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ICD-10 Guide
ICD-10 CodesM02.08

M02.08

Billable

Arthropathy following intestinal bypass, vertebrae

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

Code Description

ICD-10 M02.08 is a billable code used to indicate a diagnosis of arthropathy following intestinal bypass, vertebrae.

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 weight loss or treatment of intestinal disorders. The vertebrae, which form the spinal column, may be affected due to altered biomechanics and nutritional deficiencies post-surgery. Patients may experience joint inflammation, stiffness, and pain, particularly in the lower back and hips, which can limit mobility and daily activities. The pathophysiology often involves changes in calcium and vitamin D metabolism, leading to osteopenia or osteoporosis, which can exacerbate joint issues. Clinically, patients may present with reduced range of motion, tenderness in affected joints, and systemic symptoms such as fatigue or malaise. The anatomical considerations include the impact on the lumbar and sacral regions of the spine, which are crucial for weight-bearing and movement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-surgical complications
  • Involves multiple anatomical regions (vertebrae and joints)
  • Potential for overlapping diagnoses (e.g., osteoporosis)
  • Need for detailed documentation of joint involvement

Audit Risk Factors

  • Inadequate documentation of surgical history
  • Failure to specify joint involvement
  • Misclassification of arthropathy type
  • Lack of evidence for functional limitations

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 mobility and pain levels.

Common Clinical Scenarios

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

Billing Considerations

Documentation should detail specific joints affected, severity of symptoms, and any prior treatments or interventions.

Rheumatology

Documentation Requirements

Rheumatologic documentation must 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 rheumatologic evaluation for potential autoimmune conditions.

Billing Considerations

Consider systemic involvement and monitor for signs of progression or complications related to nutritional deficiencies.

Physical Medicine

Documentation Requirements

Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation needs.

Common Clinical Scenarios

Patients may require physical therapy for rehabilitation following joint pain or surgery, focusing on restoring function and mobility.

Billing Considerations

Assess for mobility limitations and the need for assistive devices to enhance patient independence.

Coding Guidelines

Inclusion Criteria

Use M02.08 When
  • Follow official coding guidelines for laterality (if applicable), severity of symptoms, and encounter type (initial vs
  • follow
  • Ensure accurate documentation of joint involvement and any related conditions

Exclusion Criteria

Do NOT use M02.08 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 pain management in patients with arthropathy.

Documentation Requirements

Document the joint involved, reason for the procedure, and any prior treatments.

Specialty Considerations

Orthopedic and rheumatologic considerations for joint injections.

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 like intestinal bypass.

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 like intestinal bypass.

Reimbursement & Billing Impact

reimbursement.

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 symptoms of arthropathy following intestinal bypass?

Common symptoms include joint pain, stiffness, reduced range of motion, and potential systemic symptoms like fatigue. These can significantly impact mobility and quality of life.