Clicking hip
ICD-10 R29.4 is a billable code used to indicate a diagnosis of clicking hip.
Clicking hip refers to a symptom characterized by a distinct audible sound or sensation occurring in the hip joint during movement. This phenomenon can be caused by various factors, including the movement of tendons over bony prominences, loose bodies within the joint, or labral tears. Patients may describe the sensation as a 'pop' or 'click' that can be accompanied by pain, stiffness, or a feeling of instability. While often benign, clicking hips can indicate underlying conditions such as hip dysplasia, osteoarthritis, or impingement syndromes. A thorough clinical evaluation is essential to determine the etiology of the clicking, which may involve physical examination, imaging studies like X-rays or MRIs, and possibly arthroscopy for direct visualization. Understanding the context of the symptom is crucial for appropriate management and coding, as it may lead to further investigation or treatment depending on associated symptoms and clinical findings.
Detailed history of the symptom, including onset, duration, and associated symptoms. Physical examination findings should be documented, especially any limitations in range of motion or pain.
Patients presenting with hip pain and clicking during routine check-ups or follow-up visits for chronic conditions.
Consideration of comorbidities that may affect hip function, such as obesity or diabetes, which may complicate the clinical picture.
Acute assessment of the hip joint, including mechanism of injury if applicable, and any immediate interventions performed.
Patients presenting with acute hip pain and clicking after a fall or sports injury.
Rapid assessment for fractures or dislocations that may accompany clicking sounds, especially in trauma cases.
When imaging is performed to evaluate the cause of clicking.
Document the reason for imaging, including clinical findings and symptoms.
Orthopedic specialists may require more detailed imaging protocols.
Use R29.4 when a patient presents with a clicking hip that is not classified under a more specific diagnosis. Ensure that the documentation supports the symptom as a primary concern.
