ICD-10 Coding for Pediatric Hip Dysplasia(Q65.2, Q65.89, M21.8)
Complete ICD-10-CM coding and documentation guide for Pediatric Hip Dysplasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pediatric Hip Dysplasia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q65.2 | Congenital dislocation of hip, unspecified | Use for congenital dislocation confirmed by clinical and imaging findings. |
|
| Q65.89 | Other specified congenital deformities of hip | Use for specified congenital deformities other than dislocation. |
|
| M21.8 | Other specified acquired deformities of hip | Use for acquired deformities, particularly in non-congenital cases. |
|
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 congenital hip dysplasia
Essential facts and insights about Pediatric Hip Dysplasia
Primary ICD-10-CM Codes for hip dysplasia pediatrics
Decision Criteria
clinical Criteria
- Positive Ortolani sign with imaging confirmation
Applicable To
- Congenital hip dislocation
Excludes
- Acquired hip dislocation (M21.8)
Clinical Validation Requirements
- Positive Ortolani or Barlow sign
- Imaging confirmation with Graf Type IIa or higher
Code-Specific Risks
- Risk of using for acquired conditions without congenital confirmation.
Coding Notes
- Ensure documentation specifies congenital nature and laterality.
Q65.89 - Other specified congenital deformities of hip
Use for specified congenital deformities other than dislocation.
Applicable To
- Congenital acetabular dysplasia
Excludes
- Acquired deformities (M21.8)
Clinical Validation Requirements
- Specific imaging findings such as acetabular dysplasia
Coding Notes
Specify the type of deformity in documentation.
M21.8 - Other specified acquired deformities of hip
Use for acquired deformities, particularly in non-congenital cases.
Applicable To
- Acquired hip deformities
Excludes
- Congenital deformities (Q65.2, Q65.89)
Clinical Validation Requirements
- Documentation of underlying condition such as cerebral palsy
Coding Notes
Ensure documentation specifies the acquired nature and underlying cause.
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 Pediatric Hip Dysplasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q65.2.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Fails to meet documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Ensure detailed physical exam findings are documented., Correlate clinical findings with imaging.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use M21.8 for acquired cases, especially with conditions like cerebral palsy.
Impact
Lack of imaging confirmation for congenital codes.
Mitigation Strategy
Ensure all congenital diagnoses are supported by imaging.
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 Pediatric Hip Dysplasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pediatric Hip Dysplasia
Use these documentation templates to ensure complete and accurate documentation for Pediatric Hip Dysplasia. These templates include all required elements for proper coding and billing.
Congenital Hip Dysplasia Diagnosis
Specialty: PediatricsRequired Elements
- Patient history including birth details
- Physical exam findings (Ortolani/Barlow signs)
- Imaging results (Graf classification)
- Treatment plan (e.g., Pavlik harness)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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