Find comprehensive information on Right Hip Surgery including clinical documentation, medical coding, and healthcare resources. Explore details on diagnosis codes, postoperative care, hip replacement procedures, arthroplasty, surgical techniques, and rehabilitation for right hip conditions. Learn about ICD-10 codes, CPT codes, medical billing, and documentation requirements for accurate and efficient healthcare claims processing related to right hip surgery. This resource provides valuable insights for healthcare professionals, coders, and patients seeking information on right hip procedures and recovery.
Also known as
Fracture of femur
Includes fractures of the right hip, such as neck and trochanteric fractures.
Other acquired deformities of hip
Covers conditions like coxa vara and protrusio acetabuli needing surgery.
Coxarthrosis
Osteoarthritis of the hip often requires surgical intervention like replacement.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this an initial encounter for the hip surgery?
Yes
Open or percutaneous procedure?
No
Encounter for complication?
When to use each related code
| Description |
|---|
| Right Hip Surgery |
| Right Hip Fracture |
| Right Hip Osteoarthritis |
Lack of documentation specifying anterior, posterior, lateral, or other approach can lead to inaccurate coding and claims denial.
Missing or incorrect codes for hip implants, prosthetics, or bone grafts may cause payment discrepancies and compliance issues.
Unclear documentation of right hip vs left hip can result in wrong-site surgery coding, impacting patient safety and reimbursement.
Patient presents with complaints of right hip pain, stiffness, and limited range of motion, impacting mobility and activities of daily living. Symptoms include difficulty walking, standing, and navigating stairs, consistent with a clinical presentation of hip osteoarthritis, potentially requiring right hip surgery. Physical examination reveals decreased right hip flexion, internal rotation, and abduction, accompanied by palpable crepitus and tenderness upon palpation. Radiographic imaging including X-rays of the right hip demonstrates joint space narrowing, osteophyte formation, and subchondral sclerosis, confirming the diagnosis of osteoarthritis. Conservative treatment options such as physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections have provided insufficient relief. The patient is now a candidate for right hip replacement surgery, specifically total hip arthroplasty (THA). Surgical risks and benefits, including potential complications such as infection, dislocation, and deep vein thrombosis (DVT), were thoroughly discussed with the patient. Informed consent was obtained for right hip arthroplasty. Preoperative evaluation, including blood work and electrocardiogram (ECG), will be scheduled. Postoperative care plan includes physical therapy, pain management, and anticoagulation prophylaxis. ICD-10 code M16.11 (Primary osteoarthritis, right hip) and CPT codes 27130 (Total hip arthroplasty, with or without acetabular and femoral cement) are anticipated, pending definitive surgical procedure. This documentation supports medical necessity for right hip surgery based on the patient's clinical presentation, diagnostic findings, and failed conservative management.