M93.013
Acute slipped upper femoral epiphysis, stable (nontraumatic), unspecified hip
Clinical Classification Guidelines
Medical Intelligence & Overview
Acute slipped upper femoral epiphysis (SUFE) is a condition predominantly affecting adolescents, where the head of the femur (thigh bone) slips off the neck at the growth plate. When it's described as stable and nontraumatic, it indicates that the displacement does not result from an injury and the limb remains in a functional position. This condition can cause pain and mobility issues and requires timely medical evaluation for proper management.
Causes & Symptoms
Clinical Causes: Rapid growth during puberty increases risk Hormonal factors, particularly growth hormone imbalances Obesity, which puts excess stress on the hip joint Genetic predispositions or family history Underlying skeletal dysplasias or disorders Less commonly, minor trauma or stress to the hip Sudden activity or overexertion without adequate strength or flexibility
Key Symptoms: Gradual onset of hip pain, often radiating to the groin or thigh Limping or an altered gait Limited range of motion in the affected hip Pain worsening with activity or during specific movements Muscle tenderness over the hip region In some cases, the affected leg may appear shorter or rotated outward
Diagnostic & Treatment
Diagnosis Path: X-ray imaging of the pelvis and hips to visualize the position of the femoral head Comparison with the unaffected side, if applicable Assessment of the severity and stability of the slip Additional imaging, like MRI, in complex cases or to assess associated abnormalities
Treatment Protocols: Surgical intervention, typically involving internal fixation with screws to prevent further slipping Immobilization of the hip post-surgery, possibly with crutches or a brace Pain management through appropriate medications Physical therapy to regain hip strength and mobility after stabilization Regular follow-up visits to monitor healing and prevent complications In certain cases, weight management and activity modifications to reduce stress on the hip
Clinical Advice & FAQs
Billing Guidance
Is M93.013 a billable ICD-10 code?
Yes, M93.013 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M93.013?
Clinical documentation must specify the nature of Acute slipped upper femoral epiphysis, stable (nontraumatic), unspecified hip and any associated comorbidities for accurate reporting.
Cite this Clinical Reference