Postimmunization arthropathy, ankle and foot
ICD-10 M02.27 is a billable code used to indicate a diagnosis of postimmunization arthropathy, ankle and foot.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. This condition can affect the ankle and foot joints, leading to symptoms such as swelling, stiffness, and pain. Anatomically, the ankle joint is a complex structure consisting of the tibia, fibula, and talus, while the foot comprises multiple bones including the metatarsals and phalanges. The pathophysiology involves an immune-mediated response triggered by the vaccine, which may lead to synovitis and subsequent arthralgia. Clinically, patients may present with localized pain, reduced range of motion, and tenderness upon palpation of the affected joints. Symptoms typically arise within days to weeks post-vaccination and may resolve spontaneously or require intervention.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to rule out other causes of joint pain and functional assessments to evaluate mobility.
Patients may present with acute ankle pain post-vaccination, requiring evaluation for possible surgical intervention if conservative management fails.
Joint-specific considerations include assessing for any structural damage or chronic changes resulting from the inflammatory response.
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 joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement is crucial, as postimmunization arthropathy may mimic other rheumatologic disorders.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs.
Rehabilitation may focus on restoring mobility and strength in the affected joints, particularly if there is significant functional impairment.
Mobility limitations may require the use of assistive devices, which should be documented for appropriate coding.
Used for follow-up visits to assess ongoing symptoms of postimmunization arthropathy.
Documentation should include history of present illness, review of systems, and physical examination findings.
Orthopedic and rheumatologic evaluations may require additional imaging or lab tests.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion in the affected joints, typically occurring within days to weeks after vaccination.
