Arthropathy following intestinal bypass, left shoulder
ICD-10 M02.012 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, left shoulder.
Arthropathy following intestinal bypass refers to joint disorders that develop as a complication of surgical procedures that alter the gastrointestinal tract, such as gastric bypass surgery. The left shoulder joint, anatomically comprised of the humerus, scapula, and clavicle, is susceptible to various forms of arthropathy due to changes in nutrient absorption and potential metabolic alterations post-surgery. Patients may present with pain, swelling, and limited range of motion in the left shoulder, often exacerbated by inflammatory processes. The pathophysiology may involve altered calcium and vitamin D metabolism, leading to osteopenia or osteoporosis, which can predispose the joint to degenerative changes. Clinically, patients may exhibit symptoms such as stiffness, tenderness, and decreased functional capacity, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with shoulder pain post-bypass surgery, requiring evaluation for rotator cuff tears or degenerative joint disease.
Joint-specific considerations include assessing for signs of instability or impingement, and documenting the severity of any degenerative changes.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit signs of inflammatory arthritis post-surgery, necessitating a thorough evaluation for autoimmune conditions.
Systemic involvement may be assessed, including potential nutritional deficiencies impacting joint health.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid rehabilitation.
Rehabilitation scenarios may involve post-operative recovery from shoulder surgery or therapy for joint stiffness.
Mobility limitations should be documented, including the impact on activities of daily living and the need for adaptive strategies.
Used for therapeutic intervention in cases of joint effusion or inflammation.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint health and management.
Common causes include altered nutrient absorption leading to deficiencies in calcium and vitamin D, which can affect bone health and joint integrity, as well as potential inflammatory responses triggered by the surgical procedure.
