Other reactive arthropathies, left hand
ICD-10 M02.842 is a billable code used to indicate a diagnosis of other reactive arthropathies, left hand.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, rather than direct joint injury. In the case of M02.842, the condition specifically affects the left hand, which includes the carpals, metacarpals, and phalanges. The pathophysiology often involves an immune response triggered by an infection elsewhere in the body, leading to joint inflammation. Clinically, patients may present with pain, swelling, and stiffness in the affected joints, particularly in the metacarpophalangeal and proximal interphalangeal joints. Anatomically, the left hand consists of 27 bones, including the eight carpal bones, five metacarpals, and 14 phalanges, all of which can be involved in reactive arthropathies. The condition may lead to functional limitations, affecting grip strength and dexterity, which are critical for daily activities. Early diagnosis and management are essential to prevent chronic joint damage and preserve hand function.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include post-infectious arthritis following a viral illness or reactive arthritis after a genitourinary infection.
Joint-specific considerations include documenting the severity of joint swelling, tenderness, and any deformities present.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments.
Autoimmune scenarios may involve patients with a history of infections leading to reactive arthritis, requiring careful monitoring of systemic symptoms.
Considerations include assessing for systemic involvement, such as skin rashes or ocular symptoms, which may indicate a broader rheumatologic condition.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may involve patients recovering from acute inflammatory episodes, focusing on restoring mobility and strength.
Mobility limitations should be documented, including any adaptations made to facilitate daily living.
Used for joint swelling and pain management in reactive arthropathy.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations include assessing joint fluid for inflammatory markers.
Common causes include infections (e.g., bacterial, viral), autoimmune conditions, and post-infectious responses. It is essential to identify the underlying trigger to guide treatment.
