Other reactive arthropathies, unspecified wrist
ICD-10 M02.839 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified wrist.
Reactive arthropathies are a group of inflammatory joint conditions that arise secondary to infections or other inflammatory processes elsewhere in the body. The wrist, comprising the carpal bones, distal radius, and ulna, is a complex joint that allows for a wide range of motion. In cases of reactive arthropathy, patients may present with joint pain, swelling, and stiffness, often following a systemic infection or inflammatory trigger. The pathophysiology involves an immune-mediated response where the body reacts to an antigen, leading to synovial inflammation and joint effusion. Clinically, patients may experience limited range of motion, tenderness upon palpation, and signs of inflammation such as warmth and redness. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. Treatment may include non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and physical therapy to restore function and alleviate symptoms.
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 wrist pain following a recent infection or injury, requiring surgical intervention if conservative management fails.
Documentation should reflect joint-specific considerations, including the severity of inflammation and any structural damage observed on imaging.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may have a history of autoimmune conditions that exacerbate joint inflammation, requiring a multidisciplinary approach.
Consideration of systemic involvement and monitoring for potential progression to chronic arthritis is essential.
Functional assessments should document the patient's ability to perform daily activities and any assistive devices used.
Rehabilitation scenarios may involve post-infection recovery where patients need therapy to regain full wrist function.
Focus on mobility limitations and the need for tailored rehabilitation programs to address specific deficits.
Used when joint effusion is present and requires drainage or injection for treatment.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint management.
Common causes include infections (bacterial, viral), autoimmune diseases, and post-infectious inflammatory responses. Identifying the underlying cause is crucial for effective treatment.
