Postimmunization arthropathy, unspecified hand
ICD-10 M02.249 is a billable code used to indicate a diagnosis of postimmunization arthropathy, unspecified 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 arthralgia. Clinically, patients may present with limited range of motion, tenderness upon palpation, and potential swelling. The condition is typically self-limiting, but it can cause significant discomfort and functional impairment during its course.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to rule out other conditions, as well as functional assessments to evaluate joint mobility.
Patients may present with acute onset of hand pain following vaccination, requiring assessment for potential surgical intervention if conservative measures fail.
Joint-specific considerations include documenting the severity of symptoms and any impact on daily activities.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms alongside localized joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement is crucial, as postimmunization arthropathy may mimic other rheumatologic disorders.
Functional assessments should be documented to evaluate the patient's ability to perform daily activities and any rehabilitation needs.
Patients may require physical therapy to regain strength and mobility in the hand following an episode of arthropathy.
Mobility limitations should be clearly documented, including any need for assistive devices.
Used for follow-up visits to assess ongoing symptoms and treatment efficacy.
Documentation should include history of present illness, review of systems, and physical examination findings.
Orthopedic and rheumatologic considerations for joint assessment.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joints, typically presenting within days to weeks following vaccination.
