Postimmunization arthropathy, hand
ICD-10 M02.24 is a billable code used to indicate a diagnosis of postimmunization arthropathy, hand.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. This condition can affect the hand, leading to symptoms such as swelling, stiffness, and pain in the joints of the fingers and wrist. Anatomically, the hand consists of multiple joints, including the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, all of which can be involved. The pathophysiology may involve an autoimmune response triggered by the vaccine, leading to synovitis and subsequent arthritic symptoms. Clinically, patients may present with limited range of motion, tenderness upon palpation, and potential swelling in the affected joints. The condition is typically self-limiting but can require symptomatic treatment such as NSAIDs or corticosteroids to manage inflammation and pain.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion.
Patients may present with acute onset of hand pain following vaccination, requiring evaluation for potential surgical intervention if conservative measures fail.
Joint-specific considerations include assessing for any structural damage or chronic changes due to prolonged inflammation.
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, complicating the clinical picture and requiring careful monitoring.
Systemic involvement should be assessed, particularly in patients with a history of autoimmune diseases.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for rehabilitation services.
Patients may require physical therapy to regain strength and mobility in the hand post-arthropathy.
Mobility limitations may necessitate the use of assistive devices or modifications in daily activities.
Used for follow-up visits to assess ongoing symptoms and treatment response.
Documentation must include history, examination findings, and treatment plan.
Orthopedic and rheumatologic considerations for ongoing management.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joints, particularly in the hands.
