Other reactive arthropathies, unspecified hip
ICD-10 M02.859 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified hip.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, often affecting the hip joint. The hip, a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allows for a wide range of motion. In cases of reactive arthropathy, the inflammation can lead to pain, swelling, and stiffness, significantly impacting mobility. Clinically, patients may present with unilateral or bilateral hip pain, often accompanied by systemic symptoms such as fever or malaise, depending on the underlying trigger. The pathophysiology involves an immune response to an infection or antigenic stimulus, leading to synovial inflammation and joint effusion. Diagnosis typically requires a thorough clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. The clinical presentation may vary, with some patients experiencing acute onset while others may have a more insidious course. 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 detailed imaging reports (X-rays, MRIs) and functional assessments to evaluate joint stability and range of motion.
Patients may present with acute hip pain following a recent infection or systemic illness, requiring surgical intervention if conservative management fails.
Orthopedic specialists must document joint-specific considerations, including the degree of joint effusion and any structural changes observed on imaging.
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 conditions that predispose them to reactive arthropathies, necessitating a comprehensive evaluation of systemic involvement.
Rheumatologists must consider the potential for systemic involvement and document any extra-articular manifestations.
Functional assessments should detail the patient's mobility limitations and rehabilitation needs, including any assistive devices required.
Patients may require rehabilitation following acute exacerbations of hip pain to restore function and mobility.
Physical medicine specialists should document specific mobility limitations and the impact on daily activities.
Used for joint effusion management in reactive arthropathies.
Document the joint involved, the amount of fluid aspirated, and any therapeutic agents injected.
Orthopedic and rheumatologic specialists should note the indication for the procedure and any prior treatments.
Common causes include infections (e.g., bacterial, viral), autoimmune diseases, and post-infectious inflammatory responses. Accurate documentation of the patient's history and any recent infections is crucial for coding.
