Acute slipped upper femoral epiphysis, unstable, bi hips

This code describes an acute, non-traumatic displacement of the femoral head from the femoral neck at the growth plate, affecting both hips. This condition is considered unstable, meaning the patient is unable to bear weight on the affected limb(s) even with crutches. It is primarily seen in adolescents during periods of rapid growth.

Use this code for patients presenting with sudden onset hip pain, often without a significant traumatic event, and an inability to bear weight on either leg due to bilateral slipped capital femoral epiphysis. Documentation should clearly indicate the acute nature, instability, and bilateral involvement, distinguishing it from chronic or stable presentations.

• Ensure documentation specifies "acute" and "unstable" for both hips; otherwise, a different code may be more appropriate.
• Distinguish from chronic or stable slipped upper femoral epiphysis, which have separate codes.
• Always review laterality carefully; this code is specifically for bilateral involvement.