Arthropathy following intestinal bypass, right elbow
ICD-10 M02.021 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, right elbow.
Arthropathy following intestinal bypass surgery is a condition characterized by joint pain and dysfunction that arises as a complication of surgical procedures aimed at altering the gastrointestinal tract, such as gastric bypass. The right elbow, a hinge joint formed by the humerus, radius, and ulna, may exhibit symptoms including swelling, stiffness, and reduced range of motion. The pathophysiology often involves metabolic changes post-surgery, leading to altered calcium and vitamin D metabolism, which can contribute to joint degeneration. Clinically, patients may present with localized pain, tenderness, and functional limitations in activities requiring elbow flexion and extension. The condition may also be associated with systemic inflammatory responses, which can exacerbate joint symptoms.
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 elbow pain post-bypass surgery, requiring surgical intervention such as arthroscopy or joint injections.
Documentation must detail the severity of joint involvement and any associated conditions, such as tendonitis or bursitis.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit signs of inflammatory arthritis post-surgery, necessitating disease-modifying antirheumatic drugs (DMARDs) or biologics.
Consideration of systemic involvement and monitoring for potential complications related to joint inflammation.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid in rehabilitation.
Rehabilitation may focus on restoring range of motion and strength in the elbow post-surgery.
Documentation should address mobility limitations and the impact on daily activities.
Used for joint pain management in patients with arthropathy.
Document the joint involved, indication for the procedure, and any imaging studies performed.
Orthopedic considerations for joint injections and rheumatologic considerations for managing inflammatory conditions.
Common causes include metabolic changes due to nutrient deficiencies, particularly calcium and vitamin D, which can lead to joint degeneration and inflammation.
