All ICD10 Codes

M16

Non-Billable
ChapterM00–M99
Rankcategory
Official Description

Osteoarthritis of hip

Use a more specific code (6 billable, 3 non-billable)
M16.0Bilateral primary osteoarthritis of hipM16.1Unilateral primary osteoarthritis of hiphas subcodesM16.2Bilateral osteoarthritis resulting from hip dysplasiaM16.3Unilateral osteoarthritis resulting from hip dysplasiahas subcodesM16.4Bilateral post-traumatic osteoarthritis of hipM16.5Unilateral post-traumatic osteoarthritis of hiphas subcodesM16.6Other bilateral secondary osteoarthritis of hipM16.7Other unilateral secondary osteoarthritis of hipM16.9Osteoarthritis of hip, unspecified
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

CH13 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

M15-M19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • osteoarthritis of spine (M47.-)

Clinical Hierarchy

BillableHas subcodes
CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M15-M19Osteoarthritis (M15-M19)
M16Osteoarthritis of hipNot billable
M16.0Bilateral primary osteoarthritis of hipBillable
M16.1Unilateral primary osteoarthritis of hipSubcodes
M16.2Bilateral osteoarthritis resulting from hip dysplasiaBillable
M16.3Unilateral osteoarthritis resulting from hip dysplasiaSubcodes
M16.4Bilateral post-traumatic osteoarthritis of hipBillable
M16.5Unilateral post-traumatic osteoarthritis of hipSubcodes
M16.6Other bilateral secondary osteoarthritis of hipBillable
M16.7Other unilateral secondary osteoarthritis of hipBillable
M16.9Osteoarthritis of hip, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M16:

blockM15-M19
Osteoarthritis (M15-M19)
View context instructions
chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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