Other reactive arthropathies, left shoulder
ICD-10 M02.812 is a billable code used to indicate a diagnosis of other reactive arthropathies, left shoulder.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, often presenting with joint pain, swelling, and stiffness. The left shoulder, comprising the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, can be affected by these arthropathies. Clinically, patients may exhibit limited range of motion, tenderness, and signs of inflammation. Pathophysiologically, these conditions may involve immune-mediated responses triggered by infections elsewhere in the body, leading to synovial inflammation and joint damage. Common presentations include pain exacerbated by movement, particularly overhead activities, and may be associated with systemic symptoms such as fever or malaise. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of shoulder pain.
Orthopedic documentation should include imaging results (e.g., X-rays, MRI) and functional assessments of the shoulder's range of motion.
Patients may present with acute shoulder pain following a recent infection or systemic illness, requiring surgical intervention if conservative management fails.
Documenting the severity of joint involvement and any associated rotator cuff pathology is crucial for accurate coding.
Rheumatologic documentation should include inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may have a history of autoimmune conditions that predispose them to reactive arthropathies, necessitating a comprehensive evaluation.
Systemic involvement, such as skin or mucosal lesions, should be documented to support the diagnosis.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs.
Patients may require physical therapy to restore shoulder function and mobility following an episode of reactive arthritis.
Documenting mobility limitations and the need for assistive devices is essential for comprehensive care.
Used for joint effusion management in reactive arthropathy cases.
Document the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic considerations include the need for imaging guidance in some cases.
Reactive arthropathies can be triggered by infections, such as gastrointestinal or genitourinary infections, and may also be associated with autoimmune conditions. The immune response to these infections can lead to joint inflammation and pain.
