ICD Code M16.11

ICD code M16.11 is unilateral primary osteoarthritis of the right hip.

1. Presence of osteoarthritic changes localized to the right hip joint

2. No evidence of secondary causes such as trauma, congenital disorders, or inflammatory arthropathies

3. Chronic joint pain and stiffness in the right hip, typically worsening with activity and improving with rest

4. Radiographic findings consistent with osteoarthritis (e.g., joint space narrowing, osteophyte formation, subchondral sclerosis) in the right hip

5. Absence of similar osteoarthritic changes in the left hip

6. Gradual onset of symptoms, usually in middle-aged or older adults

7. Functional limitation or reduced range of motion in the right hip

Relevant CPT codes for ICD code M16.11 include:

- 27130 (Total hip arthroplasty)

- 27132 (Conversion of previous hip surgery to total hip arthroplasty)

- 27134 (Revision of total hip arthroplasty; both acetabular and femoral components)

- 27137 (Revision of total hip arthroplasty; acetabular component only)

- 27138 (Revision of total hip arthroplasty; femoral component only)

- 20680 (Removal of implant; deep, such as buried wire, pin, screw, metal band, nail, rod or plate)

- 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa, without ultrasound guidance)

- 73502 (Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views)

- 73503 (Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views)

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