Arthropathy following intestinal bypass, unspecified hip
ICD-10 M02.059 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, unspecified hip.
Arthropathy following intestinal bypass is a condition that arises due to alterations in nutrient absorption and metabolism after surgical procedures such as gastric bypass. This can lead to deficiencies in vitamins and minerals, particularly vitamin D and calcium, which are crucial for bone health. The hip joint, being a major weight-bearing joint, is particularly susceptible to degenerative changes and arthritic conditions due to altered biomechanics and nutritional deficiencies. Clinically, patients may present with hip pain, stiffness, and reduced range of motion, which can significantly impact mobility and quality of life. The pathophysiology involves inflammatory processes and potential osteopenia or osteoporosis, leading to joint degeneration. Anatomically, the hip joint comprises the acetabulum of the pelvis and the femoral head, surrounded by ligaments, cartilage, and synovial fluid, all of which can be affected by arthropathy.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, functional assessments to evaluate mobility, and detailed descriptions of the patient's range of motion.
Patients may present with hip pain post-bypass surgery, requiring evaluation for potential joint replacement or conservative management.
Joint-specific considerations include assessing for avascular necrosis or osteoarthritis, which may be exacerbated by nutritional deficiencies.
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 a comprehensive evaluation of systemic involvement.
Consideration of autoimmune conditions that may arise or worsen following intestinal bypass.
Functional assessments should detail the patient's ability to perform activities of daily living and any assistive devices used.
Rehabilitation scenarios may involve physical therapy to improve hip function and mobility post-surgery.
Mobility limitations should be documented, including any need for adaptive equipment.
Used for patients with joint effusion or inflammation related to arthropathy.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic considerations include the need for imaging to guide the procedure.
Common causes include nutritional deficiencies, particularly of vitamin D and calcium, leading to osteopenia or osteoporosis, as well as altered biomechanics due to weight loss and changes in activity levels.
