Hip ICD-10 codes an orthopedic practice actually uses
Billable FY2026 codes for the hip from the official ICD-10-CM release, organized the way calls come in — arthritis, soft tissue, and injuries — with the laterality and 7th-character rules that keep claims clean.
Hip diagnosis codes, from the official FY2026 files
Hip coding concentrates around the M16 osteoarthritis family that precedes most arthroplasty, the lateral-hip soft-tissue codes (trochanteric bursitis, gluteal tendinitis), and the S72.0 femoral neck fracture family that drives urgent surgical volume.
Every code below is billable in FY2026. Descriptions are reproduced verbatim from the official ICD-10-CM release (NCHS/CMS — public domain). 105 codes shown on this page.
Osteoarthritis of the hip (M16)
| Code | Official FY2026 description |
|---|---|
| M16.0 | Bilateral 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 |
| M16.30 | Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip |
| M16.31 | Unilateral osteoarthritis resulting from hip dysplasia, right hip |
| M16.32 | Unilateral osteoarthritis resulting from hip dysplasia, left hip |
| M16.4 | Bilateral post-traumatic osteoarthritis of hip |
| M16.50 | Unilateral post-traumatic osteoarthritis, unspecified hip |
| M16.51 | Unilateral post-traumatic osteoarthritis, right hip |
| M16.52 | Unilateral post-traumatic osteoarthritis, left hip |
| M16.6 | Other bilateral secondary osteoarthritis of hip |
| M16.7 | Other unilateral secondary osteoarthritis of hip |
| M16.9 | Osteoarthritis of hip, unspecified |
Hip pain (M25.55-)
| Code | Official FY2026 description |
|---|---|
| M25.551 | Pain in right hip |
| M25.552 | Pain in left hip |
| M25.559 | Pain in unspecified hip |
Bursitis and tendinitis (M70.6-, M70.7-, M76.0-)
| Code | Official FY2026 description |
|---|---|
| M70.60 | Trochanteric bursitis, unspecified hip |
| M70.61 | Trochanteric bursitis, right hip |
| M70.62 | Trochanteric bursitis, left hip |
| M70.70 | Other bursitis of hip, unspecified hip |
| M70.71 | Other bursitis of hip, right hip |
| M70.72 | Other bursitis of hip, left hip |
| M76.00 | Gluteal tendinitis, unspecified hip |
| M76.01 | Gluteal tendinitis, right hip |
| M76.02 | Gluteal tendinitis, left hip |
Femoral neck fractures — initial encounter, closed (S72.0)
| Code | Official FY2026 description |
|---|---|
| S72.001A | Fracture of unspecified part of neck of right femur, initial encounter for closed fracture |
| S72.002A | Fracture of unspecified part of neck of left femur, initial encounter for closed fracture |
| S72.009A | Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture |
| S72.011A | Unspecified intracapsular fracture of right femur, initial encounter for closed fracture |
| S72.012A | Unspecified intracapsular fracture of left femur, initial encounter for closed fracture |
| S72.019A | Unspecified intracapsular fracture of unspecified femur, initial encounter for closed fracture |
| S72.021A | Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture |
| S72.022A | Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture |
| S72.023A | Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed fracture |
| S72.024A | Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture |
| S72.025A | Nondisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture |
| S72.026A | Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed fracture |
| S72.031A | Displaced midcervical fracture of right femur, initial encounter for closed fracture |
| S72.032A | Displaced midcervical fracture of left femur, initial encounter for closed fracture |
| S72.033A | Displaced midcervical fracture of unspecified femur, initial encounter for closed fracture |
| S72.034A | Nondisplaced midcervical fracture of right femur, initial encounter for closed fracture |
| S72.035A | Nondisplaced midcervical fracture of left femur, initial encounter for closed fracture |
| S72.036A | Nondisplaced midcervical fracture of unspecified femur, initial encounter for closed fracture |
| S72.041A | Displaced fracture of base of neck of right femur, initial encounter for closed fracture |
| S72.042A | Displaced fracture of base of neck of left femur, initial encounter for closed fracture |
| S72.043A | Displaced fracture of base of neck of unspecified femur, initial encounter for closed fracture |
| S72.044A | Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture |
| S72.045A | Nondisplaced fracture of base of neck of left femur, initial encounter for closed fracture |
| S72.046A | Nondisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture |
| S72.051A | Unspecified fracture of head of right femur, initial encounter for closed fracture |
| S72.052A | Unspecified fracture of head of left femur, initial encounter for closed fracture |
| S72.059A | Unspecified fracture of head of unspecified femur, initial encounter for closed fracture |
| S72.061A | Displaced articular fracture of head of right femur, initial encounter for closed fracture |
| S72.062A | Displaced articular fracture of head of left femur, initial encounter for closed fracture |
| S72.063A | Displaced articular fracture of head of unspecified femur, initial encounter for closed fracture |
| S72.064A | Nondisplaced articular fracture of head of right femur, initial encounter for closed fracture |
| S72.065A | Nondisplaced articular fracture of head of left femur, initial encounter for closed fracture |
| S72.066A | Nondisplaced articular fracture of head of unspecified femur, initial encounter for closed fracture |
