ICD-10-CM Code M16

Osteoarthritis of hip

Version 2020 Non-Billable Code

Not Valid for Submission

M16 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of osteoarthritis of hip. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M16
Short Description:Osteoarthritis of hip
Long Description:Osteoarthritis of hip

Consider the following ICD-10 codes with a higher level of specificity:

  • M16.0 - Bilateral primary osteoarthritis of hip
  • M16.1 - Unilateral primary osteoarthritis of hip
  • M16.10 - Unilateral primary osteoarthritis, unspecified hip
  • M16.11 - Unilateral primary osteoarthritis, right hip
  • M16.12 - Unilateral primary osteoarthritis, left hip
  • M16.2 - Bilateral osteoarthritis resulting from hip dysplasia
  • M16.3 - Unilateral osteoarthritis resulting from hip dysplasia
  • M16.30 - Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip
  • M16.31 - Unilateral osteoarthritis resulting from hip dysplasia, right hip
  • M16.32 - Unilateral osteoarthritis resulting from hip dysplasia, left hip
  • M16.4 - Bilateral post-traumatic osteoarthritis of hip
  • M16.5 - Unilateral post-traumatic osteoarthritis of hip
  • M16.50 - Unilateral post-traumatic osteoarthritis, unspecified hip
  • M16.51 - Unilateral post-traumatic osteoarthritis, right hip
  • M16.52 - Unilateral post-traumatic osteoarthritis, left hip
  • M16.6 - Other bilateral secondary osteoarthritis of hip
  • M16.7 - Other unilateral secondary osteoarthritis of hip
  • M16.9 - ... unspecified

Clinical Information

  • OSTEOARTHRITIS HIP-. noninflammatory degenerative disease of the hip joint which usually appears in late middle or old age. it is characterized by growth or maturational disturbances in the femoral neck and head as well as acetabular dysplasia. a dominant symptom is pain on weight bearing or motion.

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Osteoarthritis (M15-M19)
      • Osteoarthritis of hip (M16)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Osteoarthritis

Osteoarthritis is the most common form of arthritis. It causes pain, swelling, and reduced motion in your joints. It can occur in any joint, but usually it affects your hands, knees, hips or spine.

Osteoarthritis breaks down the cartilage in your joints. Cartilage is the slippery tissue that covers the ends of bones in a joint. Healthy cartilage absorbs the shock of movement. When you lose cartilage, your bones rub together. Over time, this rubbing can permanently damage the joint.

Risk factors for osteoarthritis include

  • Being overweight
  • Getting older
  • Injuring a joint

No single test can diagnose osteoarthritis. Most doctors use several methods, including medical history, a physical exam, x-rays, or lab tests.

Treatments include exercise, medicines, and sometimes surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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