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v1.0.0
ICD-10 Guide
ICD-10 CodesQ65.9

Q65.9

Billable

Congenital deformity of hip, unspecified

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

Code Description

ICD-10 Q65.9 is a billable code used to indicate a diagnosis of congenital deformity of hip, unspecified.

Key Diagnostic Point:

Congenital deformity of the hip, unspecified, refers to a range of structural abnormalities affecting the hip joint that are present at birth. These deformities can arise from genetic factors, environmental influences, or a combination of both. Common manifestations include hip dysplasia, where the hip joint does not properly form, leading to instability or dislocation. The condition may be asymptomatic at birth but can lead to complications such as pain, limited mobility, and osteoarthritis later in life. Diagnosis typically involves physical examination and imaging studies such as X-rays or ultrasounds. Treatment options vary based on the severity of the deformity and may include physical therapy, bracing, or surgical intervention. Accurate coding is essential for appropriate management and reimbursement, particularly in pediatric populations where early intervention can significantly improve outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of hip deformities
  • Need for comprehensive documentation to support diagnosis
  • Potential overlap with other congenital conditions
  • Variations in treatment protocols based on age and severity

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of deformity
  • Misalignment with treatment codes
  • Inconsistent coding across different encounters

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes including physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Consideration of developmental milestones and the impact of early intervention on long-term outcomes.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations with congenital hip deformities.

Common Clinical Scenarios

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

Billing Considerations

Understanding the genetic basis for congenital conditions can aid in prognosis and management.

Coding Guidelines

Inclusion Criteria

Use Q65.9 When
  • Follow the ICD
  • CM guidelines for coding congenital conditions, ensuring specificity and accuracy in documentation
  • Use additional codes to capture associated conditions or complications

Exclusion Criteria

Do NOT use Q65.9 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 deformity requiring surgical intervention.

Documentation Requirements

Pre-operative assessment, imaging studies, and surgical notes.

Specialty Considerations

Orthopedic evaluation is critical for surgical planning.

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 Q65.9?

Documentation must include clinical findings, imaging results, and treatment plans. Specificity in the type of deformity and any associated conditions is crucial for accurate coding.