Other reactive arthropathies, unspecified hand
ICD-10 M02.849 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified hand.
Reactive arthropathies are inflammatory joint conditions that arise as a response to an infection or other stimuli, often affecting the hands. The hand consists of multiple joints, including the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, which can be involved in reactive arthropathies. Clinically, patients may present with joint pain, swelling, and stiffness, particularly after a preceding infection. The pathophysiology involves an immune-mediated response where the body mistakenly attacks its own joint tissues following an infection, leading to inflammation. Symptoms can vary in intensity and may include limited range of motion and functional impairment, particularly in daily activities requiring fine motor skills. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other conditions.
Orthopedic documentation should include imaging results (X-rays, MRIs) and functional assessments to evaluate joint mobility and stability.
Patients may present with acute onset of joint pain following a recent infection, requiring surgical intervention if joint damage is severe.
Documentation should specify which joints are affected and the severity of involvement to guide treatment options.
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 complicate the reactive arthropathy diagnosis.
Consideration of systemic involvement and monitoring for potential progression to chronic arthritis.
Functional assessments should detail the patient's mobility limitations and rehabilitation needs, including any assistive devices required.
Patients may require physical therapy to regain strength and range of motion post-inflammation.
Focus on the impact of joint involvement on daily activities and quality of life.
Used when joint effusion is present and requires drainage or injection.
Document the joint involved, the amount of fluid removed, and any medications injected.
Orthopedic and rheumatologic considerations for joint management.
Common causes include infections such as gastrointestinal or genitourinary infections, as well as viral illnesses. The immune response to these infections can trigger inflammation in the joints, particularly in the hands.
