Postimmunization arthropathy, left hand
ICD-10 M02.242 is a billable code used to indicate a diagnosis of postimmunization arthropathy, left hand.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. This condition can affect the left hand, leading to symptoms such as swelling, stiffness, and reduced range of motion in the joints of the hand, including the metacarpophalangeal and interphalangeal joints. The pathophysiology involves an immune-mediated response triggered by the vaccine, which may lead to synovitis and subsequent arthritic symptoms. Clinically, patients may present with localized pain, tenderness, and functional limitations in hand movements, impacting daily activities. The anatomical considerations include the intricate structure of the hand, which consists of bones, ligaments, tendons, and muscles that work together to facilitate fine motor skills. Understanding the specific joints involved is crucial for accurate diagnosis and treatment planning.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion.
Patients may present with acute onset of pain in the left hand following vaccination, requiring evaluation for potential surgical intervention if conservative measures fail.
Documentation should detail specific joints affected and any functional limitations observed during the examination.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms alongside localized hand pain, necessitating a comprehensive evaluation for autoimmune disorders.
Consideration of any underlying rheumatologic conditions that may exacerbate postimmunization symptoms is essential.
Functional assessments should evaluate the patient's ability to perform activities of daily living and any rehabilitation needs.
Patients may require physical therapy to regain strength and mobility in the left hand post-vaccination.
Documentation should address any assistive devices needed to aid in mobility and function.
Used for follow-up visits to assess postimmunization arthropathy.
Documentation must include history, examination findings, and treatment plan.
Orthopedic or rheumatologic evaluations may require additional documentation of joint assessments.
Documentation should include the patient's vaccination history, onset of symptoms, clinical findings, and any imaging or laboratory results that support the diagnosis.
