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2025 ICD-10-CM code Q65.1

Congenital dislocation of the hip, bilateral.

Codes from chapter Q (Congenital malformations, deformations and chromosomal abnormalities) are not used for maternal records.Always confirm the diagnosis of bilateral dislocation through appropriate clinical and imaging studies.

Modifiers may be applicable depending on the circumstances of the encounter and the services provided.

Medical necessity is established by the presence of bilateral congenital hip dislocation, confirmed through clinical examination and imaging.Treatment is typically necessary to prevent long-term disability. The specific treatment plan (surgical or non-surgical) depends on the child's age and severity of the dislocation. Documentation of medical necessity would highlight any limitations in mobility, pain, or potential for future complications.

Orthopedic surgeon, pediatrician, or other relevant specialist.

IMPORTANT Excludes1: clicking hip (R29.4)

In simple words: This code means a baby is born with both hip joints out of place.

This code describes a condition where both hip joints are dislocated at birth.It's a congenital anomaly affecting the musculoskeletal system, specifically the hip joints.

Example 1: A newborn infant presents with bilateral hip instability and limited hip abduction during a routine physical exam.Imaging confirms bilateral congenital hip dislocation.Code Q65.1 is used for billing., A neonate is diagnosed prenatally with bilateral hip dysplasia via ultrasound.Following birth, a confirmatory physical exam and imaging confirms bilateral congenital hip dislocation.Code Q65.1 is assigned for billing., A child presents with a history of developmental dysplasia of the hip (DDH) diagnosed in infancy but untreated. A clinical examination confirms bilateral hip dislocation.The physician uses code Q65.1 to represent the condition.

Prenatal ultrasound findings (if available), physical examination notes documenting hip instability and limited abduction, radiographic images (X-rays or ultrasound) confirming the diagnosis, and any surgical or therapeutic intervention reports.Detailed documentation should support the diagnosis of bilateral congenital hip dislocation.

** This code should only be applied when a bilateral congenital hip dislocation is confirmed.Unilateral dislocation would require a different ICD-10 code.

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