Postimmunization arthropathy, right knee
ICD-10 M02.261 is a billable code used to indicate a diagnosis of postimmunization arthropathy, right knee.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In the case of the right knee, this condition may manifest as swelling, stiffness, and pain localized to the knee joint, which is comprised of the femur, tibia, fibula, and patella, along with associated ligaments, tendons, and cartilage. The pathophysiology involves an immune-mediated response triggered by the vaccine, leading to synovitis and potential damage to the articular cartilage. Clinically, patients may present with limited range of motion, difficulty bearing weight, and tenderness upon palpation of the knee joint. The onset of symptoms typically occurs within days to weeks following vaccination, and while self-limiting in many cases, some patients may require further intervention such as physical therapy or corticosteroid injections to manage symptoms.
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 acute knee pain post-vaccination, requiring evaluation for potential joint effusion or ligamentous injury.
Orthopedic specialists should document the severity of joint involvement and any functional limitations impacting daily activities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms alongside localized knee pain, necessitating a broader evaluation for autoimmune conditions.
Consideration of systemic involvement and monitoring for potential progression to chronic arthropathy is essential.
Functional assessments should focus on mobility, pain levels, and rehabilitation needs, including any assistive devices used.
Patients may require physical therapy to restore function and alleviate pain, particularly if mobility is significantly affected.
Documentation should reflect the impact of joint pain on activities of daily living and the need for adaptive strategies.
Used for therapeutic injection of corticosteroids in the right knee to manage inflammation.
Document the indication for the procedure, the amount of fluid aspirated, and any medications injected.
Orthopedic and rheumatologic considerations for joint injections.
Documentation should include the date and type of vaccination, onset of symptoms, clinical examination findings, and any imaging or laboratory results that support the diagnosis.
