Postimmunization arthropathy, hip
ICD-10 M02.25 is a billable code used to indicate a diagnosis of postimmunization arthropathy, hip.
Postimmunization arthropathy of the hip is a condition characterized by joint inflammation and pain following vaccination. The hip joint, a ball-and-socket joint formed by the femoral head and the acetabulum of the pelvis, is susceptible to inflammatory responses due to immune reactions triggered by vaccines. Clinically, patients may present with symptoms such as hip pain, stiffness, and reduced range of motion, typically occurring within days to weeks after immunization. The pathophysiology involves an autoimmune response where the immune system mistakenly attacks joint tissues, leading to synovitis and potential cartilage damage. Diagnosis is often supported by clinical evaluation, imaging studies, and exclusion of other causes of hip pain. Treatment may include anti-inflammatory medications, physical therapy, and in some cases, corticosteroid injections to manage inflammation and restore function.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute hip pain post-vaccination, requiring evaluation for potential surgical intervention if conservative measures fail.
Joint-specific considerations include assessing for any structural damage and the severity of inflammation.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may have underlying autoimmune conditions that complicate the postimmunization arthropathy.
Systemic involvement may need to be evaluated, especially in patients with a history of autoimmune disorders.
Functional assessments should document mobility limitations and rehabilitation needs, including any assistive devices required.
Patients may require physical therapy to regain strength and mobility after experiencing hip pain.
Focus on mobility limitations and the impact on daily activities is crucial for rehabilitation planning.
Used for aspiration of joint fluid in cases of suspected inflammatory arthritis.
Document the indication for the procedure and any findings from the aspiration.
Orthopedic considerations include assessing for joint effusion and potential infection.
Documentation should include the patient's vaccination history, onset of symptoms, clinical findings, and any imaging or laboratory results that support the diagnosis.
