Other reactive arthropathies, left wrist
ICD-10 M02.832 is a billable code used to indicate a diagnosis of other reactive arthropathies, left wrist.
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 wrist, comprising the distal radius, ulna, and carpal bones, is a complex structure that allows for a wide range of motion. In cases of reactive arthropathy, the inflammation can lead to synovitis, affecting the wrist's mobility and function. Clinically, patients may present with pain exacerbated by movement, tenderness upon palpation, and potential swelling around the wrist joint. The pathophysiology often involves an immune response triggered by an infection elsewhere in the body, leading to joint inflammation. Diagnosis typically requires a thorough clinical evaluation, including history, physical examination, and possibly imaging studies to assess joint integrity and rule out other conditions.
Orthopedic documentation should include imaging results (X-rays, MRIs) and functional assessments to evaluate joint stability and range of motion.
Patients may present with wrist pain following a recent infection or systemic illness, requiring surgical intervention if conservative management fails.
Documenting the severity of joint involvement and any surgical interventions is crucial for accurate coding.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit symptoms of reactive arthritis following a genitourinary or gastrointestinal infection.
Consideration of systemic involvement and potential progression to chronic arthritis is essential.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation may focus on restoring wrist function post-inflammation.
Documenting mobility limitations and the impact on quality of life is important.
Used for therapeutic aspiration of the left wrist joint to relieve swelling.
Document the indication for the procedure, including joint involvement and any prior treatments.
Orthopedic and rheumatologic considerations for joint health and inflammation management.
Common causes include infections such as chlamydia, gastrointestinal infections, and viral illnesses. The immune response to these infections can trigger inflammation in the joints, particularly in predisposed individuals.
