2020 ICD-10-CM Diagnosis Code M16

Osteoarthritis of hip

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M16 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM M16 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M16 - other international versions of ICD-10 M16 may differ.
The following code(s) above M16 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M16:
  • M00-M99
    2020 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • 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)
    Diseases of the musculoskeletal system and connective tissue
  • M15-M19
    2020 ICD-10-CM Range M15-M19

    Osteoarthritis

    Type 2 Excludes
    • osteoarthritis of spine (M47.-)
    Osteoarthritis
Clinical Information
  • Noninflammatory degenerative disease of the hip joint which usually appears in late middle or old age. It is characterized by growth or maturational disturbances in the femoral neck and head, as well as acetabular dysplasia. A dominant symptom is pain on weight-bearing or motion.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To M16
M14.88 …… vertebrae
M14.89 …… multiple sites
M15 Polyosteoarthritis
M15.0 Primary generalized (osteo)arthritis
M15.1 Heberden's nodes (with arthropathy)
M15.2 Bouchard's nodes (with arthropathy)
M15.3 Secondary multiple arthritis
M15.4 Erosive (osteo)arthritis
M15.8 Other polyosteoarthritis
M15.9 Polyosteoarthritis, unspecified
M16 Osteoarthritis of hip
M16.0 Bilateral primary osteoarthritis of hip
M16.1 Unilateral primary osteoarthritis of hip
M16.10 Unilateral primary osteoarthritis, unspecified hip
M16.11 Unilateral primary osteoarthritis, right hip
M16.12 Unilateral primary osteoarthritis, left hip
M16.2 Bilateral osteoarthritis resulting from hip dysplasia
M16.3 Unilateral osteoarthritis resulting from hip dysplasia
M16.30 …… unspecified hip
M16.31 …… right hip
M16.32 …… left hip

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.