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ICD-10 Guide
ICD-10 CodesM02.029

M02.029

Billable

Arthropathy following intestinal bypass, unspecified elbow

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 M02.029 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, unspecified elbow.

Key Diagnostic Point:

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 elbow joint, which is a hinge joint formed by the humerus, radius, and ulna, can be affected by this condition. Pathophysiologically, the arthropathy may result from altered nutrient absorption leading to deficiencies in vitamins and minerals essential for joint health, such as vitamin D and calcium. Clinically, patients may present with pain, swelling, and reduced range of motion in the elbow, impacting their ability to perform daily activities. The condition may also be associated with systemic inflammatory responses, which can exacerbate joint symptoms. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to assess joint function and rule out other underlying conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-surgical complications.
  • Involves knowledge of joint anatomy and function.
  • Differentiation from other arthropathies is necessary.
  • Documentation of surgical history is critical.

Audit Risk Factors

  • Inadequate documentation of surgical history.
  • Failure to link arthropathy to intestinal bypass.
  • Misclassification of joint involvement.
  • Lack of specificity in describing joint symptoms.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.

Common Clinical Scenarios

Patients may present with elbow pain post-bypass surgery, requiring evaluation for potential surgical intervention or conservative management.

Billing Considerations

Joint-specific considerations include assessing for joint effusion, instability, and the impact of any previous orthopedic surgeries.

Rheumatology

Documentation Requirements

Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.

Common Clinical Scenarios

Patients may exhibit signs of inflammatory arthritis post-surgery, necessitating a comprehensive evaluation of systemic involvement.

Billing Considerations

Consideration of comorbid autoimmune conditions that may influence joint health is essential.

Physical Medicine

Documentation Requirements

Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.

Common Clinical Scenarios

Rehabilitation scenarios may involve post-operative recovery or management of chronic pain related to arthropathy.

Billing Considerations

Focus on improving functional outcomes and quality of life through tailored rehabilitation programs.

Coding Guidelines

Inclusion Criteria

Use M02.029 When
  • Follow official coding guidelines that require specificity in laterality (if applicable), severity of symptoms, and the type of encounter (initial, follow
  • up, etc
  • Ensure that the surgical history is clearly documented to support the diagnosis

Exclusion Criteria

Do NOT use M02.029 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used for joint effusion management in patients with arthropathy.

Documentation Requirements

Document the joint involved, the procedure performed, and the indication for the procedure.

Specialty Considerations

Orthopedic considerations include assessing joint stability and the need for further intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of complications related to surgical procedures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of complications related to surgical procedures.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of complications related to surgical procedures.

Resources

Clinical References

  • •
    American Academy of Orthopaedic Surgeons Guidelines
  • •
    American College of Rheumatology Criteria

Coding & Billing References

  • •
    American Academy of Orthopaedic Surgeons Guidelines
  • •
    American College of Rheumatology Criteria

Frequently Asked Questions

What are the common causes of arthropathy following intestinal bypass?

Common causes include nutritional deficiencies, particularly in vitamins and minerals essential for joint health, and potential inflammatory responses due to altered gut microbiota.