Other reactive arthropathies, right wrist
ICD-10 M02.831 is a billable code used to indicate a diagnosis of other reactive arthropathies, right wrist.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, often presenting with joint pain, swelling, and stiffness. The right wrist, comprising the distal radius, ulna, and eight carpal bones, is a complex structure that allows for a wide range of motion. In cases of reactive arthropathy, the inflammation can lead to synovitis, affecting the wrist's function and causing pain during movement. Clinically, patients may present with acute or subacute onset of symptoms, often following a preceding infection or inflammatory condition. The pathophysiology involves immune-mediated mechanisms where the body's immune response mistakenly targets joint tissues, leading to inflammation and potential joint damage if untreated. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. Treatment may include NSAIDs, corticosteroids, and physical therapy to manage symptoms and restore function.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute wrist pain following a recent infection, requiring evaluation for possible surgical intervention if conservative measures fail.
Documenting the severity of joint involvement and any associated ligamentous injuries is crucial for treatment planning.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may have a history of autoimmune diseases that complicate the presentation of reactive arthropathy.
Systemic involvement should be documented, especially if there are signs of other organ involvement.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may include post-infection recovery where the patient requires therapy to regain wrist function.
Mobility limitations should be documented to tailor rehabilitation programs effectively.
Used when joint effusion is present and requires drainage or injection for treatment.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Common causes include infections (e.g., gastrointestinal, genitourinary), autoimmune conditions, and post-viral syndromes. The immune response to these triggers can lead to joint inflammation.
