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ICD-10 Guide
ICD-10 CodesM02.072

M02.072

Billable

Arthropathy following intestinal bypass, left ankle and foot

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

Code Description

ICD-10 M02.072 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, left ankle and foot.

Key Diagnostic Point:

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 left ankle and foot, leading to inflammation, pain, and limited mobility in these joints. Anatomically, the left ankle consists of the tibia, fibula, and talus, while the foot comprises multiple bones including the metatarsals and phalanges. The pathophysiology often involves metabolic changes post-surgery, such as alterations in nutrient absorption, which can lead to deficiencies in vitamins and minerals essential for joint health. Clinically, patients may present with swelling, tenderness, and decreased range of motion in the affected joints, impacting their ability to perform daily activities. The condition may also be associated with systemic inflammatory responses due to changes in gut microbiota and immune function following intestinal surgery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-surgical complications
  • Involves specific anatomical knowledge of the ankle and foot
  • Potential for multiple joint involvement
  • Need for accurate documentation of surgical history

Audit Risk Factors

  • Inadequate documentation of surgical history
  • Failure to specify laterality
  • Misclassification of arthropathy type
  • Lack of evidence for joint involvement

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate mobility and pain levels.

Common Clinical Scenarios

Patients may present with post-surgical joint pain requiring orthopedic intervention, such as joint injections or surgical repair.

Billing Considerations

Orthopedic assessments should document the severity of joint involvement and any surgical interventions performed.

Rheumatology

Documentation Requirements

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

Common Clinical Scenarios

Patients may exhibit signs of inflammatory arthritis post-surgery, necessitating rheumatologic evaluation and management.

Billing Considerations

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

Physical Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients may require rehabilitation services to restore function and mobility following joint pain and dysfunction.

Billing Considerations

Documentation should focus on the impact of joint issues on daily activities and the effectiveness of rehabilitation interventions.

Coding Guidelines

Inclusion Criteria

Use M02.072 When
  • Follow official coding guidelines that require specificity in laterality (left ankle and foot), severity of the condition, and the type of encounter (initial vs
  • follow
  • Ensure that the surgical history is clearly documented to support the diagnosis

Exclusion Criteria

Do NOT use M02.072 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 following intestinal bypass.

Documentation Requirements

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

Specialty Considerations

Orthopedic considerations for joint injections and rheumatologic assessments for inflammation.

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 metabolic changes due to nutrient malabsorption, inflammatory responses, and potential deficiencies in vitamins and minerals that are crucial for joint health.