2027 ICD-10-CM Diagnosis Code R29.4Clicking hip

ICD-10-CM Codes›R00–R99›R25-R29›R29

ICD-10-CM R29.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

R29.4 is a billable ICD-10-CM diagnosis code for clicking hip. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 555 through 556. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as bilateral hip clicking. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other general signs and symptoms.

Code Identity

ICD-10-CM Code
R29.4
Billable Status
Yes — Valid for Submission
Code Describes
Clicking hip
Short Description
Clicking hip
Same as the full description in the CMS dataset.
Parent Code
R29
Other symptoms and signs involving the nervous and musculoskeletal systems

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR25-R29Symptoms and signs involving the nervous and musculoskeletal systems
CategoryR29Other symptoms and signs involving the nervous and musculoskeletal systems
This CodeR29.4Clicking hip

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral hip clicking
  • Clicking hip
  • Clicking of left hip
  • Clicking of right hip
  • Neonatal clicking hip

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R29.4: its own notes plus those printed at Chapter 18. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • congenital deformities of hip (Q65.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Notes

General instructions on how these codes are used.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • The conditions and signs or symptoms included in categories R00-R94 consist of:
  • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
  • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
  • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
  • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
  • (e) cases in which a more precise diagnosis was not available for any other reason;
  • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name R29.4, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming R29.4: they are not reported together with it, unless the two conditions are unrelated.

  • Q65 Congenital deformities of hip
    clicking hip (R29.4)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM016
Other general signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R29.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
719.65 Joint symptom NEC-pelvis
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About R29.4Overview

What is the ICD-10 code for clicking hip?

The ICD-10-CM code for clicking hip is R29.4 (sometimes written as R294). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is R29.4 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report clicking hip on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does R29.4 group to?

When clicking hip is the principal diagnosis on an inpatient stay, it groups to MS-DRG 555, 556, with relative weights from 0.8210 to 1.2908 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R29.4 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the clicking hip is established, that condition takes the principal position instead.

Can R29.4 be reported with a code from Q65?

Not as a rule. The Excludes1 note on R29.4 lists "congenital deformities of hip (Q65.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).