Postimmunization arthropathy, wrist
ICD-10 M02.23 is a billable code used to indicate a diagnosis of postimmunization arthropathy, wrist.
Postimmunization arthropathy of the wrist is a condition characterized by joint pain and inflammation following vaccination. The wrist joint, comprised of the distal radius and ulna, carpal bones, and metacarpals, is susceptible to inflammatory responses due to immune system activation. This condition may present with symptoms such as swelling, stiffness, and pain, particularly during movement. The pathophysiology involves an autoimmune-like response triggered by the vaccine, leading to synovitis and potential joint damage. Clinically, patients may exhibit limited range of motion and functional impairment, impacting daily activities. Diagnosis is often supported by clinical examination, imaging studies, and exclusion of other causes of arthropathy.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion.
Patients presenting with wrist pain post-vaccination may require surgical intervention if there is significant joint damage or persistent symptoms.
Joint-specific considerations include assessing for any structural damage and documenting the severity of symptoms.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms indicative of an autoimmune response, necessitating a comprehensive evaluation.
Consideration of systemic involvement and monitoring for disease progression is crucial.
Functional assessments should document mobility limitations and rehabilitation needs, including range of motion and strength testing.
Rehabilitation scenarios may involve physical therapy to restore function and manage pain.
Documentation should address the need for assistive devices if mobility is significantly impaired.
Used for therapeutic intervention in cases of significant swelling or pain in the wrist.
Documentation must include indication for the procedure, joint involved, and any imaging performed.
Orthopedic and rheumatologic considerations for joint health and inflammation management.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joint, typically occurring within weeks of vaccination.
