Postimmunization arthropathy, multiple sites
ICD-10 M02.29 is a billable code used to indicate a diagnosis of postimmunization arthropathy, multiple sites.
Postimmunization arthropathy refers to joint pain and inflammation that occurs following vaccination, affecting multiple joints. The pathophysiology involves an immune-mediated response where the body reacts to the vaccine components, leading to synovitis and arthralgia. Clinically, patients may present with symptoms such as joint swelling, stiffness, and pain, typically within days to weeks after vaccination. Commonly affected joints include the knees, wrists, and hands, reflecting the systemic nature of the immune response. Anatomically, the synovial joints are involved, where the synovial membrane becomes inflamed, leading to increased synovial fluid production and joint effusion. This condition is often self-limiting but can significantly impact mobility and quality of life during its course.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate mobility limitations.
Patients may present with acute joint pain following vaccination, requiring evaluation for potential surgical intervention if conservative management fails.
Documentation should specify which joints are affected and the severity of symptoms to guide treatment decisions.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity to monitor the immune response.
Patients may exhibit systemic symptoms such as fatigue and fever alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement is crucial, as postimmunization arthropathy can mimic other rheumatologic disorders.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs for mobility restoration.
Patients may require physical therapy to regain strength and range of motion after experiencing joint pain.
Documentation should address any assistive devices used and the patient's progress in rehabilitation.
Used for follow-up visits to assess joint pain and treatment response.
Documentation must 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, and stiffness, typically affecting multiple joints such as the knees, wrists, and hands, occurring within days to weeks after vaccination.
