Other reactive arthropathies, unspecified shoulder
ICD-10 M02.819 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified shoulder.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, without direct infection of the joint itself. The shoulder joint, a ball-and-socket joint formed by the humeral head and the glenoid cavity of the scapula, is susceptible to various forms of arthritis, including reactive arthropathies. Clinically, patients may present with pain, swelling, and limited range of motion in the shoulder, often following a preceding infection or inflammatory condition elsewhere in the body. The pathophysiology involves an immune-mediated response where antibodies or immune complexes target joint tissues, leading to synovial inflammation and joint effusion. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of shoulder pain. The condition can lead to significant functional impairment, affecting daily activities and quality of life.
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 shoulder pain following a recent infection, requiring surgical intervention if conservative management fails.
Documentation should detail joint-specific findings, including swelling, tenderness, and any mechanical instability.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients with a history of autoimmune diseases may develop reactive arthropathies, necessitating a comprehensive evaluation of systemic involvement.
Consideration of comorbid conditions and their impact on treatment and prognosis is crucial.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid rehabilitation.
Patients may require physical therapy to restore function and reduce pain following a reactive arthropathy episode.
Focus on mobility limitations and the impact on daily living activities is essential.
Used for diagnostic or therapeutic purposes in patients with joint effusion due to reactive arthropathy.
Documentation must include indication for the procedure, joint involved, and any findings from the aspiration.
Orthopedic and rheumatologic considerations for joint health and management.
Common causes include infections (e.g., gastrointestinal, genitourinary), autoimmune diseases, and post-viral syndromes. It is essential to document the patient's history of infections or systemic conditions that may trigger the arthropathy.
