ICD-10 Coding for Right Hip Bursitis(M70.61)
Complete ICD-10-CM coding and documentation guide for Right Hip Bursitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Hip Bursitis
M70-M79Primary Range
Other soft tissue disorders
This range includes codes for soft tissue disorders, including bursitis, which is relevant for coding right hip bursitis.
Key Information: ICD-10 code for right hip bursitis
Essential facts and insights about Right Hip Bursitis
Primary ICD-10-CM Code for right hip bursitis
Decision Criteria
clinical Criteria
- Presence of lateral hip pain and tenderness over greater trochanter.
documentation Criteria
- Imaging confirms bursal swelling.
Applicable To
- Right hip bursitis
Excludes
- Infectious bursitis (M71.151)
Clinical Validation Requirements
- Ultrasound or MRI confirms right trochanteric bursitis
- Lateral hip pain worse with stair climbing
Code-Specific Risks
- Incorrectly coding general hip pain without confirming bursitis
Coding Notes
- Ensure documentation specifies 'right hip' and includes imaging confirmation.
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 Right Hip 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: Increases risk of audit due to lack of specificity., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always specify the exact location and nature of the pain., Include imaging findings in documentation.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May trigger audits due to lack of specificity., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Always link pain to bursitis using M70.61.
Impact
Lack of imaging documentation can lead to audit flags.
Mitigation Strategy
Ensure all bursitis diagnoses are supported by imaging results.
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 Right Hip Bursitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Hip Bursitis
Use these documentation templates to ensure complete and accurate documentation for Right Hip Bursitis. These templates include all required elements for proper coding and billing.
Initial Evaluation for Right Hip Pain
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical exam findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Hip Bursitis? Ask your questions below.