M71.151 Other infective bursitis, right hip

Name of the Condition

• Other infective bursitis, right hip

Summary

Other infective bursitis, right hip refers to an infection of the bursa in the right 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, right 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 right 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 right hip bursa

Symptoms

• Localized pain, swelling, and warmth over the right 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) can confirm infection and identify causative organisms.

Treatment Options

Treatment typically includes antibiotic therapy targeted at the identified or suspected pathogen. Rest, ice, and elevation of the affected hip may reduce inflammation. In severe cases, surgical drainage of the infected bursa may be necessary. Pain management and physical therapy may support recovery and restore mobility.

Prognosis and Follow-Up

Prognosis depends on the severity of infection, timeliness of treatment, and patient factors (e.g., immune status). With appropriate antibiotics, most cases resolve without long-term complications. Follow-up may include monitoring for symptom resolution and repeat imaging if needed. Chronic or recurrent infections may require extended antibiotic courses or surgical intervention.

Complications

Untreated or severe infections can lead to abscess formation, spread to adjacent tissues, or sepsis. Chronic inflammation may result in bursal scarring, reduced mobility, or persistent pain. Rarely, infection may damage surrounding structures (e.g., tendons, ligaments).

Lifestyle & Prevention

• Avoid repetitive hip stress or pressure (e.g., prolonged sitting, heavy lifting)
• Maintain skin integrity to prevent infection entry
• Manage chronic conditions (e.g., diabetes) to reduce infection risk
• Use protective gear during activities that may injure the hip
• Seek prompt care for skin wounds near the hip

When to Seek Professional Help

Consult a healthcare provider if you experience persistent hip pain, swelling, redness, fever, or pus drainage. Rapid worsening of symptoms or signs of systemic infection (e.g., chills, confusion) require immediate medical attention.

Tips for Medical Coders

Document the specific site (right hip) and confirm infective etiology to assign M71.151. Ensure clinical notes specify the bursa involved and infection presence, as this code is site-specific. Differentiate from non-infective bursitis or other hip infections (e.g., septic arthritis) to avoid miscoding.