ICD-10: M71.152

ICD-10 code M71.152 refers to "Other infective bursitis, left hip." This condition involves inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues, specifically in the left hip region. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this diagnosis is crucial for effective management and treatment.

Clinical Presentation

Definition and Overview

Infective bursitis occurs when a bursa becomes inflamed due to infection, often resulting from bacteria. The left hip is a common site for bursitis, particularly in individuals who engage in repetitive hip movements or have underlying conditions that predispose them to infections.

Common Causes

• Bacterial Infection: The most frequent cause of infective bursitis is bacterial infection, often due to organisms such as Staphylococcus aureus.
• Trauma or Injury: Previous trauma to the hip area can increase the risk of bursitis.
• Underlying Conditions: Conditions such as diabetes, rheumatoid arthritis, or immunosuppression can predispose individuals to infections.

Signs and Symptoms

Localized Symptoms

• Pain: Patients typically experience localized pain in the left hip, which may worsen with movement or pressure.
• Swelling: There may be noticeable swelling over the hip joint due to inflammation of the bursa.
• Redness and Warmth: The skin over the affected area may appear red and feel warm to the touch, indicating inflammation.

Systemic Symptoms

• Fever: Patients may present with fever, which is a common systemic response to infection.
• Chills: Accompanying chills may also be reported, particularly in cases of significant infection.
• Fatigue: General malaise and fatigue can occur as the body responds to the infection.

Patient Characteristics

Demographics

• Age: While bursitis can occur at any age, it is more common in middle-aged and older adults due to degenerative changes and increased likelihood of comorbidities.
• Gender: There may be a slight male predominance in cases of infective bursitis, although both genders can be affected.

Risk Factors

• Activity Level: Individuals who engage in repetitive activities or sports that stress the hip joint are at higher risk.
• Medical History: A history of joint problems, diabetes, or immunosuppressive conditions can increase susceptibility to bursitis.
• Lifestyle Factors: Obesity and sedentary lifestyle may contribute to the development of bursitis due to increased stress on the joints.

Conclusion

Infective bursitis of the left hip (ICD-10 code M71.152) presents with a combination of localized and systemic symptoms, including pain, swelling, redness, and fever. Understanding the clinical presentation and patient characteristics is essential for healthcare providers to diagnose and manage this condition effectively. Early intervention can help prevent complications and improve patient outcomes. If you suspect infective bursitis, it is crucial to seek medical attention for appropriate evaluation and treatment.

ICD-10 code M71.152 refers specifically to "Other infective bursitis, left hip." This code is part of the broader category of bursitis, which is inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in joints. Understanding alternative names and related terms for this condition can be beneficial for healthcare professionals, coders, and patients alike.

Alternative Names for M71.152

1. Infective Bursitis of the Left Hip: This is a direct synonym that emphasizes the infectious nature of the bursitis.
2. Left Hip Bursitis: A more general term that may not specify the infective nature but is commonly used in clinical settings.
3. Left Hip Bursa Infection: This term highlights the infection aspect of the bursitis.
4. Left Greater Trochanteric Bursitis: While this term specifically refers to the bursa located near the greater trochanter of the femur, it can sometimes be used interchangeably in discussions about hip bursitis.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can be caused by various factors, including infection.
2. Septic Bursitis: This term is often used to describe bursitis caused by an infection, which aligns with the "infective" descriptor in M71.152.
3. Trochanteric Bursitis: While this typically refers to inflammation of the bursa at the greater trochanter, it can be related to the left hip bursitis context.
4. Hip Pain: A broader term that encompasses various conditions affecting the hip, including bursitis.
5. Hip Inflammation: This term can refer to any inflammatory condition in the hip region, including bursitis.

Clinical Context

In clinical practice, the use of these alternative names and related terms can vary based on the specific context of the patient's condition. For instance, when documenting a case or coding for insurance purposes, it is crucial to use the precise ICD-10 code to ensure accurate billing and treatment records. Understanding these terms can also aid in patient education, helping individuals better comprehend their diagnosis and treatment options.

