(2022) How To Code Left Hip Pain ICD 10 – List With Codes & Guidelines

Left hip pain ICD 10 coding is made easier with our billing guidelines. This article includes all medical codes you will need to report left hip pain and related specific ICD 10 & 11 codes, such as left hip pain with radiculopathy.

Read on to get a summary of the necessary codes followed by a further description.

What Is Left Hip Pain?

Hip pain refers to discomfort in or around the hip joint. It is a sharp pain and burning sensation that affects the waistband as it moves toward the hips and thighs.

It is not always felt in the waist but in the groin or thigh region. A variety of factors can cause hip joint pain. Some hip pain is only transitory, while others can endure a long time or be permanent.

Arthritis, rheumatoid arthritis, inflammatory and non-inflammatory arthritis, fractures, septic arthritis, avascular necrosis, Gaucher’s disease, sciatica, and muscular stiffness are all causes of hip discomfort.

• Limping, 
• Joint discomfort,
• Groin pain, 
• Hip loss of motion, 
• Warmth, 
• Swelling over the hip,
• Tenderness of the hip, 
• Difficulties sleeping on the hip are some of the symptoms.

They also depend on the underlying cause of the pain; the hip could be a source of long-term incapacity. Health care practitioners use a complete history and physical examination to identify hip discomfort.

Internal and external rotations are among the motions used to identify pain-inducing situations. Tenderness in the hips can be felt by palpating the affected areas.

Imaging investigations, such as X-rays, CT scans, and MRI scans, may be used by a healthcare provider to explain the causes of hip discomfort better.

Skeletal bone scanners are sometimes used to obtain an image of a swollen or damaged bone.

Rest, weight loss, cold therapy, and anti-inflammatory drugs may be used to treat hip pain, depending on the particular source of the pain.

Injections of cortisone (steroids) are sometimes used to alleviate local inflammation, and antibiotics are administered when an infection is present.

Fractures may necessitate surgical surgery, which may include pins, plates, and screws and complete joint replacement. Full joint replacement is possible in the case of severe arthritis.

Left Hip Pain ICD 10

Left hip joint pain ICD 10 is coded as M25.552 for the left hip pain was used for reimbursement purposes.

This code resides in chapter XIII the musculoskeletal (M00-M99), According to ICD 10 guidelines, under block other joint disorders M20-M25, category other joint disorder, not elsewhere classified M25 subcategory M25.5 pain in joint.

Synonyms:

• Bilateral hip joint pain
• Left hip joint pain
• Left hip pain
• The pain of left hip-joint

Excludes2:

Abnormality of gait and mobility (R26.-).

Acquired deformities of limb (M20-M21).

Calcification of bursa (M71.4-).

Calcification of shoulder (joint) (M75.3).

Calcification of tendon (M65.2-).

Difficulty in walking (R26.2).

Temporomandibular joint disorder (M26.6-).

Left hip pain could be a result of trauma after a fall. Thus, it’s categorized as M25.552, G89.11, which is for acute pain due to trauma, and it’s found in chapter VI disease of the nervous system G00-G99, under block disorders of the nervous system G89-G99, category pain, not otherwise classified.

Persistent pain in the left hip after a trauma to the joint is marked as M25.552, G89.21, which is a code for chronic pain due to trauma.

Left hip pain M25.552 may occur after a surgical procedure such as hemiarthroplasty, coded as G89.18, another acute post-procedural pain.

In the case of an infection of the surgical site following a hemiarthroplasty operation, which results in osteomyelitis with chronic pain, G89.28 is coded as other chronic post-procedural pain.

M25.552 left hip pain could be caused by a malignancy affecting the hip bone such as chondrosarcoma, which is characterized by significant hip pain and is coded as G89.3 Neoplasm associated pain, which can be acute or persistent.

Bursitis, an inflammation of tiny fluid sacs called bursae that cushion muscles, tendons, and bones near a joint, could cause left hip pain M25.552.

Trochanteric bursitis of the Left hip which is coded as M70.62 

Other bursitis of the hip left hip is coded as M70.72, 

Abscess of bursa left hip M71.052, 

Other infective bursitis left hip M71.152,

Other bursa cysts left hip M71.352.

There could be calcification of bursitis around the hip leading to chronic pain. It is coded as an M71.452 calcium deposit in the bursa left hip.

Other specified bursopathies left hip coded as M75.852

Left hip pain M25.552 could be caused by tendonitis, an inflammation of the strong fibrous tissue that binds muscle to the bone caused by wear and tear, such as gluteal tendinitis or gluteal tendinopathy.

