Other reactive arthropathies, right shoulder
ICD-10 M02.811 is a billable code used to indicate a diagnosis of other reactive arthropathies, right shoulder.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, without direct involvement of the joint itself. In the case of M02.811, the right shoulder is specifically affected. The shoulder joint, comprising the humerus, scapula, and clavicle, is a complex structure allowing for a wide range of motion. Reactive arthropathies can present with symptoms such as joint pain, swelling, and stiffness, often following an infection elsewhere in the body. Clinically, patients may exhibit limited range of motion due to pain and inflammation, impacting daily activities. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. Treatment may include anti-inflammatory medications, physical therapy, and in some cases, corticosteroid injections to manage symptoms 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.
Common scenarios include post-infectious arthritis following a respiratory or gastrointestinal infection, where the patient presents with shoulder pain and limited mobility.
Joint-specific considerations include assessing for rotator cuff involvement and the severity of inflammation, which can impact treatment decisions.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to monitor progression.
Autoimmune conditions such as reactive arthritis following a genitourinary infection, where systemic symptoms may also be present.
Consideration of systemic involvement is crucial, as reactive arthropathies can be associated with other systemic diseases.
Functional assessments should document the patient's ability to perform activities of daily living and any assistive devices used.
Rehabilitation scenarios may include post-therapy evaluations to assess recovery of shoulder function after treatment for reactive arthritis.
Mobility limitations should be documented thoroughly, including any need for physical therapy interventions.
Used for joint aspiration or corticosteroid injection in the management of reactive arthropathies.
Documentation must include indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations include the need for imaging to guide the procedure and assess joint status.
Reactive arthropathies can be triggered by infections, particularly those affecting the genitourinary or gastrointestinal systems, as well as by certain autoimmune conditions. The inflammatory response can lead to joint pain and swelling, particularly in the absence of direct joint injury.
