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v1.0.0
ICD-10 Guide
ICD-10 CodesQ65.8

Q65.8

Billable

Other congenital deformities of hip

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

Code Description

ICD-10 Q65.8 is a billable code used to indicate a diagnosis of other congenital deformities of hip.

Key Diagnostic Point:

Congenital deformities of the hip encompass a range of structural abnormalities that can affect the hip joint's formation and function. These deformities may arise from genetic factors, environmental influences, or a combination of both. Common conditions include developmental dysplasia of the hip, where the hip joint does not properly form in infants and young children, leading to instability or dislocation. Other deformities may include congenital dislocation of the hip, which can occur due to abnormal positioning in utero or genetic predispositions. Accurate diagnosis often involves imaging studies such as ultrasound or X-rays, and treatment may include bracing, physical therapy, or surgical intervention. Understanding the underlying causes and associated conditions is crucial for effective management and coding. This code is particularly relevant in pediatric populations, where early detection and intervention can significantly improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of deformities
  • Need for precise documentation of associated conditions
  • Differentiation from acquired conditions
  • Potential for multiple congenital anomalies

Audit Risk Factors

  • Inadequate documentation of the specific deformity
  • Failure to capture associated congenital anomalies
  • Misclassification of congenital vs. acquired conditions
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, imaging results, and treatment plans must be documented to support the diagnosis.

Common Clinical Scenarios

Infants presenting with hip instability, children with delayed walking, or those with a family history of hip dysplasia.

Billing Considerations

Pediatric coders must be aware of the developmental milestones and how they relate to hip deformities.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any syndromic associations must be documented.

Common Clinical Scenarios

Cases where hip deformities are part of a syndrome, such as Down syndrome or Turner syndrome.

Billing Considerations

Genetic coders should consider the implications of chromosomal abnormalities on the presentation and management of hip deformities.

Coding Guidelines

Inclusion Criteria

Use Q65.8 When
  • Follow the ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and adherence to the latest coding updates

Exclusion Criteria

Do NOT use Q65.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Hip arthroplasty, total

Clinical Scenario

Used in cases where severe congenital deformities require surgical intervention.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Orthopedic specialists must provide comprehensive documentation to support the necessity of surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding 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 documentation is needed to support the use of code Q65.8?

Comprehensive documentation should include clinical assessments, imaging studies, treatment plans, and any associated congenital conditions. Clear differentiation between congenital and acquired conditions is essential.