M
IMEPro
M16.12 Musculoskeletal
Updated March 2026

Primary osteoarthritis, left hip

ICD-10 Code: M16.12 · Body Part: Hip

QME Evaluation Process

Hip ROM testing, gait analysis, imaging review. LE impairment rating with apportionment.

Typical Impairment Rating

15-40% LE (6-16% WPI)

AMA Guides Edition

5th Edition

Common Treatments

+ Physical therapy
+ Intra-articular injection
+ Total hip arthroplasty

Related Conditions

Body Part Guide

Hip Evaluation Guide

Impairment rating methods, common conditions, and QME evaluation protocols

View Guide →

QME Specialties for Primary osteoarthritis, left hip

Find a QME Specialist

Browse QME-certified physicians who evaluate primary osteoarthritis, left hip and related hip conditions in California.

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Frequently Asked Questions

What is Primary osteoarthritis, left hip (M16.12)?

Primary osteoarthritis, left hip is an ICD-10 diagnosis code (M16.12) 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 M16.12 rated for impairment?

The typical whole person impairment (WPI) range for Primary osteoarthritis, left hip is 15-40% LE (6-16% WPI). 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 M16.12?

Hip ROM testing, gait analysis, imaging review. LE impairment rating with apportionment.

What treatments are common for Primary osteoarthritis, left hip?

Common treatments for Primary osteoarthritis, left hip include Physical therapy, Intra-articular injection, Total hip arthroplasty. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.