Postimmunization arthropathy, unspecified site
ICD-10 M02.20 is a billable code used to indicate a diagnosis of postimmunization arthropathy, unspecified site.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. This condition is characterized by the development of arthritic symptoms, which may include swelling, stiffness, and pain in the joints. The pathophysiology is thought to involve an immune-mediated response triggered by the vaccine, leading to synovial inflammation and joint damage. Clinically, patients may present with symptoms similar to those of rheumatoid arthritis or other inflammatory arthropathies, but with a clear temporal relationship to vaccination. Commonly affected joints include the knees, wrists, and hands, although the condition can manifest in any joint. The anatomical considerations involve the synovial joints, where inflammation can lead to decreased range of motion and functional impairment. Treatment typically includes NSAIDs for pain relief and inflammation control, and in some cases, corticosteroids may be indicated for severe symptoms.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion.
Patients presenting with joint pain post-vaccination may require surgical evaluation if conservative management fails.
Joint-specific considerations include assessing for effusion, tenderness, and range of motion limitations.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms such as fatigue and malaise alongside joint symptoms.
Systemic involvement may necessitate a broader evaluation for autoimmune conditions.
Functional assessments should document mobility limitations and the need for assistive devices.
Rehabilitation scenarios may include physical therapy to restore joint function and mobility.
Assessment of the patient's ability to perform activities of daily living is crucial.
Used for follow-up visits to assess joint symptoms post-vaccination.
Documentation must include history, examination findings, and treatment plan.
Orthopedic and rheumatologic considerations for joint assessment.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, typically occurring within weeks of vaccination.
