Arthropathy following intestinal bypass, left hand
ICD-10 M02.042 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, left hand.
Arthropathy following intestinal bypass is a condition characterized by joint pain and dysfunction that arises as a complication of surgical procedures involving intestinal bypass. This condition can affect the left hand, leading to inflammation and degeneration of the joints. The pathophysiology may involve alterations in nutrient absorption, leading to deficiencies in vitamins and minerals essential for joint health, such as vitamin D and calcium. Clinically, patients may present with symptoms such as swelling, stiffness, and pain in the joints of the left hand, particularly affecting the metacarpophalangeal and interphalangeal joints. Anatomically, the left hand consists of multiple joints, including the carpals, metacarpals, and phalanges, which can be affected by arthropathy. The condition may lead to functional limitations in hand movements, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion.
Common scenarios include post-operative evaluations for joint pain and surgical interventions such as arthroscopy or joint injections.
Joint-specific considerations include assessing for signs of osteoarthritis or inflammatory arthritis in the affected joints.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Scenarios may involve managing autoimmune conditions that could exacerbate joint symptoms post-bypass.
Consideration of systemic involvement and monitoring for potential progression of rheumatologic conditions.
Functional assessments should document mobility limitations and rehabilitation needs, including physical therapy evaluations.
Rehabilitation scenarios may focus on restoring hand function and improving strength and dexterity.
Assessment of assistive device needs for daily activities and mobility.
Used when joint effusion is present in the left hand, requiring aspiration or injection.
Documentation must include the joint involved, reason for the procedure, and any imaging guidance used.
Orthopedic considerations for joint health and rheumatologic considerations for inflammatory management.
Common symptoms include joint pain, swelling, stiffness, and decreased range of motion, particularly in the affected joints of the left hand.
