ICD-10 M16
Non-Billable HeaderOsteoarthritis of hip
About ICD-10-CM M16
ICD-10-CM code M16 represents Osteoarthritis of hip. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M16). The 2026 edition of ICD-10-CM M16 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for M16
Local Coverage Determinations (LCDs) from CMS MACs that list M16 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M16.
2 Cigna
CPT Codes Commonly Billed with M16
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M16
Other codes in section M15-M19 (Osteoarthritis).
ICD-10 M16, Billing FAQ
Is ICD-10 code M16 billable? +
No, M16 is a non-billable header code. Use a more specific child code from block M16 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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