In summary, while M71.152 specifically denotes "Other infective bursitis, left hip," various alternative names and related terms exist that can enhance communication among healthcare providers and patients.

To diagnose ICD-10 code M71.152, which refers to "Other infective bursitis, left hip," healthcare providers typically follow a set of clinical criteria and guidelines. Here’s a detailed overview of the diagnostic criteria and considerations involved in identifying this condition.

Understanding Infective Bursitis

Bursitis is the inflammation of a bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. When bursitis is caused by an infection, it is classified as infective bursitis. The left hip can be affected by various types of bursitis, and the diagnosis of infective bursitis specifically involves several key steps.

Diagnostic Criteria

1. Clinical Presentation

• Symptoms: Patients typically present with localized pain, swelling, and tenderness over the hip area. There may also be signs of systemic infection, such as fever or chills, indicating an infectious process.
• Physical Examination: A thorough examination may reveal warmth, redness, and swelling over the bursa, along with restricted range of motion in the hip joint.

2. Medical History

• Infection Risk Factors: A detailed medical history is essential to identify potential risk factors for infection, such as recent joint injections, trauma, or underlying conditions like diabetes or immunosuppression.
• Previous Episodes: History of recurrent bursitis or other joint issues may also be relevant.

3. Laboratory Tests

• Blood Tests: Elevated white blood cell count (WBC) and inflammatory markers (e.g., C-reactive protein) can indicate an infection.
• Cultures: Aspiration of the bursa may be performed to obtain synovial fluid for culture and sensitivity testing, which helps identify the causative organism.

4. Imaging Studies

• Ultrasound or MRI: These imaging modalities can help visualize the bursa and assess for fluid accumulation, abscess formation, or other abnormalities that may suggest infection.

5. Differential Diagnosis

• It is crucial to differentiate infective bursitis from other conditions that may present similarly, such as septic arthritis, tendinitis, or other inflammatory conditions. This may involve additional imaging or laboratory tests to rule out these alternatives.

Conclusion

The diagnosis of M71.152: Other infective bursitis, left hip requires a comprehensive approach that includes clinical evaluation, medical history, laboratory tests, and imaging studies. By systematically assessing these factors, healthcare providers can accurately diagnose infective bursitis and initiate appropriate treatment, which may include antibiotics and, in some cases, surgical intervention to drain infected fluid. Proper diagnosis is essential to prevent complications and ensure effective management of the condition.

When addressing the standard treatment approaches for ICD-10 code M71.152, which refers to "Other infective bursitis, left hip," it is essential to understand both the condition itself and the typical management strategies employed in clinical practice.

Understanding Infective Bursitis

Infective bursitis occurs when a bursa, a small fluid-filled sac that reduces friction between tissues, becomes inflamed due to infection. This condition can lead to pain, swelling, and limited mobility in the affected area. The left hip, being a major joint, can significantly impact a patient's quality of life when affected by bursitis.

Standard Treatment Approaches

1. Initial Assessment and Diagnosis

• Clinical Evaluation: A thorough history and physical examination are crucial. Symptoms such as localized pain, swelling, and warmth over the hip should be assessed.
• Imaging Studies: X-rays may be performed to rule out other conditions, while ultrasound or MRI can help visualize the bursa and assess for fluid accumulation or abscess formation.

2. Antibiotic Therapy

• Empirical Antibiotics: If an infection is suspected, broad-spectrum antibiotics are typically initiated. The choice of antibiotics may be adjusted based on culture results if a specific pathogen is identified[1].
• Duration of Treatment: The course of antibiotics usually lasts from 7 to 14 days, depending on the severity of the infection and the patient's response to treatment[2].

3. Pain Management

• NSAIDs: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are commonly prescribed to alleviate pain and reduce inflammation[3].
• Corticosteroid Injections: In some cases, corticosteroid injections into the bursa may be considered to provide rapid relief from inflammation and pain, especially if NSAIDs are insufficient[4].

4. Physical Therapy

• Rehabilitation Exercises: Once the acute infection is managed, physical therapy may be recommended to restore range of motion and strengthen the hip muscles. This can help prevent recurrence and improve function[5].

