Charcôt's arthropathy (tabetic)
ICD-10 A52.16 is a billable code used to indicate a diagnosis of charcôt's arthropathy (tabetic).
Charcot's arthropathy, also known as Charcot joint disease, is a degenerative condition characterized by progressive destruction of the weight-bearing joints, most commonly seen in patients with tabes dorsalis, a late manifestation of untreated syphilis. The condition arises due to loss of proprioception and deep pain sensation, leading to repetitive trauma and joint instability. Patients may present with swelling, deformity, and significant pain in the affected joints, often the foot and ankle. Diagnosis is typically made through clinical evaluation and imaging studies, which may reveal bone resorption, joint dislocation, and soft tissue swelling. Management includes offloading the affected joint, physical therapy, and in some cases, surgical intervention to stabilize the joint. Early recognition and treatment are crucial to prevent further joint damage and improve patient outcomes.
Detailed history of syphilis infection and treatment history.
Patients presenting with joint pain and a history of untreated syphilis.
Ensure that the link between syphilis and Charcot's arthropathy is clearly documented.
Imaging studies and physical examination findings must be documented.
Patients with joint deformities and instability requiring surgical intervention.
Document the extent of joint damage and any surgical procedures performed.
Used when joint swelling is present and aspiration is needed for diagnostic or therapeutic purposes.
Document the indication for the procedure and any findings during aspiration.
Orthopedic specialists may frequently perform this procedure in conjunction with Charcot's arthropathy management.
Charcot's arthropathy is primarily caused by loss of proprioception and deep pain sensation due to damage to the dorsal columns of the spinal cord, often associated with tabes dorsalis from untreated syphilis.
