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ICD-10 Guide
ICD-10 CodesM02.051

M02.051

Billable

Arthropathy following intestinal bypass, right hip

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 M02.051 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, right hip.

Key Diagnostic Point:

Arthropathy following intestinal bypass surgery is characterized by joint pain and dysfunction that arises as a complication of the surgical procedure. The right hip joint, a ball-and-socket joint formed by the femur and the acetabulum of the pelvis, is particularly susceptible to degenerative changes due to altered biomechanics and nutritional deficiencies post-surgery. Patients may present with symptoms such as pain, stiffness, and reduced range of motion in the right hip, often exacerbated by weight-bearing activities. The pathophysiology may involve inflammatory processes, changes in synovial fluid composition, and potential osteoarthritis development due to altered loading patterns. Clinically, the condition may manifest as localized tenderness, swelling, and crepitus during movement, necessitating a thorough assessment of joint function and mobility limitations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-surgical complications
  • Involves specific anatomical knowledge of the hip joint
  • Differentiation from other arthropathies
  • Potential for multiple co-morbid conditions

Audit Risk Factors

  • Inadequate documentation of surgical history
  • Failure to specify laterality
  • Lack of detailed functional assessments
  • Misclassification of arthropathy type

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, functional assessments to evaluate range of motion, and detailed notes on pain levels and physical examination findings.

Common Clinical Scenarios

Common scenarios include post-operative evaluations for hip pain, pre-surgical assessments for joint replacement, and management of degenerative changes.

Billing Considerations

Joint-specific considerations include assessing for avascular necrosis, osteoarthritis, and the impact of weight-bearing activities on joint health.

Rheumatology

Documentation Requirements

Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to rule out underlying autoimmune conditions.

Common Clinical Scenarios

Scenarios may involve evaluating joint inflammation post-surgery and managing systemic effects of nutritional deficiencies.

Billing Considerations

Consideration of systemic involvement, such as the impact of malabsorption on joint health and the potential for inflammatory arthropathies.

Physical Medicine

Documentation Requirements

Functional assessments should document mobility limitations, pain levels, and the need for assistive devices or rehabilitation interventions.

Common Clinical Scenarios

Rehabilitation scenarios may include post-operative recovery plans and strategies for improving joint function.

Billing Considerations

Focus on mobility limitations, gait analysis, and the impact of joint pain on daily activities.

Coding Guidelines

Inclusion Criteria

Use M02.051 When
  • 10 coding guidelines require specificity in laterality (right hip), severity of the arthropathy, and the context of the encounter (initial vs
  • follow
  • Proper documentation of the surgical history and current symptoms is essential

Exclusion Criteria

Do NOT use M02.051 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used for joint pain management in patients with arthropathy.

Documentation Requirements

Document the joint involved, indication for the procedure, and any imaging performed.

Specialty Considerations

Orthopedic considerations include assessing joint fluid for inflammatory markers.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, improving the ability to capture the nuances of post-surgical complications like arthropathy following intestinal bypass.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, improving the ability to capture the nuances of post-surgical complications like arthropathy following intestinal bypass.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, improving the ability to capture the nuances of post-surgical complications like arthropathy following intestinal bypass.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons Guidelines

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons Guidelines

Frequently Asked Questions

What are the common symptoms of arthropathy following intestinal bypass?

Common symptoms include joint pain, stiffness, swelling, and reduced range of motion, particularly in the affected hip joint. Patients may also experience functional limitations in daily activities.