M76:

• M76.02 codes gluteal tendinitis.
• Left hip PSOAS tendinitis left hip M76.12.

Direct damage to the iliac crest, sacroiliac joint dysfunction, and muscular weakening are all possible causes of left hip pain M25.552. 

• M76.22 codes iliac crest spur left hip. 

Left hip pain M25.552 can be caused by arthritis, a prevalent cause of long-term hip pain.

Infectious arthropathies, such as pyogenic arthritis arise when the joint becomes infected, causing cartilage loss.

Staphylococcal arthritis left hip M00.052.

Pneumococcal arthritis left hip M00.152.

Other streptococcal arthritis left hip M00.252.

Arthropathy following intestinal bypass left hip M02.052.

Postdysentric arthropathy left hip M02.152.

Post-immunization arthropathy left hip M02.252.

Reiter disease left hip M02.352.

Other reactive arthropathies left hip M02.852.

Felty’s syndrome left hip M05.052.

Rheumatoid lung disease with rheumatoid arthritis of left hip M05.152.

Rheumatoid vasculitis with rheumatoid arthritis of left hip M05.252.

Rheumatoid polyneuropathy with rheumatoid arthritis of left hip M05.552.

Idiopathic gout left hip M10.052.

A superficial injury to the hip, such as a hip contusion, which is a minor injury that develops due to direct impact to the hip, abrasion of the hip, insect bites, or blisters, could cause left hip pain M25.552.

This code includes:

Contusion of left hip initial encounter S70.02XA.

Contusion of left hip subsequent encounter S70.02XD. 

Contusion of left hip sequelae S70.02XS.

Abrasion of left hip initial encounter S70.212A. 

Abrasion of left hip subsequent encounter S70.212D.

Abrasion of left hip initial sequelae S70.212S. 

Blister (nonthermal) left hip, initial encounter, subsequent encounter, and sequelae are coded as S70.212A, S70.212D, S70.212S.

Dislocation and sprain of hip joints and ligaments could cause left hip pain M25.552:

Posterior subluxation of left hip joint initial encounter, subsequent encounter, and sequelae are coded as S73.012A, S73.012D, S73.012S.

Central dislocation of left hip initial encounter, subsequent, and sequelae are coded as S73.045A, S73.045D, S73.045S.

Iliofemoral ligament sprain of left hip, initial encounter, subsequent encounter, and sequelae are coded as S73.112A, S73.112D, S73.112S.

M25.552 left hip pain could be caused by muscle, fascia, or tendon damage at the hip or thigh level:

The strain of muscle, fascia, and tendon of the left hip. Initial encounter, subsequent encounter, and sequelae are coded as S76.012A, S76.012D, S76.012S.

Laceration of muscle, fascia, and tendon of left hip initial encounter, subsequent encounter, and sequelae are coded as S76.022A, S76.022D, S76.022S.

M25.552 left hip discomfort could be caused by a hip and thigh crushing injury:

Crushing injury of left hip, initial encounter, subsequent encounter, and sequelae are coded as S77.01XA, S77.01XD, S77.01XS.

Left Hip Pain With Radiculopathy ICD 10

Do not neglect the lumbar spine while assessing a patient with hip pain. The patient did not have low back discomfort in this case, but the spine was the source of pain and symptoms.

Hence lumbosacral radiculopathy is a condition in which pain originates in the lower back and hip and travels down the back of the thigh and into the leg.

Compression of the nerve roots exiting the spine, levels L1-S4, causes this pain.

Lumbosacral radiculopathy ICD 10 is coded as M54.17 radiculopathy, lumbosacral region, is a billable/specific ICD 10 CM code that can be used to indicate a diagnosis for reimbursement purposes and located in chapter Xii Diseases of the musculoskeletal system and connective tissue M00-M99, under block Other dorsopathies M50-M54, category Dorsalgia M54.

Synonyms: 

Thoracic and lumbar radiculopathy

Thoracic neuritis

Thoracolumbar radiculopathy radiculopathy

Lumbosacral neuritis

Lumbosacral radiculitis

Lumbosacral radiculopathy

Left Hip Pain ICD 11

The left hip pain ICD 11 does not have a specific code that describes left hip pain in the ICD 11 manual.

However, it can be coded as ME82 pain in the joint, located in chapter 21 symptoms, signs or clinical findings, not elsewhere classified, under block symptoms and signs or clinical findings of the musculoskeletal system (Block L1-ME8), symptoms or signs of the musculoskeletal system (BlockL2-ME8).

– Dr. Quazim Omisore,
Medical Professional & Coding Expert