Postimmunization arthropathy, right wrist
ICD-10 M02.231 is a billable code used to indicate a diagnosis of postimmunization arthropathy, right wrist.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In this case, the right wrist is affected. The wrist is a complex joint composed of eight carpal bones, the radius, and the ulna, allowing for a wide range of motion. Postimmunization arthropathy can manifest as pain, swelling, and stiffness in the wrist, potentially impacting the surrounding tendons and ligaments. The pathophysiology may involve an autoimmune response triggered by the vaccine, leading to synovitis and joint effusion. Clinically, patients may present with limited range of motion, tenderness upon palpation, and signs of inflammation. Diagnosis typically involves a thorough history, physical examination, and possibly imaging studies to rule out other causes of wrist pain.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity and any structural changes. Functional assessments to evaluate range of motion and strength are also critical.
Patients may present with wrist pain post-vaccination, requiring evaluation for potential surgical interventions if conservative management fails.
Documentation should detail the severity of symptoms and any functional limitations experienced by the patient.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to rule out underlying autoimmune conditions.
Patients may exhibit systemic symptoms alongside localized wrist pain, necessitating a comprehensive evaluation for autoimmune disorders.
Consideration of systemic involvement and the potential for chronicity of symptoms is essential.
Functional assessments should focus on the patient's ability to perform daily activities and any rehabilitation needs, including physical therapy referrals.
Patients may require rehabilitation for mobility limitations following postimmunization arthropathy.
Documentation should address the need for assistive devices or modifications to daily activities.
Used for follow-up visits to assess treatment response for postimmunization arthropathy.
Documentation must include history of present illness, examination findings, and treatment plan.
Orthopedic and rheumatologic considerations for ongoing management.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joint, typically occurring within days to weeks after vaccination.
