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ICD-10 Guide
ICD-10 CodesM02.062

M02.062

Billable

Arthropathy following intestinal bypass, left knee

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

Code Description

ICD-10 M02.062 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, left knee.

Key Diagnostic Point:

Arthropathy following intestinal bypass refers to joint disorders that develop as a complication of surgical procedures involving intestinal bypass, particularly affecting the left knee. This condition is often characterized by inflammation, pain, and limited mobility in the knee joint. Anatomically, the left knee consists of the femur, tibia, fibula, patella, and surrounding ligaments and cartilage. The pathophysiology may involve metabolic changes due to altered nutrient absorption post-surgery, leading to deficiencies in vitamins and minerals essential for joint health. Clinically, patients may present with swelling, stiffness, and decreased range of motion in the left knee, impacting their ability to perform daily activities. The condition may also be associated with systemic inflammatory responses, complicating the clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-surgical complications
  • Involves specific anatomical knowledge of the knee joint
  • May require correlation with nutritional deficiencies
  • Documentation of laterality is essential

Audit Risk Factors

  • Inadequate documentation of surgical history
  • Failure to specify laterality
  • Lack of evidence for joint involvement
  • Misclassification with other arthropathies

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, as well as functional assessments to evaluate range of motion and strength.

Common Clinical Scenarios

Common scenarios include post-operative evaluations for knee pain, joint injections, or surgical interventions such as arthroscopy.

Billing Considerations

Joint-specific considerations include assessing for osteoarthritis or post-traumatic changes that may complicate the arthropathy.

Rheumatology

Documentation Requirements

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

Common Clinical Scenarios

Scenarios may involve evaluating for autoimmune conditions that could exacerbate joint symptoms post-surgery.

Billing Considerations

Consideration of systemic involvement is crucial, as patients may have concurrent rheumatologic disorders.

Physical Medicine

Documentation Requirements

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

Common Clinical Scenarios

Rehabilitation scenarios may include physical therapy for strength and mobility restoration following knee arthropathy.

Billing Considerations

Focus on the patient's ability to perform activities of daily living and the impact of joint pain on overall function.

Coding Guidelines

Inclusion Criteria

Use M02.062 When
  • Follow official coding guidelines that require documentation of laterality (left knee), severity of the condition, and the type of encounter (initial, follow
  • up, etc
  • Ensure that the surgical history is clearly documented to support the diagnosis

Exclusion Criteria

Do NOT use M02.062 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 managing joint effusion in the left knee due to arthropathy.

Documentation Requirements

Document the indication for the procedure, including joint involvement and any imaging studies performed.

Specialty Considerations

Orthopedic considerations include the need for imaging to guide the procedure, while rheumatologic considerations may involve assessing 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, including the ability to document laterality and the relationship to surgical history, which enhances the accuracy of claims and improves patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, including the ability to document laterality and the relationship to surgical history, which enhances the accuracy of claims and improves patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, including the ability to document laterality and the relationship to surgical history, which enhances the accuracy of claims and improves patient care.

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 metabolic changes due to altered nutrient absorption, leading to deficiencies in vitamins and minerals essential for joint health, as well as potential inflammatory responses related to the surgical procedure.