M01.X51: Direct infection of right hip in infectious and parasitic diseases classified elsewhere
M01.X51 is a billable, specific ICD-10-CM code for direct infection of right hip in infectious and parasitic diseases classified elsewhere. It is valid for submission on a claim.
Check M01.X51 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M01.X51
A category’s note binds every code beneath it.
Written on M01: Direct infections of joint in infectious and parasitic diseases classified elsewhere
- arthropathy in Lyme disease (A69.23)
- gonococcal arthritis (A54.42)
- meningococcal arthritis (A39.83)
- mumps arthritis (B26.85)
- postinfective arthropathy (M02.-)
- postmeningococcal arthritis (A39.84)
- reactive arthritis (M02.3)
- rubella arthritis (B06.82)
- sarcoidosis arthritis (D86.86)
- typhoid fever arthritis (A01.04)
- tuberculosis arthritis (A18.01-A18.02)
Other codes that can never be billed with M01.X51
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M02Postinfective and reactive arthropathies
Risk adjustment
M01.X51 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
M01.X51 is named in 13 Medicare coverage policies: 6 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
Unchanged in every release from FY2024 to FY2027.