M16
M16: Osteoarthritis of hip
Non-billable headerICD-10-CM
M16 is a non-billable header ICD-10-CM code for osteoarthritis of hip. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with M16
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M16
9 child codes. Green means billable.
- M16.0Bilateral primary osteoarthritis of hip
- M16.1Unilateral primary osteoarthritis of hip
- M16.2Bilateral osteoarthritis resulting from hip dysplasia
- M16.3Unilateral osteoarthritis resulting from hip dysplasia
- M16.4Bilateral post-traumatic osteoarthritis of hip
- M16.5Unilateral post-traumatic osteoarthritis of hip
- M16.6Other bilateral secondary osteoarthritis of hip
- M16.7Other unilateral secondary osteoarthritis of hip
- M16.9Osteoarthritis of hip, unspecified