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ICD-10 Guide
ICD-10 CodesQ65.5

Q65.5

Billable

Congenital partial dislocation of hip, unspecified

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

Code Description

ICD-10 Q65.5 is a billable code used to indicate a diagnosis of congenital partial dislocation of hip, unspecified.

Key Diagnostic Point:

Congenital partial dislocation of the hip, also known as hip dysplasia, is a condition where the hip joint is not properly formed, leading to instability. This condition can occur in isolation or as part of a syndrome involving other congenital malformations. In pediatric patients, it is crucial to identify and manage this condition early to prevent long-term complications such as osteoarthritis or impaired mobility. Diagnosis typically involves physical examination and imaging studies such as ultrasound or X-rays. Treatment may include bracing, physical therapy, or surgical intervention depending on the severity of the dislocation. The condition is often associated with other congenital anomalies, particularly those affecting the musculoskeletal system, and may require a multidisciplinary approach for optimal management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between partial and complete dislocation
  • Potential association with other congenital anomalies
  • Variability in clinical presentation
  • Need for precise documentation of imaging findings

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify laterality when applicable
  • Misclassification of severity of dislocation
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed physical examination findings, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Pediatric patients presenting with hip instability, developmental delays, or abnormal gait.

Billing Considerations

Consideration of family history and potential genetic syndromes that may contribute to hip dysplasia.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and any syndromic associations must be documented.

Common Clinical Scenarios

Patients with hip dysplasia as part of a broader genetic syndrome, such as Ehlers-Danlos syndrome.

Billing Considerations

Awareness of chromosomal abnormalities that may predispose to musculoskeletal anomalies.

Coding Guidelines

Inclusion Criteria

Use Q65.5 When
  • Follow the ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of the condition's severity, laterality, and any associated anomalies

Exclusion Criteria

Do NOT use Q65.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27130CPT Code

Open reduction of hip dislocation

Clinical Scenario

Used in cases where surgical intervention is required for congenital dislocation.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Pediatric orthopedic specialists should document the rationale for surgery.

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 difference between partial and complete dislocation of the hip?

Partial dislocation, or hip dysplasia, involves instability of the hip joint without complete dislocation, while complete dislocation means the femoral head is entirely out of the acetabulum. Accurate coding depends on the degree of dislocation and associated clinical findings.