Postimmunization arthropathy, left ankle and foot
ICD-10 M02.272 is a billable code used to indicate a diagnosis of postimmunization arthropathy, left ankle and foot.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination. In the case of the left ankle and foot, this condition may manifest as swelling, stiffness, and pain in the joints of the ankle and foot, potentially affecting the subtalar joint, talocrural joint, and various metatarsophalangeal joints. The pathophysiology involves an immune-mediated response triggered by the vaccine, leading to synovitis and joint effusion. Clinically, patients may present with limited range of motion, tenderness upon palpation, and difficulty bearing weight on the affected limb. The anatomical structures involved include ligaments, tendons, and the synovial membrane, which may become inflamed due to the post-vaccination immune response. Diagnosis is often supported by clinical examination and imaging studies, such as X-rays or MRI, to rule out other causes of joint pain.
Orthopedic documentation should include imaging results, range of motion assessments, and functional impact on daily activities.
Patients may require surgical intervention if conservative management fails, particularly if there is significant joint damage.
Orthopedic assessments should focus on joint stability and the presence of any structural abnormalities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms, necessitating a broader evaluation for autoimmune conditions.
Consideration of comorbid autoimmune disorders that may complicate the clinical picture.
Functional assessments should document mobility limitations, pain levels, and rehabilitation goals.
Patients may require physical therapy to regain strength and mobility post-arthropathy.
Assessment of assistive devices may be necessary for patients with significant mobility impairments.
Used for follow-up visits to assess joint pain and function post-vaccination.
Documentation should include history of vaccination, current symptoms, and functional assessments.
Orthopedic and rheumatologic evaluations may require additional imaging or lab tests.
Common symptoms include joint pain, swelling, stiffness, and limited range of motion in the affected joints, typically occurring within weeks of vaccination.
