Find information on left hip pain diagnosis, including differential diagnoses, clinical findings, ICD-10 codes (M25.551, M25.552), medical coding guidelines, and documentation best practices for healthcare professionals. Learn about common causes of left hip pain such as osteoarthritis, bursitis, and labral tears, and explore relevant symptoms, physical exam maneuvers, and imaging studies for accurate diagnosis and treatment. This resource offers valuable insights for physicians, clinicians, and medical coders seeking to improve their understanding and documentation of left hip pain.
Also known as
Pain in left hip
Pain localized to the left hip joint.
Coxarthrosis
Degenerative joint disease affecting the hip, which may cause left hip pain.
Injuries to the hip and thigh
Traumatic injuries to the hip region, including fractures and sprains potentially causing left hip pain.
Other soft tissue disorders
Conditions like bursitis or tendinitis around the hip could cause left hip pain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the left hip pain due to trauma/injury?
Yes
Fracture confirmed?
No
Is there osteoarthritis?
When to use each related code
| Description |
|---|
| Left hip pain |
| Left hip osteoarthritis |
| Left trochanteric bursitis |
Coding M25.551 (left hip pain) without further specificity when documentation supports a more precise diagnosis like osteoarthritis or bursitis leads to undercoding and lost revenue.
Failing to accurately document and code the laterality (left hip) can result in inaccurate coding, impacting reimbursement and data analysis for healthcare quality metrics.
Incorrectly coding left hip pain without distinguishing between traumatic (e.g., S70 series) and non-traumatic causes (e.g., M25.551) can lead to inaccurate claims and clinical data.
Patient presents with complaints of left hip pain. Onset of pain is described as (gradualacuteinsidious) and began (duration) ago. The pain is characterized as (sharpdull throbbingachyburningradiating) and located in the (anteriorposteriorlateralmedial groinbuttock) aspect of the left hip. Pain severity is reported as (mildmoderate severe) on a scale of 0-10, with 0 being no pain and 10 being the worst pain imaginable. Aggravating factors include (weight-bearingwalkingstairs activityprolonged standing sitting). Alleviating factors include (resticeheatcold medication). Patient denies any (feverchillsnumbnesstingling weakness) in the affected extremity. Past medical history includes (osteoarthritisrheumatoid arthritis hip injury prior surgery). Family history is significant for (osteoarthritis osteoporosis). Physical examination reveals (tenderness to palpation limited range of motion crepitus swellingdeformity). Neurovascular examination is intact. Differential diagnosis includes osteoarthritis, trochanteric bursitis, labral tear, referred pain from the lumbar spine, and muscle strain. Plan includes (radiographs MRI physical therapy pain management referral to orthopedics). Patient education provided regarding activity modification, ice and heat therapy, and over-the-counter pain relievers such as ibuprofen or acetaminophen. Follow-up scheduled in (duration). ICD-10 code: (M25.551 M25.552 or other appropriate code based on specific diagnosis).