5. Surgical Intervention

• Drainage Procedures: If there is significant fluid accumulation or an abscess, surgical drainage may be necessary. This can be done percutaneously or through an open procedure, depending on the extent of the infection[6].
• Bursa Removal: In chronic cases or when conservative treatments fail, surgical removal of the bursa (bursectomy) may be considered[7].

6. Follow-Up Care

• Monitoring: Regular follow-up appointments are essential to monitor the patient's recovery and adjust treatment as necessary. This includes assessing for any signs of recurrent infection or complications[8].

Conclusion

The management of infective bursitis in the left hip (ICD-10 code M71.152) involves a comprehensive approach that includes accurate diagnosis, antibiotic therapy, pain management, physical therapy, and, if necessary, surgical intervention. Early recognition and treatment are crucial to prevent complications and ensure optimal recovery. Patients should be encouraged to follow their healthcare provider's recommendations closely and report any worsening symptoms promptly.

For further information or specific treatment plans, consulting with a healthcare professional is always advisable.

ICD-10 code M71.152 refers to "Other infective bursitis, left hip." This code is part of the broader category of bursopathies, which are conditions affecting the bursae—small, fluid-filled sacs that cushion the bones, tendons, and muscles near joints. Below is a detailed clinical description and relevant information regarding this specific diagnosis.

Clinical Description

Definition

Infective bursitis is an inflammation of a bursa caused by an infection. The bursa serves to reduce friction between tissues in the body, and when it becomes infected, it can lead to pain, swelling, and limited mobility in the affected area. The left hip is specifically noted in this code, indicating that the condition is localized to that joint.

Symptoms

Patients with M71.152 may experience:
- Localized Pain: Pain in the left hip that may worsen with movement or pressure.
- Swelling: Noticeable swelling around the hip joint.
- Redness and Warmth: The skin over the affected bursa may appear red and feel warm to the touch.
- Limited Range of Motion: Difficulty in moving the hip joint due to pain and swelling.
- Systemic Symptoms: In some cases, patients may also experience fever or malaise, indicating a more systemic infection.

Causes

Infective bursitis can be caused by:
- Bacterial Infections: The most common cause, often resulting from direct trauma, surgery, or the spread of infection from nearby tissues.
- Fungal Infections: Less common but can occur, particularly in immunocompromised individuals.
- Other Pathogens: Viral infections may also lead to bursitis, although this is rare.

Risk Factors

Certain factors may increase the risk of developing infective bursitis, including:
- Age: Older adults are more susceptible due to weakened immune systems.
- Underlying Conditions: Conditions such as diabetes, rheumatoid arthritis, or other immunocompromising diseases.
- Recent Injuries: Trauma to the hip area can predispose individuals to infection.
- Invasive Procedures: Surgical interventions or injections near the hip joint can introduce pathogens.

Diagnosis

Diagnosis of M71.152 typically involves:
- Clinical Examination: Assessment of symptoms, physical examination of the hip, and evaluation of range of motion.
- Imaging Studies: X-rays or MRI may be used to rule out other conditions and assess the extent of inflammation.
- Laboratory Tests: Blood tests may be conducted to identify signs of infection, and aspiration of the bursa may be performed to analyze the fluid for pathogens.

Treatment

Treatment for infective bursitis generally includes:
- Antibiotics: If a bacterial infection is confirmed, appropriate antibiotic therapy is initiated.
- Rest and Immobilization: Reducing movement in the affected hip to alleviate pain and swelling.
- Ice Therapy: Application of ice packs to reduce inflammation.
- Corticosteroids: In some cases, corticosteroid injections may be used to reduce inflammation.
- Surgery: In severe cases, surgical intervention may be necessary to drain the infected bursa.

Conclusion

ICD-10 code M71.152 is crucial for accurately diagnosing and treating other infective bursitis of the left hip. Understanding the clinical presentation, causes, and treatment options is essential for healthcare providers to manage this condition effectively. Early diagnosis and appropriate management can lead to better outcomes and prevent complications associated with untreated infections.