Other reactive arthropathies, right hand
ICD-10 M02.841 is a billable code used to indicate a diagnosis of other reactive arthropathies, right hand.
Reactive arthropathies are inflammatory joint conditions that occur secondary to infections or other systemic diseases. In the case of M02.841, the condition specifically affects the right hand. Anatomically, the hand consists of multiple joints including the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, all of which can be involved in reactive arthropathies. Clinically, patients may present with symptoms such as joint pain, swelling, and stiffness, particularly after an infection elsewhere in the body. The pathophysiology involves an immune response triggered by an infection, leading to inflammation in the joints. This condition can significantly impact hand function, limiting movement and dexterity, which is crucial for daily activities. Treatment often includes anti-inflammatory medications, physical therapy, and in some cases, corticosteroid injections to manage symptoms and improve joint 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 joint pain following a recent infection, requiring surgical intervention if joint damage is severe.
Documentation should detail the specific joints affected and the severity of the condition to guide treatment options.
Rheumatologic documentation must 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 diagnosis and management of reactive arthropathies.
Systemic involvement should be documented, including any extra-articular manifestations.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs.
Patients may require physical therapy to regain strength and mobility after an acute flare-up.
Documentation should address mobility limitations and the need for assistive devices.
Used for joint effusion management in reactive arthritis cases.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint health and management.
Common causes include infections such as urinary tract infections, gastrointestinal infections, and viral illnesses. The immune response to these infections can trigger inflammation in the joints.
