete ICD-10-CM coding and documentation guide for Hip Bursitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hip Bursitis
M70.7-Primary Range
Other bursitis of hip
This range covers bursitis specifically affecting the hip, including trochanteric bursitis.
Iliotibial band syndrome
Differential diagnosis for lateral hip pain, often confused with bursitis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M70.71 | Other bursitis of right hip | Use when bursitis is confirmed in the right hip. |
|
| M70.72 | Other bursitis of left hip | Use when bursitis is confirmed in the left hip. |
|
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 hip bursitis
Essential facts and insights about Hip Bursitis
Primary ICD-10-CM Codes for hip bursitis
Decision Criteria
clinical Criteria
- Presence of tenderness over the greater trochanter and pain with specific movements.
coding Criteria
- Specify laterality to ensure accurate coding.
Applicable To
- Trochanteric bursitis of right hip
Excludes
- Iliotibial band syndrome (M76.31)
Clinical Validation Requirements
- Confirmed bursitis via imaging or clinical exam
- Localized tenderness over greater trochanter
- Pain with resisted hip abduction
Code-Specific Risks
- Ensure laterality is specified to avoid miscoding.
Coding Notes
- Always confirm bursitis with clinical findings or imaging before coding.
M70.72 - Other bursitis of left hip
Use when bursitis is confirmed in the left hip.
Applicable To
- Trochanteric bursitis of left hip
Excludes
- Iliotibial band syndrome (M76.32)
Clinical Validation Requirements
- Confirmed bursitis via imaging or clinical exam
- Localized tenderness over greater trochanter
- Pain with resisted hip abduction
Coding Notes
Always confirm bursitis with clinical findings or imaging before coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Hip Bursitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M70.71.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure imaging results are included in patient records., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data affecting patient records.
Mitigation Strategy
Use M70.71 for right hip and M70.72 for left hip.
Impact
Failure to specify laterality can lead to audit flags.
Mitigation Strategy
Implement documentation checks to ensure laterality is always recorded.
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 Hip Bursitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hip Bursitis
Use these documentation templates to ensure complete and accurate documentation for Hip Bursitis. These templates include all required elements for proper coding and billing.
Initial evaluation of hip pain
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Diagnosis and treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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