Arthropathy following intestinal bypass, left wrist
ICD-10 M02.032 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, left wrist.
Arthropathy following intestinal bypass is a condition that arises due to metabolic changes and nutritional deficiencies that can occur after surgical procedures such as gastric bypass. The left wrist, comprising the distal radius, ulna, and eight carpal bones, is particularly susceptible to arthritic changes due to altered biomechanics and potential malabsorption of essential nutrients like vitamin D and calcium. Clinically, patients may present with joint pain, swelling, and stiffness, particularly in the wrist, which can limit range of motion and functional capacity. The pathophysiology involves inflammatory processes that may be exacerbated by underlying conditions such as obesity or diabetes, which are common in patients undergoing intestinal bypass. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to assess joint function and inflammation markers.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint repair or arthroplasty due to severe degeneration.
Orthopedic assessments must detail the severity of joint involvement and any associated deformities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms indicating autoimmune involvement, necessitating a comprehensive evaluation.
Consideration of systemic effects of nutritional deficiencies on joint health and overall disease progression.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation may focus on restoring function post-surgery or managing chronic pain.
Documentation must address mobility limitations and the impact on daily living activities.
Used for managing pain and inflammation in the left wrist arthropathy.
Document the joint involved, indication for the procedure, and any imaging performed.
Orthopedic and rheumatologic considerations for joint injections.
Common causes include nutritional deficiencies (e.g., vitamin D, calcium), metabolic changes, and altered biomechanics due to weight loss and changes in activity levels post-surgery.
