Other reactive arthropathies, hand
ICD-10 M02.84 is a billable code used to indicate a diagnosis of other reactive arthropathies, hand.
M02.84 refers to a category of inflammatory joint conditions that arise as a reaction to infections or other stimuli, not directly involving the joint itself. In the hand, this can manifest as pain, swelling, and stiffness in the metacarpophalangeal and interphalangeal joints. The pathophysiology often involves immune-mediated mechanisms where the body’s immune response mistakenly targets joint tissues. Clinically, patients may present with acute or chronic symptoms, often following an infection elsewhere in the body. Anatomically, the hand consists of numerous joints, including the carpometacarpal joints, metacarpophalangeal joints, and interphalangeal joints, all of which can be affected. The condition may lead to functional limitations, impacting grip strength and dexterity, and may require multidisciplinary management including pharmacologic treatment and physical therapy.
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 pain following a recent infection, requiring evaluation for possible surgical intervention if joint damage is suspected.
Joint-specific considerations include documenting the severity of joint swelling and tenderness, as well as any functional limitations affecting daily activities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using validated scales.
Patients may have a history of autoimmune conditions that complicate the diagnosis and management of reactive arthropathies.
Systemic involvement should be documented, particularly if there are signs of extra-articular manifestations.
Functional assessments should evaluate the impact of the condition on mobility and daily activities, including the need for assistive devices.
Rehabilitation scenarios may involve post-infection recovery where patients require therapy to regain strength and function.
Mobility limitations should be documented, particularly in relation to specific tasks such as gripping or pinching.
Used when joint effusion is present and requires drainage or injection of corticosteroids.
Document the joint involved, the amount of fluid aspirated, and the therapeutic agent injected.
Orthopedic and rheumatologic considerations include the need for imaging guidance in some cases.
Common causes include infections (bacterial, viral), autoimmune responses, and post-infectious inflammatory reactions. It is essential to identify the underlying trigger to guide treatment.
