Other reactive arthropathies, hip
ICD-10 M02.85 is a billable code used to indicate a diagnosis of other reactive arthropathies, hip.
M02.85 refers to reactive arthropathies affecting the hip joint, which are inflammatory conditions that arise secondary to infections or other inflammatory processes elsewhere in the body. The hip joint, a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, is crucial for weight-bearing and mobility. Reactive arthropathies can manifest as pain, swelling, and stiffness in the hip, often leading to decreased range of motion and functional impairment. Clinically, patients may present with acute onset of joint pain following a systemic infection, such as a urinary tract infection or gastrointestinal infection. The pathophysiology involves an immune-mediated response where antibodies or immune complexes target joint tissues, leading to inflammation. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. Treatment may include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and physical therapy to restore function and alleviate symptoms.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate mobility limitations.
Common scenarios include post-infectious arthritis following a urinary tract infection or gastrointestinal infection, leading to hip pain and dysfunction.
Joint-specific considerations include the degree of joint effusion, range of motion limitations, and any associated structural changes seen on imaging.
Rheumatologic documentation must include inflammation markers (e.g., ESR, CRP) and assessments of disease activity to monitor the inflammatory response.
Autoimmune scenarios may involve patients with a history of reactive arthritis following infections, presenting with hip pain and systemic symptoms.
Consideration of systemic involvement is crucial, as reactive arthropathies can be associated with other autoimmune conditions.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs.
Rehabilitation scenarios may involve post-acute care for patients recovering from reactive arthritis, focusing on restoring hip function.
Mobility limitations and the need for assistive devices should be documented to support the treatment plan.
Used for joint aspiration in cases of reactive arthritis to relieve swelling and pain.
Documentation must include the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations include the need for follow-up assessments post-procedure.
Common causes include infections (e.g., urinary tract infections, gastrointestinal infections), autoimmune conditions, and post-viral syndromes. Accurate documentation of the patient's history is essential for proper coding.
