Arthropathy following intestinal bypass, left hip
ICD-10 M02.052 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, left hip.
Arthropathy following intestinal bypass is a condition that arises due to metabolic changes and nutritional deficiencies resulting from surgical alterations in the gastrointestinal tract. The left hip joint, a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, is particularly susceptible to degenerative changes and inflammatory processes in this context. Patients may present with joint pain, stiffness, and reduced range of motion, often exacerbated by weight-bearing activities. The pathophysiology may involve altered calcium and vitamin D metabolism, leading to osteomalacia or osteoporosis, which can contribute to joint degeneration. Clinically, patients may exhibit signs of inflammation, such as swelling and tenderness, alongside functional limitations in hip movement, impacting their ability to perform daily activities. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to assess joint integrity and nutritional status.
Orthopedic documentation should include imaging studies (X-rays, MRIs) showing joint integrity, functional assessments detailing range of motion, and any surgical notes from previous procedures.
Patients may require joint injections, arthroscopy, or total hip arthroplasty due to severe degeneration.
Orthopedic documentation must detail the severity of joint involvement and any associated conditions such as avascular necrosis.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with inflammatory arthropathy secondary to nutritional deficiencies, requiring disease-modifying antirheumatic drugs (DMARDs).
Consideration of systemic involvement and monitoring for potential autoimmune conditions is crucial.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation may focus on restoring hip function through physical therapy and adaptive strategies.
Documentation should address mobility limitations and the impact on activities of daily living.
Used for managing joint pain and inflammation in the left hip.
Documentation must include indication for the procedure and any imaging studies supporting joint involvement.
Orthopedic and rheumatologic considerations for joint health and management.
Common causes include nutritional deficiencies such as vitamin D and calcium, leading to osteomalacia and subsequent joint degeneration. The metabolic changes post-surgery can significantly impact bone health.
