ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM02.852

M02.852

Billable

Other reactive arthropathies, left hip

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 M02.852 is a billable code used to indicate a diagnosis of other reactive arthropathies, left hip.

Key Diagnostic Point:

Reactive arthropathies are a group of inflammatory joint conditions that arise as a response to an infection or other inflammatory process elsewhere in the body. The left hip joint, a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, can be affected by these arthropathies, leading to pain, swelling, and reduced mobility. Clinically, patients may present with unilateral hip pain, stiffness, and swelling, often following a genitourinary or gastrointestinal infection. The pathophysiology involves an immune-mediated response where the body mistakenly attacks its own joint tissues, leading to inflammation. This condition can result in significant functional impairment, affecting activities of daily living and mobility. Diagnosis typically involves clinical evaluation, imaging studies such as X-rays or MRI, and laboratory tests to rule out other causes of arthritis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of reactive arthropathies and their triggers.
  • Involves knowledge of hip anatomy and joint mechanics.
  • Differentiation from other types of arthritis is necessary.
  • Documentation must reflect laterality and specific joint involvement.

Audit Risk Factors

  • Inadequate documentation of the underlying cause of the reactive arthropathy.
  • Failure to specify laterality or joint involvement.
  • Misclassification of the condition as a different type of arthritis.
  • Lack of supporting diagnostic tests or imaging results.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Orthopedic documentation should include imaging results (X-rays, MRI) showing joint involvement, functional assessments, and treatment plans.

Common Clinical Scenarios

Patients may present with acute hip pain following a recent infection, requiring surgical intervention if conservative management fails.

Billing Considerations

Joint-specific considerations include assessing the range of motion and stability of the hip joint.

Rheumatology

Documentation Requirements

Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments.

Common Clinical Scenarios

Patients may have a history of infections leading to reactive arthritis, requiring long-term management strategies.

Billing Considerations

Systemic involvement may need to be documented, especially if there are signs of other autoimmune conditions.

Physical Medicine

Documentation Requirements

Functional assessments should detail the patient's mobility limitations and rehabilitation needs.

Common Clinical Scenarios

Patients may require physical therapy to regain hip function and strength post-inflammation.

Billing Considerations

Documentation should address the need for assistive devices if mobility is significantly impaired.

Coding Guidelines

Inclusion Criteria

Use M02.852 When
  • 10 coding guidelines require specificity in laterality (left hip) and the nature of the condition (reactive arthropathy)
  • Documentation must reflect the encounter type (initial, follow
  • up) and any relevant comorbidities

Exclusion Criteria

Do NOT use M02.852 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when joint effusion is present in the left hip for therapeutic purposes.

Documentation Requirements

Document the indication for the procedure, joint involved, and any imaging guidance used.

Specialty Considerations

Orthopedic and rheumatologic considerations for joint aspiration.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of reactive arthropathies and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of reactive arthropathies and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of reactive arthropathies and their management.

Resources

Clinical References

  • •
    American College of Rheumatology Guidelines

Coding & Billing References

  • •
    American College of Rheumatology Guidelines

Frequently Asked Questions

What are the common causes of reactive arthropathies?

Reactive arthropathies are often triggered by infections, particularly in the genitourinary or gastrointestinal systems. They can also be associated with certain autoimmune conditions.