Postimmunization arthropathy, right hand
ICD-10 M02.241 is a billable code used to indicate a diagnosis of postimmunization arthropathy, right hand.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. This condition can manifest in the right hand, affecting the joints such as the metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints, and distal interphalangeal (DIP) joints. The pathophysiology involves an immune-mediated response where the body reacts to the vaccine components, leading to synovitis and joint discomfort. Clinically, patients may present with swelling, stiffness, and pain in the affected joints, particularly after vaccination. The anatomical considerations include the intricate structure of the hand, which comprises bones, ligaments, tendons, and synovial membranes that can all be involved in the inflammatory process. Movement limitations may include difficulty in gripping, pinching, and performing fine motor tasks, which can significantly impact daily activities.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion.
Patients may present with acute pain following vaccination, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for any structural damage or chronic changes due to repeated immunization.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients with a history of autoimmune disorders may experience exacerbation of symptoms post-vaccination.
Systemic involvement should be monitored, especially in patients with pre-existing rheumatologic conditions.
Functional assessments should evaluate the impact of arthropathy on daily activities and rehabilitation needs.
Patients may require physical therapy to regain strength and mobility in the affected hand.
Mobility limitations may necessitate the use of assistive devices for daily tasks.
Used for follow-up visits to assess postimmunization arthropathy.
Documentation must include history of present illness, review of systems, and physical examination findings.
Orthopedic and rheumatologic considerations for joint assessment.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion in the affected joints, particularly following vaccination.
