Arthropathy following intestinal bypass, right shoulder
ICD-10 M02.011 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, right shoulder.
Arthropathy following intestinal bypass surgery is a condition characterized by joint pain and dysfunction that arises as a complication of surgical procedures aimed at weight loss or treatment of intestinal disorders. The right shoulder joint, a ball-and-socket joint formed by the humerus and the scapula, is particularly susceptible to arthropathy due to its extensive range of motion and the stress placed on it during rehabilitation and weight-bearing activities post-surgery. Pathophysiologically, this condition may involve inflammatory processes, altered biomechanics, and nutritional deficiencies resulting from malabsorption. Clinically, patients may present with pain, swelling, and reduced range of motion in the right shoulder, impacting daily activities and rehabilitation efforts. The interplay between surgical history and joint health necessitates a comprehensive approach to diagnosis and management, including imaging studies and functional assessments to guide treatment strategies.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, as well as functional assessments to evaluate range of motion and strength.
Common scenarios include post-operative rehabilitation following shoulder surgery or management of chronic pain due to arthropathy.
Joint-specific considerations include the assessment of rotator cuff integrity and the impact of shoulder mechanics on overall function.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Scenarios may involve evaluating for autoimmune conditions that could exacerbate joint symptoms post-surgery.
Consideration of systemic involvement and the potential for comorbid rheumatologic conditions is crucial.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy interventions aimed at restoring shoulder function.
Focus on mobility limitations and the impact of joint pain on activities of daily living.
Used for follow-up visits to assess joint function and pain management.
Documentation must include history of present illness, examination findings, and treatment plan.
Orthopedic and rheumatologic considerations for joint assessment.
Common causes include nutritional deficiencies (e.g., vitamin D, calcium), altered biomechanics due to weight loss, and inflammatory responses that may arise post-surgery.
