Arthropathy following intestinal bypass, hand
ICD-10 M02.04 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, hand.
Arthropathy following intestinal bypass is a condition characterized by joint pain and inflammation that occurs as a complication after surgical procedures involving intestinal bypass. This condition is often linked to malabsorption syndromes that can lead to deficiencies in essential nutrients, particularly vitamin D and calcium, which are crucial for bone health. The hand, comprising multiple joints including the metacarpophalangeal and interphalangeal joints, may exhibit symptoms such as swelling, stiffness, and decreased range of motion. Clinically, patients may present with pain during movement, tenderness upon palpation, and potential deformities due to chronic inflammation. The pathophysiology involves inflammatory processes that can lead to joint erosion and functional impairment, necessitating a multidisciplinary approach for management.
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 replacement due to severe arthropathy.
Documentation should specify which joints are affected and the degree of functional impairment.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms indicating autoimmune involvement.
Consideration of systemic effects of nutrient deficiencies on joint health is crucial.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation programs focusing on restoring function and managing pain are common.
Documentation should address specific mobility limitations and rehabilitation goals.
Used for joint effusion management in patients with arthropathy.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain, swelling, stiffness, and decreased range of motion, particularly in the hands. These symptoms may arise due to nutrient deficiencies affecting joint health.
