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ICD-10 Coding for Hip Trochanteric Bursitis(M70.61, M70.62, M70.60)

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

Also known as:

Greater Trochanteric Pain SyndromeTrochanteric Bursitis

Related ICD-10 Code Ranges

Complete code families applicable to Hip Trochanteric Bursitis

M70.6Primary Range

Trochanteric bursitis

This range includes specific codes for trochanteric bursitis, differentiated by laterality.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
M70.61Trochanteric bursitis, right hipUse when the patient presents with symptoms specific to the right hip.
  • Lateral hip pain worsened by activity
  • Tenderness over greater trochanter
  • Positive resisted hip abduction test
M70.62Trochanteric bursitis, left hipUse when the patient presents with symptoms specific to the left hip.
  • Lateral hip pain worsened by activity
  • Tenderness over greater trochanter
  • Positive resisted hip abduction test
M70.60Trochanteric bursitis, unspecified hipUse only when laterality cannot be determined.
  • Lateral hip pain
  • Tenderness over greater trochanter

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 hip trochanteric bursitis

Essential facts and insights about Hip Trochanteric Bursitis

The ICD-10 code for right hip trochanteric bursitis is M70.61.

Primary ICD-10-CM Codes for hip trochanteric bursitis

Trochanteric bursitis, right hip
Billable Code

Decision Criteria

clinical Criteria

  • Presence of lateral hip pain and tenderness over the greater trochanter.

Applicable To

  • Pain in right hip due to bursitis

Excludes

  • Gluteal tendinopathy
  • Hip osteoarthritis

Clinical Validation Requirements

  • Lateral hip pain worsened by activity
  • Tenderness over greater trochanter
  • Positive resisted hip abduction test

Code-Specific Risks

  • Incorrect laterality documentation
  • Using general bursitis code instead

Coding Notes

  • Ensure laterality is documented clearly to avoid audit risks.

Ancillary Codes

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

Injection/aspiration of major joint/bursa without ultrasound

20610
Use for procedures involving injection or aspiration without imaging guidance.

Injection/aspiration with ultrasound guidance

20611
Use for procedures involving injection or aspiration with imaging guidance.

Differential Codes

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

Pain in right hip

M25.551
Use M25.551 for general hip pain not specifically diagnosed as bursitis.

Pain in left hip

M25.552
Use M25.552 for general hip pain not specifically diagnosed as bursitis.

Pain in unspecified hip

M25.559
Use M25.559 for general hip pain not specifically diagnosed as bursitis.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hip 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 documentation standards., Financial: Potential denial of claims due to insufficient documentation.

Mitigation Strategy

Ensure imaging results are included in the patient record., Cross-check documentation before finalizing the record.

Impact

Reimbursement: May lead to reduced reimbursement due to unspecified coding., Compliance: Increases risk of audit failure., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Query provider to confirm affected side and use M70.61 or M70.62.

Impact

Using unspecified codes when laterality is documented.

Mitigation Strategy

Always confirm and document laterality before coding.

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

Documentation Templates for Hip Trochanteric Bursitis

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

Orthopedic Progress Note (Post-Injection)

Specialty: Orthopedics

Required Elements

  • Subjective: Patient-reported outcomes post-injection
  • Objective: Physical exam findings
  • Assessment: Diagnosis and treatment effectiveness
  • Plan: Follow-up care and additional interventions

Example Documentation

**Subjective**: '80% pain relief in right hip after corticosteroid injection.' **Objective**: TTP: Right greater trochanter (mild vs. severe). **Assessment**: M70.61, status-post ultrasound-guided bursal injection. **Plan**: PT referral for gluteal strengthening.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hip pain, possible bursitis.
Good Documentation Example
Severe tenderness over right greater trochanter with pain radiating to lateral thigh. Positive Ober’s test and resisted hip abduction. Ultrasound confirms trochanteric bursitis without tendon tear.
Explanation
The good example provides specific clinical findings and imaging results, supporting the diagnosis.

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

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