Find comprehensive information on Total Right Hip Replacement diagnosis including clinical documentation requirements, medical coding guidelines, and healthcare best practices. This resource covers ICD-10-CM codes, CPT codes, postoperative care, complications, and rehabilitation for right total hip arthroplasty. Learn about accurate coding for primary and revision procedures, as well as documentation tips for optimal reimbursement. Explore relevant medical terminology and clinical indicators related to right THR for improved patient care and accurate healthcare data reporting.
Also known as
Total right hip replacement
Replacement of the entire right hip joint with a prosthesis.
Revision of right hip replacement
Correction or replacement of a previously implanted right hip prosthesis.
Infection of right hip prosthesis
Infection associated with a right hip replacement prosthesis.
Mechanical complication of right hip
Mechanical problems with a right hip prosthesis or joint.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this a primary or revision total hip replacement?
When to use each related code
| Description |
|---|
| Total right hip replacement |
| Right hip revision arthroplasty |
| Right hip periprosthetic fracture |
Incorrect coding for right hip when procedure performed on left hip, or unspecified laterality documentation leading to coding errors.
Missing documentation of surgical approach (anterior, posterior, etc.) impacting accurate DRG assignment and reimbursement.
Failure to distinguish between primary and revision total hip replacement impacting code selection and potential under or overpayment.
Patient presents with complaints of chronic right hip pain, stiffness, and limited range of motion, consistent with osteoarthritis of the right hip. Symptoms include difficulty with ambulation, weight-bearing activities, and activities of daily living. Conservative treatments such as physical therapy, pain management with NSAIDs, and corticosteroid injections have failed to provide adequate relief. Radiographic imaging confirms severe degenerative changes in the right hip joint, including joint space narrowing, osteophyte formation, and subchondral sclerosis. Diagnosis of osteoarthritis of the right hip is confirmed. Surgical intervention in the form of a total right hip arthroplasty (total right hip replacement) is indicated. The risks and benefits of the procedure, including potential complications such as infection, dislocation, deep vein thrombosis, and pulmonary embolism, were discussed with the patient. The patient understands the risks and benefits and consents to the procedure. Preoperative evaluation, including electrocardiogram and laboratory tests, will be performed. Postoperative care plan includes physical therapy, pain management, and deep vein thrombosis prophylaxis. Follow-up appointments will be scheduled to monitor healing and functional recovery. ICD-10 code M16.11, right hip osteoarthritis, primary, is documented for medical billing and coding purposes. CPT codes for total hip replacement, including component placement and surgical approach, will be determined based on the specific procedure performed. The goal of the total right hip replacement is to alleviate pain, improve mobility, and enhance the patient's quality of life.