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v1.0.0
ICD-10 Guide
DiagnosesRight Hip Pain

Right Hip Pain

ICD-10 Coding for Right Hip Pain(M25.551, M16.11, M70.61, T84.030A)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Hip Pain?
Essential facts and insights about Right Hip Pain

Key Clinical Considerations:

  • Localized pain in the right hip region
  • Reduced range of motion
  • Swelling or tenderness around the hip joint

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset, duration, and nature of pain
  • Physical examination findings including range of motion and strength
  • Imaging results such as X-rays or MRIs

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Ensure codes reflect the specific diagnosis and any associated conditions.
  • Common errors: Misreporting the side of pain or failing to document the severity of symptoms.

Code Exclusions

Important Exclusions

  • Excluded conditions: Left hip pain, fractures, or other specified hip disorders.
  • Alternative codes: Consider codes for related conditions such as bursitis or tendonitis.

Related ICD-10 Codes

Primary Codes
M25.551
Pain in right hip
M16.11
Unilateral primary osteoarthritis of right hip
S73.001A
Unspecified injury of right hip, initial encounter
Ancillary Codes
R26.89
Differential Codes
M16.11
M70.61

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Patient populations: Adults with hip pain, athletes, elderly patients.
  • Clinical settings: Orthopedic clinics, urgent care, physical therapy.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, physical exam findings, and imaging results.

Billing considerations?

Ensure correct ICD-10 codes are used and that documentation supports the diagnosis.