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ICD-10 Guide
ICD-10 CodesM02.061

M02.061

Billable

Arthropathy following intestinal bypass, right knee

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

Code Description

ICD-10 M02.061 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, right knee.

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 knee, being a hinge joint, is particularly susceptible to mechanical stress and inflammatory processes. Following intestinal bypass, patients may experience 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 swelling, stiffness, and reduced range of motion in the right knee, impacting their ability to perform daily activities. The pathophysiology may involve both mechanical factors related to altered body weight distribution post-surgery and biochemical factors stemming from nutritional deficiencies. This condition requires careful assessment of joint function and may necessitate imaging studies to evaluate the extent of arthropathy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-surgical complications
  • Involves knowledge of nutritional deficiencies affecting musculoskeletal health
  • Anatomical specificity related to the knee joint
  • Potential for overlapping diagnoses with other arthropathies

Audit Risk Factors

  • Inadequate documentation of surgical history
  • Failure to specify laterality (right knee)
  • Lack of evidence for nutritional assessment
  • Misclassification of arthropathy type

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, range of motion assessments, and functional evaluations.

Common Clinical Scenarios

Patients may present with knee pain post-bypass surgery, requiring evaluation for potential surgical interventions such as arthroscopy or joint replacement.

Billing Considerations

Orthopedic assessments should document the severity of joint involvement and any mechanical instability.

Rheumatology

Documentation Requirements

Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of joint swelling and tenderness.

Common Clinical Scenarios

Patients may exhibit signs of inflammatory arthritis post-surgery, necessitating disease-modifying antirheumatic drugs (DMARDs) or corticosteroids.

Billing Considerations

Consideration of systemic involvement and monitoring for potential autoimmune conditions is crucial.

Physical Medicine

Documentation Requirements

Functional assessments should evaluate mobility, strength, and the need for assistive devices.

Common Clinical Scenarios

Rehabilitation may focus on restoring knee function through physical therapy and exercise programs.

Billing Considerations

Documentation should address mobility limitations and the impact on activities of daily living.

Coding Guidelines

Inclusion Criteria

Use M02.061 When
  • 10 coding guidelines require specificity in laterality (right knee) and the need for documentation of the surgical history related to intestinal bypass
  • Encounter type (initial, follow
  • up) must also be documented

Exclusion Criteria

Do NOT use M02.061 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 swelling management in patients with arthropathy.

Documentation Requirements

Document the joint involved, indication for the procedure, and any prior treatments.

Specialty Considerations

Orthopedic and rheumatologic considerations for joint injection.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has increased specificity in coding musculoskeletal conditions, allowing for better tracking of complications related to surgical procedures like intestinal bypass.

ICD-9 vs ICD-10

The transition to ICD-10 has increased specificity in coding musculoskeletal conditions, allowing for better tracking of complications related to surgical procedures like intestinal bypass.

Reimbursement & Billing Impact

The transition to ICD-10 has increased specificity in coding musculoskeletal conditions, allowing for better tracking of complications related to surgical procedures like intestinal bypass.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons Guidelines
  • •
    American College of Rheumatology Recommendations

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons Guidelines
  • •
    American College of Rheumatology Recommendations

Frequently Asked Questions

What are the common causes of arthropathy following intestinal bypass?

Common causes include nutritional deficiencies due to altered absorption, mechanical stress on the joints from weight changes, and pre-existing conditions exacerbated by surgery.