Other reactive arthropathies, shoulder
ICD-10 M02.81 is a billable code used to indicate a diagnosis of other reactive arthropathies, shoulder.
M02.81 refers to other reactive arthropathies affecting the shoulder joint, which can arise from various infectious or inflammatory processes. The shoulder joint, comprising the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, is highly mobile and susceptible to a range of conditions. Reactive arthropathies often occur following infections elsewhere in the body, such as gastrointestinal or genitourinary infections, leading to inflammation in the shoulder. Clinically, patients may present with pain, swelling, and limited range of motion, particularly in abduction and external rotation. The pathophysiology involves immune-mediated responses that can lead to synovitis and joint effusion, impacting the joint's biomechanics and function. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of shoulder pain.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include post-infectious arthritis following a gastrointestinal infection or reactive arthritis after a genitourinary infection.
Joint-specific considerations include documenting the severity of symptoms and functional limitations, particularly in activities of daily living.
Rheumatologic documentation should include inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to evaluate the systemic impact of the reactive arthropathy.
Autoimmune and inflammatory scenarios may include patients with a history of reactive arthritis or those presenting with systemic symptoms.
Considerations include monitoring for systemic involvement and documenting disease progression.
Functional assessments should evaluate mobility, strength, and the need for rehabilitation interventions.
Rehabilitation scenarios may involve post-therapy evaluations and functional restoration following acute inflammatory episodes.
Mobility limitations and the need for assistive devices should be documented to support rehabilitation goals.
Used for joint effusion management in reactive arthropathies.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common causes include infections such as Chlamydia, gastrointestinal infections, and viral illnesses, which can trigger an immune response leading to joint inflammation.
