M16.5 — Unilateral post-traumatic osteoarthritis of hip
Is M16.5 billable?
No — M16.5 is a non-billable header code. M16.5 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 3 billable codes beneath M16.5.
M16.5 at a glance
| Code | M16.5 |
|---|---|
| Description | Unilateral post-traumatic osteoarthritis of hip |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M16.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M16.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Osteoarthritis › post-traumatic NEC › hip
- Osteoarthritis › hip › unilateral › post-traumatic
Inclusion terms
Alternative wording in documentation that is classified to M16.5.
- Post-traumatic osteoarthritis of hip NOS
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M16.5, but a patient may have both at the same time. When documentation supports it, M16.5 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 M16.5, but a patient may have both at the same time. When documentation supports it, M16.5 and the excluded code may both be reported.
- osteoarthritis of spine (M47.-)
What codes fall under M16.5? (3)
How long has M16.5 existed?
M16.5 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.
Which codes are confused with M16.5?
ICD-10-CM declares these codes mutually exclusive with M16.5 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to M16.5?
What other codes are in the M16 family? (8)
- 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
- M16.6Other bilateral secondary osteoarthritis of hip
- M16.7Other unilateral secondary osteoarthritis of hip
- M16.9Osteoarthritis of hip, unspecified