Coding and coverage · ICD-10-CM

M16 Osteoarthritis of hip

Not billable (header)Chapter 13

Report one of the more specific codes below.

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Codes under this one

  • M16.0 Bilateral primary osteoarthritis of hip
  • M16.1 Unilateral primary osteoarthritis of hipHeader
  • M16.2 Bilateral osteoarthritis resulting from hip dysplasia
  • M16.3 Unilateral osteoarthritis resulting from hip dysplasiaHeader
  • M16.4 Bilateral post-traumatic osteoarthritis of hip
  • M16.5 Unilateral post-traumatic osteoarthritis of hipHeader
  • M16.6 Other bilateral secondary osteoarthritis of hip
  • M16.7 Other unilateral secondary osteoarthritis of hip
  • M16.9 Osteoarthritis of hip, unspecified

Instructional notes

Chapter 13

Excludes2Not included here: the patient may have both; report both when both are present.
  • 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)
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Section M00-M25

Includes
  • Disorders affecting predominantly peripheral (limb) joints

Chapter 13: Diseases of the musculoskeletal system and connective tissue · M00-M25 Arthropathies (M00-M25)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.