ICD-10 Coding for Bursitis of the Hip(M70.62, M70.72)
Complete ICD-10-CM coding and documentation guide for Bursitis of the Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bursitis of the Hip
M70.6-M70.7Primary Range
Bursitis of the hip
This range includes codes specific to bursitis affecting the hip, including trochanteric 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 |
|---|---|---|---|
| M70.62 | Trochanteric bursitis, left hip | Use when there is confirmed trochanteric bursitis of the left hip. |
|
| M70.72 | Other bursitis of hip, left hip | Use for bursitis types other than trochanteric affecting 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 bursitis of the hip
Essential facts and insights about Bursitis of the Hip
Primary ICD-10-CM Codes for bursitis of the hip
Decision Criteria
clinical Criteria
- Confirmed tenderness over the greater trochanter with imaging evidence.
coding Criteria
- Use M70.62 for left hip bursitis with confirmed clinical findings.
Applicable To
- Left hip bursitis
Excludes
- Infectious bursitis (M71.0)
Clinical Validation Requirements
- Tenderness over greater trochanter
- Pain with resisted abduction
- Ultrasound or MRI confirmation
Code-Specific Risks
- Incorrectly using a general pain code instead of this specific bursitis code.
Coding Notes
- Ensure laterality is specified to avoid unspecified code usage.
M70.72 - Other bursitis of hip, left hip
Use for bursitis types other than trochanteric affecting the left hip.
Applicable To
- Iliopsoas bursitis
- Ischial bursitis
Excludes
- Trochanteric bursitis (M70.62)
Clinical Validation Requirements
- Groin or buttock pain
- Pain with hip flexion
Coding Notes
Ensure the specific type of bursitis is documented to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in left hip
M25.552Differential 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 Bursitis of the Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M70.62.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding guidelines requiring evidence., Financial: Potential claim denials or audits.
Mitigation Strategy
Ensure imaging results are included in the patient's chart., Review documentation for completeness before submission.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use M70.62 with M25.552 only if pain persists.
Impact
Reimbursement: Claims may be denied due to unspecified coding., Compliance: Violates coding guidelines requiring specificity., Data Quality: Impacts clinical data integrity and research.
Mitigation Strategy
Always specify laterality using -62 for left or -61 for right.
Impact
Use of unspecified codes like M70.60 without clinical justification.
Mitigation Strategy
Always document and code laterality and specific bursa type.
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 Bursitis of the Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bursitis of the Hip
Use these documentation templates to ensure complete and accurate documentation for Bursitis of the Hip. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for hip bursitis
Specialty: OrthopedicsRequired Elements
- Subjective pain description
- Objective findings including ROM and tenderness
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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