ICD-10-CM Billable Code

Q65.2

Congenital dislocation of hip, unspecified

Clinical Classification Guidelines

Medical Intelligence & Overview

Congenital dislocation of the hip, also known as developmental dysplasia of the hip (DDH), is a condition present at birth where the hip joint has not developed properly. In this condition, the ball of the thigh bone (femoral head) is partially or completely displaced from the socket (acetabulum). The code Q65.2 refers specifically to cases where the dislocation of the hip is unspecified, indicating that the precise details or the severity may not be documented. Early diagnosis and treatment are crucial to prevent long-term complications such as walking difficulties, joint pain, and osteoarthritis.

Causes & Symptoms

Clinical Causes: Genetic factors that affect the development of joints and muscles Intrauterine positioning, such as breech presentation during pregnancy Environmental influences affecting fetal development Family history of hip dislocation or dysplasia Hormonal factors that may influence ligament laxity during gestation

Key Symptoms: Unequal leg lengths, noticeable when the baby is lying down Limited movement or instability in the affected hip A hip that appears to sit higher or is less prominent Clunking or clicking sound when moving the hips Crouching or waddling gait in older children if untreated Asymmetry of skin folds on the thigh or buttocks

Diagnostic & Treatment

Diagnosis Path: Diagnosing congenital dislocation of the hip typically involves a combination of physical examinations and imaging tests. Pediatric healthcare providers may perform:

Treatment Protocols: Treatment options depend on the age of the child and severity of the dislocation. Common approaches 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 Q65.2 a billable ICD-10 code?
Yes, Q65.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Q65.2?
Clinical documentation must specify the nature of Congenital dislocation of hip, unspecified and any associated comorbidities for accurate reporting.

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