| S72.091A | Other fracture of head and neck of right femur, initial encounter for closed fracture |
| S72.092A | Other fracture of head and neck of left femur, initial encounter for closed fracture |
| S72.099A | Other fracture of head and neck of unspecified femur, initial encounter for closed fracture |
Sprains and dislocations — initial encounter (S73)
| Code | Official FY2026 description |
|---|---|
| S73.001A | Unspecified subluxation of right hip, initial encounter |
| S73.002A | Unspecified subluxation of left hip, initial encounter |
| S73.003A | Unspecified subluxation of unspecified hip, initial encounter |
| S73.004A | Unspecified dislocation of right hip, initial encounter |
| S73.005A | Unspecified dislocation of left hip, initial encounter |
| S73.006A | Unspecified dislocation of unspecified hip, initial encounter |
| S73.011A | Posterior subluxation of right hip, initial encounter |
| S73.012A | Posterior subluxation of left hip, initial encounter |
| S73.013A | Posterior subluxation of unspecified hip, initial encounter |
| S73.014A | Posterior dislocation of right hip, initial encounter |
| S73.015A | Posterior dislocation of left hip, initial encounter |
| S73.016A | Posterior dislocation of unspecified hip, initial encounter |
| S73.021A | Obturator subluxation of right hip, initial encounter |
| S73.022A | Obturator subluxation of left hip, initial encounter |
| S73.023A | Obturator subluxation of unspecified hip, initial encounter |
| S73.024A | Obturator dislocation of right hip, initial encounter |
| S73.025A | Obturator dislocation of left hip, initial encounter |
| S73.026A | Obturator dislocation of unspecified hip, initial encounter |
| S73.031A | Other anterior subluxation of right hip, initial encounter |
| S73.032A | Other anterior subluxation of left hip, initial encounter |
| S73.033A | Other anterior subluxation of unspecified hip, initial encounter |
| S73.034A | Other anterior dislocation of right hip, initial encounter |
| S73.035A | Other anterior dislocation of left hip, initial encounter |
| S73.036A | Other anterior dislocation of unspecified hip, initial encounter |
| S73.041A | Central subluxation of right hip, initial encounter |
| S73.042A | Central subluxation of left hip, initial encounter |
| S73.043A | Central subluxation of unspecified hip, initial encounter |
| S73.044A | Central dislocation of right hip, initial encounter |
| S73.045A | Central dislocation of left hip, initial encounter |
| S73.046A | Central dislocation of unspecified hip, initial encounter |
| S73.101A | Unspecified sprain of right hip, initial encounter |
| S73.102A | Unspecified sprain of left hip, initial encounter |
| S73.109A | Unspecified sprain of unspecified hip, initial encounter |
| S73.111A | Iliofemoral ligament sprain of right hip, initial encounter |
| S73.112A | Iliofemoral ligament sprain of left hip, initial encounter |
| S73.119A | Iliofemoral ligament sprain of unspecified hip, initial encounter |
| S73.121A | Ischiocapsular ligament sprain of right hip, initial encounter |
| S73.122A | Ischiocapsular ligament sprain of left hip, initial encounter |
| S73.129A | Ischiocapsular ligament sprain of unspecified hip, initial encounter |
| S73.191A | Other sprain of right hip, initial encounter |
| S73.192A | Other sprain of left hip, initial encounter |
| S73.199A | Other sprain of unspecified hip, initial encounter |
Reading these codes correctly
- Laterality is inside the code. Many families end in 1 (right), 2 (left), and sometimes 3 (bilateral) or 9 (unspecified). Payers increasingly deny “unspecified side” when a sided code exists — capture right vs. left on the very first phone call.
- Injury (S) codes need a 7th character. The tables below show initial encounter (A) codes. The same code exists with D (subsequent encounter) for routine follow-up care and S (sequela) for late effects. A follow-up visit billed with an “A” code is a mismatch.
- Codes update every October 1. These tables are from the official FY2026 ICD-10-CM release (public domain, NCHS/CMS). Verify against the current year's files before billing.
Where the phone call fits
Every code on this page starts as a sentence a patient says on the phone. ClinicFlow's scheduling agent captures the complaint, the side, and the duration on the first call and writes it into the EMR — so intake, scheduling, and coding tell the same story. See how it works for joint replacement practices, or hear it live: (281) 502-8583.
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Educational reference, not coding advice. Descriptions are reproduced from the official FY2026 ICD-10-CM code files published by NCHS/CMS (US government work, public domain).
Frequently asked questions
What is the ICD-10 code for hip osteoarthritis?
Unilateral primary osteoarthritis of the hip is M16.11 for the right hip and M16.12 for the left; M16.0 is bilateral primary osteoarthritis. These are the workhorse pre-arthroplasty diagnoses.
What is the ICD-10 code for a femoral neck fracture?
Femoral neck fractures are the S72.0- family, branching by exact location and side, with a required 7th character — A for initial encounter for closed fracture, D for subsequent care, S for sequela.
What code covers trochanteric bursitis?
M70.61 (right) and M70.62 (left), trochanteric bursitis. The neighboring M76.0- gluteal tendinitis codes cover much of the same 'lateral hip pain' population, so the exam finding decides which family applies.
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