Arthropathy following intestinal bypass, right ankle and foot
ICD-10 M02.071 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, right ankle and foot.
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 right ankle and foot, leading to inflammation and degeneration of the joints in this region. Anatomically, the right ankle consists of the tibia, fibula, and talus, which form the ankle joint, while the foot comprises multiple bones including the tarsals, metatarsals, and phalanges. The pathophysiology often involves metabolic changes due to altered nutrient absorption post-surgery, leading to deficiencies in essential vitamins and minerals that are crucial for joint health. Clinically, patients may present with swelling, stiffness, and pain in the right ankle and foot, which can significantly impair mobility and quality of life. The condition may also be associated with systemic symptoms such as fatigue and malaise, complicating the clinical picture.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, functional assessments to evaluate mobility, and detailed notes on the severity of symptoms.
Patients may present with acute exacerbations of pain following increased activity or after a fall, necessitating surgical intervention such as arthroscopy or joint fusion.
Documentation should specify the degree of joint involvement, any deformities, and the impact on the patient's ability to perform daily activities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using standardized scales.
Patients may exhibit signs of systemic involvement, such as fatigue or skin rashes, indicating a possible autoimmune component.
Consideration of comorbid conditions such as osteoporosis or other inflammatory arthritides that may complicate treatment.
Functional assessments should evaluate the patient's range of motion, strength, and ability to perform activities of daily living, along with rehabilitation goals.
Patients may require physical therapy to improve mobility and strength post-surgery, focusing on joint stabilization and pain management.
Documentation should address the need for assistive devices (e.g., braces, orthotics) to support joint function.
Used for joint pain management in patients with arthropathy.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic considerations for joint evaluation and rheumatologic considerations for inflammatory assessment.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joints, particularly in the right ankle and foot. Patients may also experience systemic symptoms such as fatigue.
