ICD-10-CM Billable Code

M94.251

Chondromalacia, right hip

Clinical Classification Guidelines

Medical Intelligence & Overview

Chondromalacia of the right hip is a condition characterized by the softening and damage of the cartilage on the surface of the hip joint. This cartilage normally helps the hip bones smoothly glide against each other. When it becomes damaged or soft, it can lead to pain, weakness, and limited movement. Though more common in the knee, chondromalacia can also affect the hip, leading to discomfort and functional impairments that may require medical attention.

Causes & Symptoms

Clinical Causes: Repeated stress or overuse of the hip joint, especially in athletes or individuals engaged in high-impact activities Trauma or injury to the hip, such as falls or accidents Degenerative joint diseases like osteoarthritis that cause cartilage breakdown Structural abnormalities in the hip joint, including femoroacetabular impingement (FAI) Muscle imbalances or biomechanical problems affecting joint alignment Repetitive movements that place stress on the hip cartilage

Key Symptoms: Pain in the groin or side of the hip that worsens with activity Discomfort during or after hip movements, especially twisting or bending Stiffness and reduced range of motion in the hip joint A sensation of catching, locking, or grinding within the hip Weakness or instability in the hip area Swelling or tenderness around the joint in some cases

Diagnostic & Treatment

Diagnosis Path: Diagnosing chondromalacia of the right hip typically involves a combination of clinical evaluation and imaging studies. A healthcare provider may perform physical tests to assess pain, stability, and movement limitations. Imaging techniques can provide detailed views of the cartilage and joint structures:

Treatment Protocols: Managing chondromalacia of the right hip often involves a combination of conservative measures aimed at reducing pain, improving joint function, and preventing further cartilage deterioration. In some cases, surgical intervention might be necessary. Treatment options include:

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 M94.251 a billable ICD-10 code?
Yes, M94.251 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M94.251?
Clinical documentation must specify the nature of Chondromalacia, right hip and any associated comorbidities for accurate reporting.

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