Other reactive arthropathies, left elbow
ICD-10 M02.822 is a billable code used to indicate a diagnosis of other reactive arthropathies, left elbow.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases. The left elbow, a hinge joint formed by the humerus, ulna, and radius, is susceptible to such conditions. Clinically, patients may present with pain, swelling, and reduced range of motion in the elbow, often following an infection elsewhere in the body. The pathophysiology involves immune-mediated inflammation, which can lead to joint damage if not addressed. Symptoms may include tenderness, warmth, and stiffness, particularly after periods of inactivity. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of arthritis. Treatment often includes NSAIDs, corticosteroids, and physical therapy to restore function and alleviate 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 respiratory or gastrointestinal infection, requiring surgical intervention if joint damage is severe.
Joint-specific considerations include assessing for effusion, instability, and the need for potential arthroscopic intervention.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity assessments to monitor progression.
Scenarios may involve autoimmune triggers leading to reactive arthritis, necessitating a comprehensive treatment plan including DMARDs if chronic.
Consideration of systemic involvement is crucial, as reactive arthropathies can be associated with other systemic diseases.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs.
Rehabilitation scenarios may include post-arthroscopy recovery or management of chronic pain syndromes.
Mobility limitations should be documented, including the need for assistive devices or modifications to activities of daily living.
Used for joint effusion management in reactive arthropathy.
Document the joint involved, reason for aspiration, and any therapeutic agents injected.
Orthopedic and rheumatologic considerations include the need for imaging guidance and assessment of joint stability.
Reactive arthropathies can be triggered by infections (such as gastrointestinal or genitourinary infections), autoimmune diseases, or other inflammatory conditions. Understanding the underlying cause is crucial for effective treatment and management.
