Left hip bursitis not classifiable as trochanteric bursitis — includes ischial bursitis of the left hip and other non-trochanteric bursal inflammations at the left hip joint.
Verified May 8, 2026 · 5 sources ↓
- Status
- Billable
- Chapter
- 13
- Related CPT
- 8
- Region
- Hip
Documentation tips
What should appear in the chart to support M70.72.
Source · Editorial brief grounded in 5 cited references ↓
- Explicitly name 'left hip' in the diagnosis — do not rely on laterality implied by procedure site alone.
- Identify the specific bursa involved (e.g., ischial, iliopsoas) to distinguish M70.72 from trochanteric bursitis (M70.62).
- Document the mechanical cause — repetitive activity, occupational pressure, or overuse — to justify the M70 category and support an external cause code (Y93.-).
- Record imaging results (ultrasound or MRI) confirming bursal effusion or inflammation when ordering advanced diagnostics.
- Note duration and prior conservative management (rest, NSAIDs, PT) to establish medical necessity before injections or surgery.
Related CPT procedures
Procedure codes commonly billed with M70.72. Linking the right diagnosis to the right procedure is what establishes medical necessity.
Source · CMS LCDs · AAOS specialty guidance · claims-pattern analysis
Common coding pitfalls
The recurring mistakes coders make with M70.72 and adjacent codes.
Source · Editorial brief grounded in CDC ICD-10-CM tabular guidance, AAOS coding references, and cited references ↓
- Assigning M70.62 (trochanteric bursitis, left) when the documented bursa is ischial — these are anatomically distinct and code separately.
- Defaulting to M70.70 (unspecified hip) when the clinician clearly documents the left side; unspecified laterality triggers payer downcoding and audit risk.
- Omitting the Y93.- external cause code when documentation explicitly ties bursitis to an occupational or repetitive activity.
- Using M71.9- (bursitis NOS) instead of M70.72 when a mechanical/overuse cause is documented — M70 is more specific and payer-preferred.
- Coding M70.72 for referred hip pain originating from lumbar pathology without confirming bursal involvement on examination or imaging.
Clinical context
Source · Editorial summary grounded in 5 cited references ↓
M70.72 covers left-sided hip bursitis that falls outside the trochanteric bursitis category (M70.62). The most common clinical presentation captured here is ischial bursitis — inflammation of the bursa overlying the ischial tuberosity — which produces deep buttock pain that worsens with prolonged sitting. The code sits under the M70 block, meaning the condition must be related to use, overuse, or pressure; idiopathic bursitis not linked to mechanical cause should be evaluated against M71.x alternatives.
Within the M70.7 family, laterality is mandatory: M70.71 = right, M70.72 = left, M70.70 = unspecified. Never default to unspecified when the operative or clinical note names the left side. The parent category M70 carries a Use Additional code instruction — append an external cause code (Y93.-) when an occupational or activity-related etiology is documented (e.g., prolonged seated work, cycling).
M70.72 is excluded from use alongside bursitis NOS (M71.9-), bursitis of the shoulder (M75.5), and enthesopathies (M76–M77). Confirm the bursa involved is at the hip, not a referred pain pattern from lumbar spine or piriformis syndrome, before assigning this code.
Sibling codes
Other billable codes under M70.7 (laterality / anatomic variants).
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 5 cited references ↓
01What is the difference between M70.62 and M70.72 for left hip bursitis?
02When should I use M70.70 (unspecified) instead of M70.72?
03Does M70.72 require an external cause code?
04Can M70.72 be used alongside trochanteric bursitis of the same hip?
05Which CPT codes are commonly paired with M70.72?
06Is M70.72 valid for inpatient hospital claims?
07What distinguishes M70.72 from M71.x hip bursitis codes?
Sources & references
Editorial content was developed using the following public sources. Last verified May 8, 2026.
- 01CDC ICD-10-CM Tabular List 2026 (effective October 1, 2025)
- 02icd10data.comhttps://www.icd10data.com/ICD10CM/Codes/M00-M99/M70-M79/M70-/M70.72
- 03aapc.comhttps://www.aapc.com/codes/icd-10-codes/M70.72
- 04vsac.nlm.nih.govhttps://vsac.nlm.nih.gov/context/cs/codesystem/ICD10CM/version/2022/code/M70.72/info
- 05cms.govhttps://www.cms.gov/medicare/payment/fee-for-service-providers/hospital-aquired-conditions-hac/coding
Mira AI Scribe
The Mira AI Scribe captures left-side laterality, the specific bursa named by the clinician (ischial, iliopsoas, or other), any occupational or activity-related cause, imaging findings confirming bursal effusion, and prior conservative care attempts. Capturing these elements prevents a drop to unspecified M70.70, blocks misrouting to trochanteric bursitis M70.62, and satisfies the M70 Use Additional code requirement for activity cause.
See how Mira captures M70.72 documentation