M13.859 is a billable diagnosis code used to specify a medical diagnosis of other specified arthritis, unspecified hip. The code M13.859 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code M13.859 might also be used to specify conditions or terms like allergic arthritis, allergic arthritis of the pelvic region and thigh, arthritis of hip, arthropathy associated with a hypersensitivity reaction, climacteric arthritis , climacteric arthritis of the pelvic region and thigh, etc.
Unspecified diagnosis codes like M13.859 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Allergic arthritis
- Allergic arthritis of the pelvic region and thigh
- Arthritis of hip
- Arthropathy associated with a hypersensitivity reaction
- Climacteric arthritis
- Climacteric arthritis of the pelvic region and thigh
- Hip joint inflamed
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|553||BONE DISEASES AND ARTHROPATHIES WITH MCC||08||1.2683|
|554||BONE DISEASES AND ARTHROPATHIES WITHOUT MCC||08||0.7904|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert M13.859 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M13.859 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
If you feel pain and stiffness in your body or have trouble moving around, you might have arthritis. Most kinds of arthritis cause pain and swelling in your joints. Joints are places where two bones meet, such as your elbow or knee. Over time, a swollen joint can become severely damaged. Some kinds of arthritis can also cause problems in your organs, such as your eyes or skin.
Types of arthritis include
- Osteoarthritis is the most common type of arthritis. It's often related to aging or to an injury.
- Autoimmune arthritis happens when your body's immune system attacks healthy cells in your body by mistake. Rheumatoid arthritis is the most common form of this kind of arthritis.
- Juvenile arthritis is a type of arthritis that happens in children.
- Infectious arthritis is an infection that has spread from another part of the body to the joint.
- Psoriatic arthritis affects people with psoriasis.
- Gout is a painful type of arthritis that happens when too much uric acid builds up in the body. It often starts in the big toe.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
Hip Injuries and Disorders
Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis. This makes your hips very stable and allows for a wide range of motion. When they are healthy, it takes great force to hurt them. However, playing sports, running, overuse, or falling can sometimes lead to hip injuries such as
- Fractures (broken bones)
Certain diseases also lead to hip injuries or problems. Osteoarthritis can cause pain and limited motion. Osteoporosis of the hip causes weak bones that break easily. Both of these are common in older people.
Another problem is hip dysplasia, where the ball at the end of the femur is loose in the hip socket. It can cause hip dislocation. Babies who have hip dysplasia are usually born with it, but sometimes they develop it later.
Treatment for hip disorders may include rest, medicines, physical therapy, or surgery, including hip replacement.
[Learn More in MedlinePlus]
|ICD Code||Description||Valid for Submission|
|M13||Other arthritis||NON-BILLABLE CODE|
|M13.0||Polyarthritis, unspecified||BILLABLE CODE|
|M13.1||Monoarthritis, not elsewhere classified||NON-BILLABLE CODE|
|M13.10||Monoarthritis, not elsewhere classified, unspecified site||BILLABLE CODE|
|M13.11||Monoarthritis, not elsewhere classified, shoulder||NON-BILLABLE CODE|
|M13.111||Monoarthritis, not elsewhere classified, right shoulder||BILLABLE CODE|
|M13.112||Monoarthritis, not elsewhere classified, left shoulder||BILLABLE CODE|
|M13.119||Monoarthritis, not elsewhere classified, unspecified shoulder||BILLABLE CODE|
|M13.12||Monoarthritis, not elsewhere classified, elbow||NON-BILLABLE CODE|
|M13.121||Monoarthritis, not elsewhere classified, right elbow||BILLABLE CODE|
|M13.122||Monoarthritis, not elsewhere classified, left elbow||BILLABLE CODE|
|M13.129||Monoarthritis, not elsewhere classified, unspecified elbow||BILLABLE CODE|
|M13.13||Monoarthritis, not elsewhere classified, wrist||NON-BILLABLE CODE|
|M13.131||Monoarthritis, not elsewhere classified, right wrist||BILLABLE CODE|
|M13.132||Monoarthritis, not elsewhere classified, left wrist||BILLABLE CODE|
|M13.139||Monoarthritis, not elsewhere classified, unspecified wrist||BILLABLE CODE|
|M13.14||Monoarthritis, not elsewhere classified, hand||NON-BILLABLE CODE|
|M13.141||Monoarthritis, not elsewhere classified, right hand||BILLABLE CODE|
|M13.142||Monoarthritis, not elsewhere classified, left hand||BILLABLE CODE|
|M13.149||Monoarthritis, not elsewhere classified, unspecified hand||BILLABLE CODE|
|M13.15||Monoarthritis, not elsewhere classified, hip||NON-BILLABLE CODE|
|M13.151||Monoarthritis, not elsewhere classified, right hip||BILLABLE CODE|
|M13.152||Monoarthritis, not elsewhere classified, left hip||BILLABLE CODE|
|M13.159||Monoarthritis, not elsewhere classified, unspecified hip||BILLABLE CODE|
|M13.16||Monoarthritis, not elsewhere classified, knee||NON-BILLABLE CODE|
|M13.161||Monoarthritis, not elsewhere classified, right knee||BILLABLE CODE|
|M13.162||Monoarthritis, not elsewhere classified, left knee||BILLABLE CODE|
|M13.169||Monoarthritis, not elsewhere classified, unspecified knee||BILLABLE CODE|
|M13.17||Monoarthritis, not elsewhere classified, ankle and foot||NON-BILLABLE CODE|
|M13.171||Monoarthritis, not elsewhere classified, right ankle and foot||BILLABLE CODE|
|M13.172||Monoarthritis, not elsewhere classified, left ankle and foot||BILLABLE CODE|
|M13.179||Monoarthritis, not elsewhere classified, unspecified ankle and foot||BILLABLE CODE|
|M13.8||Other specified arthritis||NON-BILLABLE CODE|
|M13.80||Other specified arthritis, unspecified site||BILLABLE CODE|
|M13.81||Other specified arthritis, shoulder||NON-BILLABLE CODE|
|M13.811||Other specified arthritis, right shoulder||BILLABLE CODE|
|M13.812||Other specified arthritis, left shoulder||BILLABLE CODE|
|M13.819||Other specified arthritis, unspecified shoulder||BILLABLE CODE|
|M13.82||Other specified arthritis, elbow||NON-BILLABLE CODE|
|M13.821||Other specified arthritis, right elbow||BILLABLE CODE|
|M13.822||Other specified arthritis, left elbow||BILLABLE CODE|
|M13.829||Other specified arthritis, unspecified elbow||BILLABLE CODE|
|M13.83||Other specified arthritis, wrist||NON-BILLABLE CODE|
|M13.831||Other specified arthritis, right wrist||BILLABLE CODE|
|M13.832||Other specified arthritis, left wrist||BILLABLE CODE|
|M13.839||Other specified arthritis, unspecified wrist||BILLABLE CODE|
|M13.84||Other specified arthritis, hand||NON-BILLABLE CODE|
|M13.841||Other specified arthritis, right hand||BILLABLE CODE|
|M13.842||Other specified arthritis, left hand||BILLABLE CODE|
|M13.849||Other specified arthritis, unspecified hand||BILLABLE CODE|
|M13.85||Other specified arthritis, hip||NON-BILLABLE CODE|