Postimmunization arthropathy, unspecified wrist
ICD-10 M02.239 is a billable code used to indicate a diagnosis of postimmunization arthropathy, unspecified wrist.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In the case of the wrist, this condition may manifest as pain, swelling, and limited range of motion due to inflammatory responses triggered by the immune system's reaction to the vaccine. The wrist is a complex joint composed of multiple bones, including the radius, ulna, and carpal bones, which articulate to allow for a wide range of movements. The synovial membrane lining the joint can become inflamed, leading to symptoms such as stiffness and discomfort during activities that require wrist motion. Clinically, patients may present with localized tenderness, swelling, and decreased grip strength, which can significantly impact daily activities and functional capabilities. Diagnosis is often made through clinical evaluation, and imaging studies may be utilized to rule out other causes of wrist pain.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with wrist pain post-vaccination, requiring orthopedic evaluation for potential joint damage or secondary conditions.
Joint-specific considerations include the assessment of ligament stability and potential for chronic pain development.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients with autoimmune backgrounds may experience exacerbated symptoms post-vaccination, necessitating a thorough rheumatologic evaluation.
Systemic involvement should be monitored, particularly in patients with pre-existing rheumatologic conditions.
Functional assessments should document mobility limitations and rehabilitation needs, including range of motion and strength testing.
Rehabilitation scenarios may involve patients requiring therapy to regain wrist function after postimmunization arthropathy.
Assistive device needs should be evaluated to support functional recovery.
Used for follow-up visits to assess postimmunization arthropathy symptoms.
Documentation should include history of present illness, physical examination findings, and treatment plan.
Orthopedic and rheumatologic considerations for ongoing management.
Common symptoms include joint pain, swelling, stiffness, and decreased range of motion in the affected joint, typically occurring within days to weeks following vaccination.
