![]() * M16.12: Unilateral primary osteoarthritis, left hip * M16.11: Unilateral primary osteoarthritis, right hip * M16.10: Unilateral primary osteoarthritis, unspecified hip But there are different codes for unspecified, right and left hip. For example, the ICD-10 code for ‘Unilateral primary osteoarthritis of hip’ is M16.1. The significant change that affects billing claims is that ICD-10 considers laterality when it comes to the diagnosis and treatment of osteoarthritis. * M16.6: Other bilateral secondary osteoarthritis of hip ![]() * M16.4: Bilateral post-traumatic osteoarthritis of hip * M16.2: Bilateral osteoarthritis resulting from hip dysplasia * M16.0: Bilateral primary osteoarthritis of hip Unlike ‘localized’ and ‘generalized’ classifications used in ICD-9, sub-classifications of primary, secondary, post-traumatic, and generalized (different from ‘generalized’ in ICD-9) are used in ICD-10. There are also significant changes in coding for admission into rehabilitation centers and surgical technique including spinal fusion, if necessary. In order to assign the correct code, the diagnosis of the patient should be reported to the highest level of specificity with the documentation of site and laterality, more specific information should be provided regarding fractures and injuries, identification of episode of care and additional information regarding osteoporosis. Since there are several changes and expansion introduced to the musculoskeletal code system in ICD-10, it will be a real challenge to code for musculoskeletal disease treatment under the new coding structure.
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