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v1.0.0
ICD-10 Guide
ICD-10 CodesQ65.89

Q65.89

Billable

Other specified congenital deformities of hip

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

Code Description

ICD-10 Q65.89 is a billable code used to indicate a diagnosis of other specified congenital deformities of hip.

Key Diagnostic Point:

Congenital deformities of the hip encompass a variety 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. Conditions such as developmental dysplasia of the hip (DDH), where the hip joint does not properly form in infants and young children, are common examples. Other specified congenital deformities may include variations in the acetabulum or femoral head that do not fit into more defined categories. Accurate diagnosis often requires imaging studies and clinical evaluation. The impact of these deformities can range from mild to severe, potentially leading to pain, mobility issues, and the need for surgical intervention. Early detection and management are crucial to optimize outcomes and prevent long-term complications. In pediatric populations, these conditions necessitate a multidisciplinary approach involving pediatricians, orthopedic surgeons, and physical therapists to ensure comprehensive care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of deformities
  • Need for detailed clinical documentation and imaging results
  • Potential overlap with other congenital conditions
  • Variations in treatment protocols and follow-up care

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of deformity
  • Misclassification of severity or associated conditions
  • Lack of supporting imaging or diagnostic reports

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

Infants presenting with hip instability, children with delayed walking, or those undergoing hip surgery.

Billing Considerations

Consideration of family history and genetic predispositions in congenital cases.

Genetics

Documentation Requirements

Genetic testing results, family pedigree charts, and risk assessments.

Common Clinical Scenarios

Cases of congenital hip deformities with suspected genetic syndromes.

Billing Considerations

Understanding the genetic basis of congenital conditions and their implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q65.89 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring specificity in documentation and adherence to coding conventions for congenital malformations

Exclusion Criteria

Do NOT use Q65.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Hip arthroplasty, total

Clinical Scenario

Used in cases of severe congenital hip deformities requiring surgical intervention.

Documentation Requirements

Operative reports detailing the procedure and indications.

Specialty Considerations

Orthopedic documentation must include pre-operative assessments and post-operative follow-up.

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 data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving data accuracy and facilitating better patient management.

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 required for coding Q65.89?

Documentation should include a detailed clinical assessment, imaging results, and treatment plans. Ensure that the specific type of deformity is clearly stated to support the use of this code.