M16
Non-Billable

Osteoarthritis of hip

Non-Billable / Non-Specific Code

What is Osteoarthritis of hip?

ICD-10-CM M16 is the diagnosis code for Osteoarthritis of hip. This code falls under the section "Osteoarthritis" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for M16

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where M16 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 9 entries
M16.0Bilateral primary osteoarthritis of hipBillableM16.1Unilateral primary osteoarthritis of hipNon-BillableM16.10Unilateral primary osteoarthritis, unspecified hipBillableM16.11Unilateral primary osteoarthritis, right hipBillableM16.12Unilateral primary osteoarthritis, left hipBillableM16.2Bilateral osteoarthritis resulting from hip dysplasiaBillableM16.3Unilateral osteoarthritis resulting from hip dysplasiaNon-BillableM16.30Unilateral osteoarthritis resulting from hip dysplasia, unspecified hipBillableM16.31Unilateral osteoarthritis resulting from hip dysplasia, right hipBillableM16.32Unilateral osteoarthritis resulting from hip dysplasia, left hipBillableM16.4Bilateral post-traumatic osteoarthritis of hipBillableM16.5Unilateral post-traumatic osteoarthritis of hipNon-BillableM16.50Unilateral post-traumatic osteoarthritis, unspecified hipBillableM16.51Unilateral post-traumatic osteoarthritis, right hipBillableM16.52Unilateral post-traumatic osteoarthritis, left hipBillableM16.6Other bilateral secondary osteoarthritis of hipBillableM16.7Other unilateral secondary osteoarthritis of hipBillableM16.9Osteoarthritis of hip, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is M16 a billable ICD-10-CM code?

No, M16 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M16 mean?

M16 is the ICD-10-CM diagnosis code for "Osteoarthritis of hip". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is M16 in?

M16 is located in Section M15-M19 — "Osteoarthritis" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M16?

M16 has 9 sub-code(s) that provide more specific detail: M16.0, M16.1, M16.2, M16.3, M16.4 and more.

When should I use M16?

Use M16 when the patients documented diagnosis matches "Osteoarthritis of hip" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Osteoarthritis of hip?

The ICD-10-CM code for Osteoarthritis of hip is M16.

Can M16 be used for primary diagnosis?

No, M16 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M16 in?

M16 is in Chapter 13 of the ICD-10-CM Tabular List.

Is M16 valid for 2026?

Yes, M16 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM15.9Polyosteoarthritis, unspecifiedNext →M16.0Bilateral primary osteoarthritis of hip
Code Details
M16
Osteoarthritis of hip
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M15-M19 — Osteoarthritis
2026 ICD-10-CM