Postimmunization arthropathy, left shoulder
ICD-10 M02.212 is a billable code used to indicate a diagnosis of postimmunization arthropathy, left shoulder.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination, specifically affecting the left shoulder in this case. The shoulder joint, a ball-and-socket joint, comprises the humerus, scapula, and clavicle, allowing for a wide range of motion. Postimmunization arthropathy is thought to be an immune-mediated response, where the body reacts to the vaccine components, leading to synovitis and joint pain. Clinically, patients may present with localized pain, swelling, and reduced range of motion in the left shoulder, often accompanied by systemic symptoms such as fever or malaise. The condition is typically self-limiting, but in some cases, it may require intervention to manage pain and inflammation.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute shoulder pain following vaccination, requiring evaluation for rotator cuff injuries or adhesive capsulitis.
Orthopedic specialists should document the severity of joint involvement and any functional limitations experienced by the patient.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may have a history of autoimmune disorders that complicate the clinical picture, necessitating careful monitoring of joint symptoms.
Rheumatologists should consider systemic involvement and the potential for chronicity in postimmunization arthropathy.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs.
Patients may require physical therapy to restore range of motion and strength following the acute phase of arthropathy.
Physical medicine specialists should document mobility limitations and any need for assistive devices.
Used for follow-up visits to assess postimmunization arthropathy symptoms and treatment efficacy.
Documentation should include a review of systems, physical examination findings, and treatment plan.
Orthopedic and rheumatologic specialists should ensure comprehensive documentation of joint function and pain levels.
Common symptoms include localized pain, swelling, and reduced range of motion in the affected joint, often accompanied by systemic symptoms such as fever or malaise. Patients may also report difficulty with overhead activities.
