Find information on right hip pain diagnosis, including clinical documentation, medical coding (ICD-10-CM, M79.651), and differential diagnosis. Explore causes of right hip pain such as osteoarthritis, bursitis, tendinitis, and labral tears. Learn about symptoms, treatment options, and healthcare provider insights for accurate right hip pain assessment and management.
Also known as
Pain in right hip
Pain localized to the right hip joint.
Pain in unspecified hip
Pain in the hip, not specified as right or left.
Coxarthrosis
Degenerative joint disease of the hip, a potential source of hip pain.
Injuries to the hip and thigh
Traumatic injuries that could cause right hip pain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hip pain traumatic?
Yes
Dislocation present?
No
Inflammatory cause?
When to use each related code
| Description |
|---|
| Right Hip Pain |
| Right Hip Osteoarthritis |
| Right Trochanteric Bursitis |
Q: What are the key differential diagnoses to consider when a patient presents with persistent right hip pain and limited range of motion?
A: When a patient presents with persistent right hip pain and limited range of motion, several crucial differential diagnoses must be considered. Osteoarthritis, characterized by cartilage degeneration, is a common cause, especially in older adults. Labral tears, often resulting from trauma or repetitive motion, can cause catching or clicking sensations in the hip. Femoroacetabular impingement (FAI) should also be considered, especially in younger, active individuals, where bony abnormalities cause abnormal contact within the hip joint. Trochanteric bursitis, inflammation of the bursa overlying the greater trochanter, can present with lateral hip pain. Furthermore, referred pain from the lumbar spine, such as radiculopathy or spinal stenosis, can mimic hip pathology and warrants careful evaluation. A thorough physical exam, including range of motion testing, palpation, and special tests, alongside appropriate imaging studies (X-ray, MRI) are essential for accurate diagnosis. Explore how integrating a standardized hip examination protocol can improve diagnostic accuracy in your practice.
Q: How can clinicians effectively differentiate between hip osteoarthritis and femoroacetabular impingement (FAI) in patients presenting with right hip pain?
A: Differentiating between hip osteoarthritis and femoroacetabular impingement (FAI) can be challenging as both conditions present with right hip pain. While osteoarthritis primarily involves cartilage degeneration and is more common in older adults, FAI typically affects younger, active individuals and stems from abnormal bone morphology causing impingement. Clinically, osteoarthritis often presents with gradual onset pain, stiffness, and crepitus, whereas FAI is characterized by sharp, groin pain, often exacerbated by flexion and internal rotation. Radiographic findings are key for differentiation. X-rays in osteoarthritis demonstrate joint space narrowing, osteophytes, and subchondral sclerosis. In FAI, imaging reveals abnormal shapes of the femoral head or acetabulum, such as a cam lesion or pincer impingement. Consider implementing specific physical examination maneuvers like the FADIR and FABER tests, which are helpful in identifying FAI. Learn more about advanced imaging techniques like MR arthrography for further evaluation of labral tears commonly associated with FAI.
Patient presents with complaints of right hip pain. Onset of pain is described as (gradualacuteinsidious) and began (duration) ago. The pain is localized to the (anteriorposteriorlateralmedial) aspect of the right hip and is characterized as (sharpdullthrobbingachingburningradiating). Patient reports the pain is (constantintermittent) and is aggravated by (activities such as walkingstandingbendinglifting). Alleviating factors include (restheaticemedication). Pain severity is reported as (mildmoderate severe) on a scale of 0-10. Associated symptoms include (stiffnesslimited range of motionswellingclicking poppingnumbnessweakness). Patient denies any history of traumafall or injury to the right hip. Past medical history includes (relevant medical conditions). Medications include (list medications). Physical examination reveals (tenderness to palpationcrepitusdecreased range of motion in the right hip). Gait is (normalantalgic). Neurovascular examination of the right lower extremity is intact. Differential diagnoses include osteoarthritis of the right hip, trochanteric bursitis, right hip labral tear, and referred pain from the lumbar spine. Ordered right hip x-ray to evaluate for bony abnormalities. Assessment: Right hip pain. Plan: Patient education on activity modification, ice, and over-the-counter analgesics such as ibuprofen or naproxen. Follow-up scheduled in (duration) to review x-ray results and discuss further management options including physical therapy, corticosteroid injection, or referral to orthopedics if symptoms persist or worsen. ICD-10 code M25.55 Right hip pain.