Other reactive arthropathies, wrist
ICD-10 M02.83 is a billable code used to indicate a diagnosis of other reactive arthropathies, wrist.
M02.83 refers to other reactive arthropathies affecting the wrist, which are inflammatory joint conditions that arise as a reaction to infections or other stimuli outside the joint itself. The wrist, anatomically composed of the distal radius and ulna, along with eight carpal bones, is a complex joint that allows for a wide range of motion. Reactive arthropathies can manifest as pain, swelling, and stiffness in the wrist, often following infections such as urethritis or gastrointestinal infections. Clinically, patients may present with limited range of motion, tenderness, and swelling around the wrist joint, which can significantly impact daily activities. The pathophysiology involves an immune-mediated response where the body’s immune system mistakenly attacks the joint tissues, leading to inflammation and joint damage. Early diagnosis and management are crucial to prevent chronic joint issues.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with wrist pain following a recent infection, requiring orthopedic evaluation for potential joint damage or surgical intervention.
Documenting the severity of joint involvement and any surgical considerations is crucial for accurate coding.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit symptoms of reactive arthritis following a gastrointestinal infection, necessitating a rheumatologic evaluation.
Consideration of systemic involvement and monitoring for disease progression is essential.
Functional assessments should detail the patient's mobility limitations and rehabilitation needs, including any assistive devices required.
Patients may require rehabilitation following acute inflammatory episodes to restore function and mobility.
Documenting specific mobility limitations and the impact on daily activities is important for coding.
Used for patients with significant joint effusion in the wrist due to reactive arthropathy.
Document the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint aspiration and injection.
Common causes include infections such as Chlamydia, gastrointestinal infections, and viral illnesses. These conditions trigger an immune response that leads to joint inflammation.
