Valgus deformity, not elsewhere classified, right hip
ICD-10 M21.051 is a billable code used to indicate a diagnosis of valgus deformity, not elsewhere classified, right hip.
Valgus deformity of the right hip refers to a condition where the hip joint is angled outward, leading to an abnormal alignment of the lower limb. This acquired deformity can result from various factors, including trauma, degenerative joint disease, or post-surgical changes. Patients may experience pain, limited range of motion, and difficulty with weight-bearing activities. The condition can lead to compensatory changes in gait and posture, potentially resulting in secondary issues in the knee and ankle joints. Treatment options may include physical therapy, orthotic devices, and in some cases, surgical intervention to correct the alignment. The diagnosis of valgus deformity is typically made through clinical examination and imaging studies, such as X-rays, which help assess the degree of deformity and rule out other underlying conditions. Accurate coding is essential for appropriate management and reimbursement, as it reflects the complexity of the patient's condition and the necessity for targeted treatment.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with hip pain, limited mobility, or post-operative complications related to hip surgery.
Ensure that the documentation clearly states the side affected and the degree of deformity.
Progress notes detailing functional assessments, treatment interventions, and patient responses.
Patients undergoing rehabilitation for hip valgus deformity post-surgery or due to conservative management.
Document specific exercises and their impact on the patient's functional abilities.
Used in cases where surgical correction of the valgus deformity is indicated.
Pre-operative assessment, imaging studies, and surgical notes detailing the procedure.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Specifying the right hip is crucial for accurate diagnosis and treatment planning, as it affects the choice of interventions and the understanding of the patient's functional limitations.