M16.0Bilateral primary osteoarthritis of hip

M16.0 is the ICD-10-CM diagnosis code for bilateral primary osteoarthritis of hip. It belongs to category M16 (osteoarthritis of hip), block M15-M19 (osteoarthritis) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within M16 (osteoarthritis of hip), M16.0 is specifically for bilateral primary osteoarthritis of hip. Related codes cover unilateral primary osteoarthritis of hip (M16.1), bilateral osteoarthritis resulting from hip dysplasia (M16.2), unilateral osteoarthritis resulting from hip dysplasia (M16.3), bilateral post-traumatic osteoarthritis of hip (M16.4), unilateral post-traumatic osteoarthritis of hip (M16.5), other bilateral secondary osteoarthritis of hip (M16.6), other unilateral secondary osteoarthritis of hip (M16.7) and unspecified (M16.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 553 (Bone Diseases and Arthropathies with MCC, relative weight 1.2494) and DRG 554 (Bone Diseases and Arthropathies without MCC, relative weight 0.8331), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 715.15 (Osteoarthrosis, localized, primary, pelvic region and thigh).