ICD Code M25.551

ICD code M25.551 is used to identify and document the presence of pain specifically located in the right hip. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is utilized by healthcare providers to standardize diagnoses and streamline the billing process. By using this code, healthcare professionals can accurately communicate the patient's condition for treatment planning and insurance claims.

1. Presence of Pain: The patient reports experiencing pain specifically located in the right hip area. This pain may vary in intensity and can be acute or chronic.

2. Location Specificity: The pain is localized to the right hip, distinguishing it from pain in other areas such as the left hip, lower back, or legs.

3. Impact on Mobility: The pain in the right hip may affect the patient's ability to walk, stand, or perform activities that require hip movement, indicating a need for further evaluation.

4. Onset and Duration: The onset of the pain can be sudden or gradual, and the duration may range from a few days to several months, necessitating documentation for appropriate treatment planning.

5. Associated Symptoms: The patient may experience additional symptoms such as stiffness, swelling, or reduced range of motion in the right hip, which should be noted for comprehensive diagnosis.

6. Exclusion of Other Conditions: Other potential causes of hip pain, such as fractures, infections, or systemic conditions, should be ruled out through clinical evaluation and diagnostic testing.

7. Patient History: A thorough review of the patient's medical history, including any previous hip injuries, surgeries, or chronic conditions, is essential to determine the relevance of the pain in the right hip.

8. Physical Examination Findings: Clinical examination may reveal tenderness, swelling, or other physical signs that correlate with the reported pain in the right hip.

9. Imaging and Diagnostic Tests: If necessary, imaging studies such as X-rays, MRIs, or CT scans may be used to further investigate the cause of the pain and support the use of the ICD code.

10. Response to Treatment: The patient's response to initial treatments, such as pain management or physical therapy, should be monitored to assess the effectiveness and guide further care.

For the ICD code M25.551, which indicates pain in the right hip, the relevant CPT codes that may be applicable for treatment or diagnostic procedures include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., hip, knee, shoulder joint); without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., hip, knee, shoulder joint); with ultrasound guidance, with permanent recording and reporting.

3. 73502 - Radiologic examination, hip, unilateral; with 2-3 views.

4. 73503 - Radiologic examination, hip, unilateral; with 4 or more views.

5. 73521 - Radiologic examination, hips, bilateral; with 2 views of each hip, including anteroposterior view of pelvis.

6. 73522 - Radiologic examination, hips, bilateral; with 3-4 views of each hip.

7. 73523 - Radiologic examination, hips, bilateral; with 5 or more views of each hip.

8. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

9. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are commonly used for procedures and treatments associated with hip pain, and healthcare providers should select the most appropriate code based on the specific services rendered. Always ensure that the chosen CPT code aligns with the services provided and the documentation in the patient's medical record.

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