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M70.60
ICD-10-CM
Hip Trochanteric Bursitis

Find information on hip trochanteric bursitis diagnosis, including clinical documentation requirements, ICD-10 codes (M70.61, M70.60), medical coding guidelines, and differential diagnosis considerations. Learn about symptoms, treatment options, and best practices for accurate healthcare record keeping related to trochanteric bursitis, greater trochanteric pain syndrome, and hip pain. This resource offers guidance for physicians, coders, and other healthcare professionals seeking accurate and comprehensive information on hip trochanteric bursitis.

Also known as

Greater Trochanteric Pain Syndrome
Trochanteric Bursitis

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M70.60 Coding
M70-M79

Soft tissue disorders

Includes bursitis, tendinitis, and other soft tissue disorders.

M70

Soft tissue disorders related to use, overuse and pressure

Covers specific soft tissue disorders due to overuse, pressure, or repetitive use.

M70.2

Enthesopathies of lower limb, excluding foot

Includes disorders of the attachment points of tendons and ligaments in the lower limb.

M70.3

Other bursitis of lower leg

Encompasses various bursitis conditions affecting the lower leg, not elsewhere classified.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the trochanteric bursitis specified as infectious?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Hip bursitis (trochanteric)
Gluteus medius tendinopathy
Iliotibial (IT) band syndrome

Documentation Best Practices

Documentation Checklist
  • Lateral hip pain localized to trochanter
  • Pain worsened by palpation of trochanter
  • Exclude other hip pathologies (OA, labral tear)
  • Positive Trendelenburg test or Ober's test
  • Limited hip abduction or internal rotation

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding lacks right/left specificity for M70.61, leading to claim rejections or improper reimbursement. CDI should query for clarity.

  • Trauma vs. Overuse

    Miscoded as injury (S70 series) instead of inflammation (M70.61). Accurate documentation is crucial for correct coding and compliance.

  • Gluteal Tendinopathy

    Overlapping symptoms may cause incorrect coding. Specificity between bursitis (M70.61) and tendinopathy (M76.5) is essential for accurate reporting.

Mitigation Tips

Best Practices
  • Document specific palpation tenderness over trochanter ICD-10 M70.61
  • Exclude other hip pathologies through imaging/exam for accurate CDI
  • Correlate symptoms with physical exam findings for compliant billing
  • Specify laterality (right/left) and bursa involved for precise coding
  • Query physician for clarity if documentation lacks detail for HCC coding

Clinical Decision Support

Checklist
  • Lateral hip pain? Rule out lumbar spine, SI joint
  • Palpate greater trochanter for tenderness
  • Pain with resisted abduction/external rotation?
  • Imaging (X-ray/MRI) to exclude other pathologies
  • Document pain location, ROM, special tests

Reimbursement and Quality Metrics

Impact Summary
  • Hip Trochanteric Bursitis: Reimbursement and Quality Metrics Impact Summary
  • Keywords: ICD-10 M70.61, CPT 20550, 20551, Bursitis injection, Billing, Coding, Denials, Hospital Reporting, Quality Measures, Physician documentation
  • Impact 1: Accurate coding (M70.61) crucial for appropriate reimbursement.
  • Impact 2: Injection documentation (20550/20551) impacts payment and quality reporting.
  • Impact 3: Clear laterality documentation prevents denials and improves data accuracy.
  • Impact 4: Pain management documentation affects quality scores and patient satisfaction.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code M70.61 for greater trochanter
  • Specify laterality (right/left)
  • Document pain, tenderness, exam findings
  • Consider imaging if diagnosis unclear
  • Exclude other hip pathologies in notes

Documentation Templates

Patient presents with complaints of lateral hip pain consistent with a diagnosis of Trochanteric Bursitis.  Onset of pain was gradual, localized to the outer aspect of the hip, and exacerbated by activities such as walking, stair climbing, lying on the affected side, and prolonged standing.  Pain is described as aching, sharp, or burning and may radiate down the lateral thigh.  Physical examination reveals point tenderness over the greater trochanter, positive Trendelenburg sign, pain with resisted hip abduction, and potentially limited range of motion in the hip.  Differential diagnosis includes iliotibial band syndrome, lumbar radiculopathy, and hip osteoarthritis.  Assessment points towards Trochanteric Bursitis based on localized tenderness, pain pattern, and lack of neurological deficits.  Treatment plan includes conservative management with NSAIDs for pain relief, ice application, rest, activity modification, and physical therapy focusing on stretching and strengthening exercises for the hip abductors and surrounding musculature.  Corticosteroid injection is considered if symptoms do not improve with conservative treatment.  Patient education provided regarding proper body mechanics, activity pacing, and home exercise program.  Follow-up scheduled in two weeks to assess response to treatment and adjust plan as needed.  ICD-10 code M70.61 for right hip, M70.62 for left hip, or M70.60 for unspecified side will be used for billing.