ICD-10-CM Billable Code

M71.059

Abscess of bursa, unspecified hip

Clinical Classification Guidelines

Medical Intelligence & Overview

An abscess of the bursa in the hip, classified under ICD-10 code M71.059, is a localized collection of pus that develops in the bursa located near the hip joint. The bursa is a small fluid-filled sac that acts as a cushion to reduce friction between tissues, such as muscles and bones. When this sac becomes infected, it can lead to swelling, pain, and limited movement in the affected area. This condition requires medical attention to manage infection and prevent complications.

Causes & Symptoms

Clinical Causes: Bacterial infection, often caused by Staphylococcus aureus Spread of infection from nearby skin wounds or cellulitis Repeated trauma or friction involving the hip region Underlying skin conditions that predispose to infections Invasive medical procedures or injections near the hip

Key Symptoms: Localized swelling and tenderness around the hip Intense pain that worsens with movement or pressure Warmth and redness over the affected bursa Limited range of motion in the hip joint Fever or chills in some cases General feeling of malaise or fatigue

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and diagnostic tests. A healthcare provider will examine the hip for signs of swelling, warmth, and tenderness. Imaging studies such as ultrasound or MRI may be used to visualize the abscess. In some cases, aspiration of fluid from the bursa is performed to identify the causative bacteria and determine the most effective treatment. Blood tests may also be ordered to assess the presence of infection or inflammation.

Treatment Protocols: Management of a bursa abscess usually includes the following approaches: - **Antibiotic Therapy:** Targeted antibiotics are prescribed based on bacterial culture results to eliminate the infection. - **Drainage:** If the abscess is large or causing significant symptoms, a healthcare professional may perform procedure to drain the pus. - **Rest and Immobilization:** To reduce pain and facilitate healing, activities may be limited, and the affected hip may be immobilized temporarily. - **Pain Management:** Over-the-counter pain relievers may be recommended to alleviate discomfort. - **Follow-up Care:** Monitoring for signs of infection recurrence and ensuring complete recovery are critical parts of treatment. In some cases, surgical intervention may be necessary to remove the affected bursa or resolve persistent infections.

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

Clinical Advice & FAQs

Billing Guidance

Is M71.059 a billable ICD-10 code?
Yes, M71.059 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M71.059?
Clinical documentation must specify the nature of Abscess of bursa, unspecified hip and any associated comorbidities for accurate reporting.

Cite this Clinical Reference