Postimmunization arthropathy, right ankle and foot
ICD-10 M02.271 is a billable code used to indicate a diagnosis of postimmunization arthropathy, right ankle and foot.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In this case, it specifically affects the right ankle and foot. The pathophysiology may involve an autoimmune response triggered by the vaccine, leading to synovitis and joint effusion. Clinically, patients may present with localized pain, swelling, and stiffness in the right ankle and foot, which can limit mobility and function. Anatomically, the right ankle consists of the tibia, fibula, and talus, while the foot includes multiple bones such as the metatarsals and phalanges. The condition may mimic other forms of arthritis, necessitating careful differential diagnosis to rule out other causes of joint pain.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate mobility.
Patients may present with acute pain following vaccination, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for effusion, range of motion limitations, and the impact on weight-bearing activities.
Rheumatologic documentation should include laboratory tests for inflammation 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 may be present, necessitating a broader evaluation of joint and systemic symptoms.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs.
Rehabilitation may focus on restoring range of motion and strength in the affected ankle and foot.
Mobility limitations may require the use of assistive devices, which should be documented for coding purposes.
Used for follow-up visits to assess joint pain and function post-vaccination.
Document history of present illness, review of systems, and physical examination findings.
Orthopedic and rheumatologic evaluations may require additional documentation of joint assessments.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joint, typically occurring within weeks of vaccination.
