M71.15 Other infective bursitis, hip

Name of the Condition

• Other infective bursitis, hip

Summary

Other infective bursitis, hip refers to an infection of the bursa in the hip region that is not classified under more specific infective bursitis codes. This condition involves microbial invasion of the bursa, leading to inflammation, pain, and potential functional impairment of the hip joint.

Causes

Other infective bursitis, hip typically results from bacterial infection, often introduced through direct trauma, skin breakdown, or spread from adjacent tissues. Common causative organisms include Staphylococcus aureus. Non-bacterial infections or secondary infection of a pre-existing bursitis may also occur, though the exact etiology varies by case.

Risk Factors

• Recent injury or surgery near the hip bursa
• Skin infections or open wounds in the hip area
• Immunocompromised states (e.g., diabetes, HIV)
• Chronic inflammatory conditions (e.g., rheumatoid arthritis)
• Repetitive motion or pressure on the hip bursa

Symptoms

• Localized pain, swelling, and warmth over the hip bursa
• Redness or erythema at the site
• Fever or systemic signs of infection
• Limited range of motion in the hip joint
• Pus drainage if the infection progresses

Diagnosis

Diagnosis involves a physical examination to assess bursal characteristics, including tenderness, warmth, and swelling. Imaging studies (e.g., ultrasound or MRI) may be used to evaluate the bursa and surrounding tissues. Aspiration of the bursa for fluid analysis (e.g., culture, cell count) helps confirm infection and identify causative organisms.

Treatment Options

Treatment typically includes antibiotic therapy targeted at the identified or suspected pathogen. Drainage of the infected bursa may be necessary for severe cases. Rest, elevation, and anti-inflammatory medications can help manage symptoms. Physical therapy may be recommended to restore function once the infection is controlled.

Prognosis and Follow-Up

With appropriate treatment, most cases resolve without long-term complications. Follow-up care ensures the infection is fully cleared and monitors for recurrence. Chronic or untreated infections may lead to persistent pain or functional limitations.

Complications

Potential complications include abscess formation, spread of infection to adjacent tissues, or chronic bursitis. Rarely, sepsis or joint involvement may occur if the infection is not promptly addressed.

Lifestyle & Prevention

• Avoid repetitive pressure or trauma to the hip bursa
• Maintain good skin hygiene to prevent infections
• Manage underlying conditions (e.g., diabetes) to reduce infection risk
• Use protective gear during activities that strain the hip

When to Seek Professional Help

Seek medical attention if symptoms worsen, persist, or include fever, severe pain, or pus drainage. Prompt evaluation is important to prevent complications.

Tips for Medical Coders

Document the specific site (hip) and confirm infective bursitis is not classified under a more specific code. Ensure clinical documentation supports the diagnosis and site to justify code assignment.