Other reactive arthropathies, unspecified elbow
ICD-10 M02.829 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified elbow.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, often presenting with joint pain and swelling. The elbow joint, a hinge joint formed by the humerus, radius, and ulna, allows for flexion and extension, as well as limited rotation. In cases of reactive arthropathy, the inflammation can lead to synovitis, joint effusion, and pain, which may restrict movement and function. Clinically, patients may present with acute onset of elbow pain, tenderness, and swelling, often following a preceding infection or inflammatory condition. The pathophysiology involves immune-mediated responses that target joint tissues, leading to inflammation and potential joint damage if untreated. Diagnosis typically requires a thorough clinical evaluation, imaging studies, and laboratory tests to rule out other causes of elbow pain.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, as well as functional assessments to evaluate range of motion and strength.
Common scenarios include post-infectious arthritis following a respiratory or gastrointestinal infection, requiring surgical intervention for joint debridement in severe cases.
Joint-specific considerations include documenting the extent of joint effusion and any associated ligamentous injuries.
Rheumatologic documentation should include inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to monitor progression.
Scenarios may involve patients with a history of autoimmune diseases presenting with acute elbow pain, necessitating a comprehensive evaluation.
Systemic involvement should be documented, especially if there are signs of polyarthritis or extra-articular manifestations.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may include post-therapy evaluations for range of motion and strength following treatment for reactive arthropathy.
Mobility limitations should be documented, particularly if the patient requires modifications in their rehabilitation program.
Used for joint effusion management in reactive arthropathy.
Document the joint involved, amount of fluid aspirated, and any therapeutic agents injected.
Orthopedic and rheumatologic considerations for joint health and inflammation management.
Common causes include infections (e.g., viral, bacterial), autoimmune diseases, and post-infectious inflammatory responses. It is essential to document any recent infections or systemic conditions that may contribute to the development of reactive arthropathy.
