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

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

Also known as:

Greater Trochanteric Pain SyndromeHip Bursitis

Related ICD-10 Code Ranges

Complete code families applicable to Trochanteric Bursitis

M70.6-Primary Range

ICD-10 code range for trochanteric bursitis

This range includes codes for trochanteric bursitis with laterality specification.

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 documentation specifies right hip involvement.
  • Pain localized to right greater trochanter
  • MRI or ultrasound showing bursal inflammation
M70.62Trochanteric bursitis, left hipUse when documentation specifies left hip involvement.
  • Pain localized to left greater trochanter
  • MRI or ultrasound showing bursal inflammation

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 trochanteric bursitis

Essential facts and insights about Trochanteric Bursitis

The ICD-10 code for right trochanteric bursitis is M70.61, used for conditions affecting the right hip.

Primary ICD-10-CM Codes for trochanteric bursitis

Trochanteric bursitis, right hip
Billable Code

Decision Criteria

clinical Criteria

  • Presence of lateral hip pain and positive imaging findings.

Applicable To

  • Right hip pain due to bursitis

Excludes

  • Gluteal tendinitis (M76.6)

Clinical Validation Requirements

  • Pain localized to right greater trochanter
  • MRI or ultrasound showing bursal inflammation

Code-Specific Risks

  • Omitting laterality can lead to incorrect coding.

Coding Notes

  • Ensure laterality is documented to avoid unspecified coding.

Ancillary Codes

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

Arthrocentesis, aspiration and/or injection into a major joint or bursa

20610
Use for injection procedures related to bursitis treatment.

Differential Codes

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

Gluteal tendinitis

M76.6
Pain located in deep buttock, not lateral hip.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting 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 incorrect treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential for claim denials.

Mitigation Strategy

Always document laterality., Review clinical notes for specificity.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate data collection affecting patient records.

Mitigation Strategy

Always specify right or left hip in clinical notes.

Impact

Failure to document laterality can lead to audit findings.

Mitigation Strategy

Implement a checklist for documentation review.

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

Documentation Templates for Trochanteric Bursitis

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

Orthopedic evaluation for trochanteric bursitis

Specialty: Orthopedics

Required Elements

  • Patient history of hip pain
  • Physical exam findings
  • Imaging results
  • Treatment plan

Example Documentation

Patient presents with right hip pain localized to the greater trochanter. MRI confirms bursitis. Plan includes corticosteroid injection.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has hip pain.
Good Documentation Example
Patient reports sharp pain localized to right greater trochanter, exacerbated by walking. MRI shows bursal inflammation.
Explanation
The good example specifies pain location and imaging findings, supporting accurate coding.

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

Ask about any ICD-10 CM code, or paste a medical note

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