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v1.0.0
ICD-10 Guide
ICD-10 CodesM02.152

M02.152

Billable

Postdysenteric arthropathy, left hip

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

Code Description

ICD-10 M02.152 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left hip.

Key Diagnostic Point:

Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Campylobacter. This condition primarily affects the joints, with the left hip being a common site of involvement. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. Pathophysiologically, postdysenteric arthropathy is characterized by inflammation of the synovial membrane, leading to pain, swelling, and stiffness in the affected joint. Clinically, patients may present with unilateral hip pain, reduced range of motion, and possible systemic symptoms such as fever or malaise. The condition can lead to chronic joint damage if not properly managed, necessitating a comprehensive approach to treatment and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-infectious arthropathies
  • Involves specific anatomical knowledge of the hip joint
  • Differentiation from other types of arthritis
  • Potential for chronicity and complications

Audit Risk Factors

  • Inadequate documentation of the dysentery episode
  • Failure to specify laterality
  • Misclassification of the type of arthritis
  • Lack of supporting evidence for chronicity

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Common scenarios include patients presenting with acute hip pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative measures fail.

Billing Considerations

Joint-specific considerations include assessing for joint effusion, synovitis, and potential structural damage to the hip joint.

Rheumatology

Documentation Requirements

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

Common Clinical Scenarios

Patients may present with systemic symptoms of arthritis following a dysentery episode, necessitating a comprehensive evaluation for autoimmune conditions.

Billing Considerations

Consideration of systemic involvement and the potential for progression to chronic arthritis is crucial in management.

Physical Medicine

Documentation Requirements

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

Common Clinical Scenarios

Rehabilitation scenarios may involve patients recovering from acute arthritic episodes, focusing on restoring function and mobility.

Billing Considerations

Attention to mobility limitations and the need for tailored rehabilitation programs is essential for optimal recovery.

Coding Guidelines

Inclusion Criteria

Use M02.152 When
  • Official coding guidelines require documentation of laterality (left hip), severity of the condition, and the type of encounter (initial, follow
  • up, or chronic management)
  • Accurate coding also necessitates a clear link between the dysentery episode and the onset of arthropathy

Exclusion Criteria

Do NOT use M02.152 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 postdysenteric arthropathy.

Documentation Requirements

Document the joint involved, indication for the procedure, and any findings during the aspiration.

Specialty Considerations

Orthopedic considerations include assessing joint stability and potential 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 postdysenteric arthropathy and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding musculoskeletal conditions, enabling better tracking of postdysenteric arthropathy and its management.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American College of Rheumatology Guidelines

Coding & Billing References

  • •
    American College of Rheumatology Guidelines

Frequently Asked Questions

What is postdysenteric arthropathy?

Postdysenteric arthropathy is a type of reactive arthritis that occurs after a dysentery infection, leading to joint inflammation, particularly in the hip, characterized by pain and limited mobility.