Postimmunization arthropathy, left wrist
ICD-10 M02.232 is a billable code used to indicate a diagnosis of postimmunization arthropathy, left wrist.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In the case of the left wrist, this condition may manifest as swelling, stiffness, and pain localized to the wrist joint, which comprises the distal radius and ulna, carpal bones, and the proximal ends of the metacarpals. The pathophysiology involves an immune-mediated response triggered by the vaccine, leading to synovitis and potential joint effusion. Clinically, patients may present with limited range of motion, tenderness upon palpation, and difficulty performing activities of daily living that require wrist mobility. The onset of symptoms typically occurs within days to weeks post-vaccination, and while self-limiting in many cases, some patients may require further evaluation and treatment to manage persistent symptoms.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity and any structural changes, as well as functional assessments to evaluate range of motion and strength.
Patients may present with acute wrist pain following vaccination, requiring evaluation for possible joint effusion or synovitis. Surgical intervention may be considered if conservative management fails.
Orthopedic specialists should document the severity of joint involvement and any functional limitations impacting the patient's daily activities.
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 symptoms consistent with inflammatory arthritis post-vaccination, necessitating a thorough evaluation to differentiate from primary rheumatologic disorders.
Consideration of systemic involvement and potential progression of symptoms is crucial in the rheumatologic assessment.
Functional assessments should be documented to evaluate the impact of wrist pain on mobility and daily activities, including any need for assistive devices.
Rehabilitation scenarios may involve physical therapy to restore function and alleviate pain, focusing on strengthening and range of motion exercises.
Documentation should address any mobility limitations and the patient's response to rehabilitation interventions.
Used for follow-up visits to assess ongoing symptoms and treatment response.
Documentation must include history, 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.
