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ICD-10 Guide
ICD-10 CodesQ65.30

Q65.30

Billable

Congenital partial dislocation of unspecified hip, unilateral

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q65.30 is a billable code used to indicate a diagnosis of congenital partial dislocation of unspecified hip, unilateral.

Key Diagnostic Point:

Congenital partial dislocation of the hip, also known as hip dysplasia, is a condition where the femoral head is not properly seated in the acetabulum of the pelvis. This condition can lead to instability in the hip joint, which may result in pain, limited mobility, and potential long-term complications such as osteoarthritis if not addressed early. In pediatric patients, this condition is often diagnosed through physical examination and imaging studies, such as ultrasound or X-rays. The etiology may be multifactorial, including genetic predispositions and environmental factors. Early intervention is crucial, and treatment options may include bracing, physical therapy, or surgical intervention depending on the severity of the dislocation. Accurate coding is essential for proper management and tracking of congenital hip conditions, especially in pediatric populations where growth and development are critical.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the condition.
  • Need for precise documentation of physical examination findings.
  • Differentiation from other hip conditions such as developmental dysplasia.
  • Potential for co-occurring congenital conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to specify laterality or severity of the dislocation.
  • Misclassification with other hip disorders.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Infants presenting with hip clicks or abnormal gait, follow-up visits for bracing or surgical intervention.

Billing Considerations

Consideration of family history and genetic factors influencing hip development.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and any syndromic associations.

Common Clinical Scenarios

Assessment of congenital conditions with genetic implications, counseling for families with a history of hip dysplasia.

Billing Considerations

Understanding the genetic syndromes that may predispose to hip dysplasia.

Coding Guidelines

Inclusion Criteria

Use Q65.30 When
  • Follow the official ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of the condition's nature, laterality, and any associated congenital anomalies

Exclusion Criteria

Do NOT use Q65.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Closed reduction of dislocated hip

Clinical Scenario

Used in cases where non-surgical management fails.

Documentation Requirements

Detailed operative report and pre-operative imaging.

Specialty Considerations

Orthopedic documentation standards for surgical interventions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the importance of coding congenital conditions accurately?

Accurate coding of congenital conditions is crucial for appropriate treatment planning, tracking outcomes, and ensuring proper reimbursement. It also aids in research and understanding the epidemiology of congenital disorders.