Postimmunization arthropathy, right hip
ICD-10 M02.251 is a billable code used to indicate a diagnosis of postimmunization arthropathy, right hip.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In this case, the right hip is specifically affected. The hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur. It is surrounded by a joint capsule and supported by ligaments and muscles that facilitate movement and stability. The pathophysiology of postimmunization arthropathy may involve an autoimmune response triggered by the vaccine, leading to synovitis and joint inflammation. Clinically, patients may present with pain, swelling, and limited range of motion in the right hip, which can affect activities of daily living. Symptoms may arise days to weeks after vaccination and can vary in severity. Diagnosis is typically made through clinical evaluation, imaging studies, and exclusion of other causes of hip pain.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and pain levels.
Common scenarios include patients presenting with hip pain after receiving a vaccine, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for any structural damage or chronic changes in the hip joint due to inflammation.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity to rule out other inflammatory conditions.
Patients may present with systemic symptoms alongside localized hip pain, necessitating a comprehensive evaluation for autoimmune disorders.
Consideration of systemic involvement is crucial, as postimmunization arthropathy may mimic other rheumatologic conditions.
Functional assessments should document the patient's mobility limitations, pain levels, and rehabilitation needs to guide treatment planning.
Rehabilitation scenarios may involve physical therapy to restore hip function and mobility following postimmunization arthropathy.
Assessment of assistive device needs may be necessary for patients with significant mobility limitations.
Used when a patient with postimmunization arthropathy requires joint aspiration for diagnostic or therapeutic purposes.
Documentation must include the reason for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations include assessing the need for joint injections to manage inflammation.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion, typically occurring within days to weeks after vaccination.
