Other reactive arthropathies, right hip
ICD-10 M02.851 is a billable code used to indicate a diagnosis of other reactive arthropathies, right hip.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases. The right hip joint, a ball-and-socket joint formed by the femur and the acetabulum of the pelvis, is susceptible to these conditions. Clinically, patients may present with pain, swelling, and reduced range of motion in the right hip. The pathophysiology often involves an immune response triggered by an infection elsewhere in the body, leading to synovial inflammation and joint damage. Patients may experience stiffness, particularly after periods of inactivity, and may have difficulty with weight-bearing activities. The hip joint's anatomical complexity, including surrounding muscles, ligaments, and tendons, contributes to the functional limitations observed in affected individuals. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of arthritis.
Orthopedic documentation should include imaging results (X-rays, MRIs) and functional assessments (range of motion, strength testing).
Patients may present with acute hip pain following a recent infection or systemic illness, requiring surgical intervention if conservative management fails.
Documenting the severity of joint involvement and any associated soft tissue injuries is crucial for treatment planning.
Rheumatologic documentation must include inflammation markers (ESR, CRP) and assessments of disease activity (e.g., DAS28).
Patients may have a history of autoimmune diseases that predispose them to reactive arthropathies, necessitating a comprehensive evaluation.
Consideration of systemic involvement and potential for chronicity is essential in managing these patients.
Functional assessments should evaluate mobility, pain levels, and rehabilitation needs, including assistive devices.
Patients may require rehabilitation post-infection or after joint injections to restore function.
Focus on mobility limitations and the impact on daily activities is critical for effective treatment planning.
Used for joint effusion management in reactive arthropathies.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint injections.
Common causes include infections (e.g., gastrointestinal, genitourinary), autoimmune diseases, and post-infectious inflammatory responses. Understanding the underlying cause is crucial for effective management.
