Primary osteoarthritis, right hip
ICD-10 Code: M16.11 · Body Part: Hip
QME Evaluation Process
Hip ROM testing (flexion, extension, abduction, rotation), gait analysis, weight-bearing imaging review. LE impairment rating. Apportionment analysis.
Typical Impairment Rating
15-40% LE (6-16% WPI); higher with total hip arthroplasty
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Hip Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Primary osteoarthritis, right hip
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Browse Physical Medicine & Rehabilitation Physicians →Frequently Asked Questions
What is Primary osteoarthritis, right hip (M16.11)?
Primary osteoarthritis, right hip is an ICD-10 diagnosis code (M16.11) classified under Musculoskeletal conditions. It affects the Hip and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M16.11 rated for impairment?
The typical whole person impairment (WPI) range for Primary osteoarthritis, right hip is 15-40% LE (6-16% WPI); higher with total hip arthroplasty. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M16.11?
Hip ROM testing (flexion, extension, abduction, rotation), gait analysis, weight-bearing imaging review. LE impairment rating. Apportionment analysis.
What treatments are common for Primary osteoarthritis, right hip?
Common treatments for Primary osteoarthritis, right hip include Physical therapy, Intra-articular injection, Total hip arthroplasty, Hip resurfacing. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.