Find information on Greater Trochanteric Bursitis diagnosis, including clinical documentation, medical coding, ICD-10 code M70.61, hip pain symptoms, treatment options, and bursitis of hip. Learn about trochanteric bursitis physical exam findings, differential diagnosis considerations, and best practices for healthcare professionals documenting and coding this condition accurately for insurance reimbursement and medical record keeping. Explore resources for greater trochanter pain, lateral hip pain, and gluteal pain related to trochanteric bursitis.
Also known as
Soft tissue disorders
Includes bursitis, tendinitis, and other soft tissue inflammations.
Enthesopathies
Disorders of the attachment of tendons and ligaments to bone.
Trochanteric bursitis
Inflammation of the bursa surrounding the greater trochanter of the femur.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the bursitis isolated to the greater trochanter?
Yes
Is it specified as right or left?
No
Is it part of a generalized trochanteric bursitis?
When to use each related code
| Description |
|---|
| Greater trochanteric bursitis |
| Gluteus medius tendinopathy |
| Hip osteoarthritis |
Coding lacks laterality (right, left, bilateral) leading to claim rejections and inaccurate data reporting. Impacts M77.10, M77.11, M77.12 specificity.
Missing documentation of underlying cause (e.g., trauma, overuse) may hinder accurate coding and affect payment. Differentiate M77.1 from other bursitides.
Discrepancies between physician notes, imaging reports, and coded diagnosis can lead to audit findings and compliance issues. Ensure documentation supports M77.1x.
Q: What are the most effective differential diagnostic considerations for greater trochanteric pain syndrome (GTPS) in patients presenting with lateral hip pain?
A: Greater trochanteric pain syndrome (GTPS) often mimics other conditions causing lateral hip pain, making accurate differential diagnosis crucial. Clinicians should carefully consider the following: * **Lumbar Spine Pathology:** Radicular pain from the lumbar spine can radiate to the lateral hip, mimicking GTPS. Assess for neurological deficits, positive straight leg raise, and consider lumbar spine imaging if indicated. Explore how lumbar radiculopathy presents differently than GTPS. * **Hip Osteoarthritis:** While osteoarthritis typically presents with groin pain, it can also cause lateral hip discomfort. Evaluate for limited range of motion, joint crepitus, and consider radiographic imaging to assess joint space narrowing and osteophytes. Learn more about differentiating hip osteoarthritis from GTPS. * **Gluteal Tendinopathy:** Pain originating from the gluteus medius or minimus tendons can overlap with GTPS symptoms. Palpation of the tendons and resisted abduction and external rotation can help differentiate. Consider implementing specific tests for gluteal tendinopathy in your assessment. * **Meralgia Paresthetica:** This condition involves compression of the lateral femoral cutaneous nerve, causing burning and numbness in the lateral thigh. Sensory testing can help distinguish it from GTPS. Learn more about the clinical presentation of meralgia paresthetica.
Q: Beyond corticosteroid injections, what evidence-based non-surgical interventions are most beneficial for managing chronic greater trochanteric bursitis?
A: While corticosteroid injections can provide short-term relief for greater trochanteric bursitis, long-term management requires a multimodal approach focusing on non-surgical interventions. These include: * **Targeted Physical Therapy:** Exercise programs focusing on strengthening hip abductors (gluteus medius and minimus), improving flexibility, and addressing biomechanical contributing factors are essential. Consider implementing a progressive exercise program guided by a physical therapist. Explore how tailored exercises can alleviate GTPS symptoms. * **Activity Modification:** Educate patients on avoiding activities that exacerbate pain, such as prolonged standing, repetitive hip flexion, and impact activities. Learn more about activity modification strategies for GTPS. * **NSAIDs and Analgesics:** Nonsteroidal anti-inflammatory drugs (NSAIDs) and other analgesics can provide symptomatic relief, but long-term use should be monitored due to potential side effects. Explore the benefits and risks of using NSAIDs for GTPS. * **Extracorporeal Shockwave Therapy (ESWT):** ESWT has shown promise in reducing pain and improving function in some patients with chronic GTPS. Learn more about the evidence supporting the use of ESWT for GTPS.
Patient presents with lateral hip pain consistent with greater trochanteric pain syndrome. The patient reports localized tenderness over the greater trochanter, exacerbating pain with activities such as walking, stair climbing, lying on the affected side, and prolonged standing. Onset of pain was gradual, described as aching and burning, and located at the outer aspect of the hip. Physical examination reveals point tenderness to palpation over the greater trochanteric bursa, positive Trendelenburg sign, and pain with resisted abduction and external rotation of the hip. Range of motion is limited in abduction and internal rotation due to pain. No evidence of crepitus or instability noted. Differential diagnoses considered include iliotibial band syndrome, lumbar radiculopathy, and hip osteoarthritis. Diagnosis of greater trochanteric bursitis is made based on clinical presentation and physical exam findings. Initial treatment plan includes conservative management with NSAIDs for pain and inflammation, activity modification, ice therapy, and physical therapy focusing on stretching and strengthening exercises for hip abductors and external rotators. Patient education provided on proper body mechanics and home exercise program. Follow-up appointment scheduled in two weeks to assess response to treatment. If symptoms persist, corticosteroid injection may be considered. ICD-10 code M70.61, greater trochanteric bursitis, will be used for billing.