Postimmunization arthropathy, vertebrae
ICD-10 M02.28 is a billable code used to indicate a diagnosis of postimmunization arthropathy, vertebrae.
Postimmunization arthropathy affecting the vertebrae is a rare condition that may arise following vaccination, characterized by inflammation of the joints in the spine. The vertebrae consist of 33 individual bones that form the spinal column, providing structural support and protecting the spinal cord. In postimmunization arthropathy, the immune response triggered by vaccination can lead to inflammatory processes affecting the facet joints and intervertebral discs, resulting in pain, stiffness, and limited mobility. Clinically, patients may present with localized back pain, tenderness over the affected vertebrae, and possible neurological symptoms if nerve roots are involved. The condition may mimic other inflammatory arthropathies, necessitating careful differential diagnosis and management.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint involvement and functional assessments to evaluate mobility limitations.
Patients may present with acute back pain following vaccination, requiring orthopedic evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing the severity of vertebral involvement and documenting any neurological deficits.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms such as fatigue and malaise, necessitating a comprehensive rheumatologic evaluation.
Systemic involvement may require monitoring for potential progression to chronic inflammatory conditions.
Functional assessments should document the extent of mobility limitations and rehabilitation needs, including physical therapy evaluations.
Patients may require rehabilitation for pain management and restoration of function following acute episodes.
Mobility limitations may necessitate the use of assistive devices, which should be documented.
Used for follow-up visits to assess ongoing symptoms and treatment efficacy.
Documentation should include a review of systems, physical exam findings, and treatment plan.
Orthopedic and rheumatologic considerations for ongoing management.
Common symptoms include localized pain in the affected vertebrae, stiffness, and potential neurological symptoms if nerve roots are involved. Symptoms typically arise within weeks of vaccination.
