M16 — Osteoarthritis of hip
Is M16 billable?
No — M16 is a non-billable header code. M16 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 15 billable codes beneath M16.
Billable codes under this header
- M16.0Bilateral primary osteoarthritis of hip
- M16.2Bilateral osteoarthritis resulting from hip dysplasia
- M16.4Bilateral post-traumatic osteoarthritis of hip
- M16.6Other bilateral secondary osteoarthritis of hip
- M16.7Other unilateral secondary osteoarthritis of hip
- M16.9Osteoarthritis of hip, unspecified
- M16.10Unilateral primary osteoarthritis, unspecified hip
- M16.11Unilateral primary osteoarthritis, right hip
- M16.12Unilateral primary osteoarthritis, left hip
- M16.30Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip
- M16.31Unilateral osteoarthritis resulting from hip dysplasia, right hip
- M16.32Unilateral osteoarthritis resulting from hip dysplasia, left hip
- M16.50Unilateral post-traumatic osteoarthritis, unspecified hip
- M16.51Unilateral post-traumatic osteoarthritis, right hip
- M16.52Unilateral post-traumatic osteoarthritis, left hip
M16 at a glance
| Code | M16 |
|---|---|
| Description | Osteoarthritis of hip |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M16, but a patient may have both at the same time. When documentation supports it, M16 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from M15-M19
The conditions below are not part of M16, but a patient may have both at the same time. When documentation supports it, M16 and the excluded code may both be reported.
- osteoarthritis of spine (M47.-)
What codes fall under M16? (9)
- M16.0Bilateral primary osteoarthritis of hip
- M16.1Unilateral primary osteoarthritis of hipnot billable
- M16.2Bilateral osteoarthritis resulting from hip dysplasia
- M16.3Unilateral osteoarthritis resulting from hip dysplasianot billable
- M16.4Bilateral post-traumatic osteoarthritis of hip
- M16.5Unilateral post-traumatic osteoarthritis of hipnot billable
- M16.6Other bilateral secondary osteoarthritis of hip
- M16.7Other unilateral secondary osteoarthritis of hip
- M16.9Osteoarthritis of hip, unspecified
How long has M16 existed?
M16 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.