ICD-10-CM Billable Code

M02.861

Other reactive arthropathies, right knee

Clinical Classification Guidelines

Medical Intelligence & Overview

Reactive arthropathy refers to joint inflammation that develops in response to an infection in another part of the body. When it affects the right knee, it is classified under ICD-10 code M02.861. This condition is characterized by pain, swelling, and stiffness in the knee joint, which can significantly impact daily activities and quality of life. Recognizing the symptoms and understanding the causes can help in managing the condition effectively.

Causes & Symptoms

Clinical Causes: Previous bacterial, viral, or parasitic infections elsewhere in the body, especially urinary or gastrointestinal infections Infections caused by bacteria such as Salmonella, Shigella, Chlamydia, or Yersinia Genetic predisposition may increase susceptibility Recent infections that involve tissues around the joints

Key Symptoms: Pain in the right knee that worsens with activity Swelling and tenderness around the knee joint Stiffness, especially after periods of inactivity Reduced range of motion in the affected knee Warmth and redness of the skin over the joint Possible fever or malaise if the underlying infection is active

Diagnostic & Treatment

Diagnosis Path: Medical history review focusing on recent infections and symptoms Physical examination of the knee for swelling, tenderness, and range of motion Blood tests to identify signs of infection or inflammation, such as elevated ESR or CRP Joint fluid analysis through aspiration to detect infectious agents or cells Imaging studies like X-rays or MRI to assess joint damage and rule out other causes

Treatment Protocols: Nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and decrease inflammation Physical therapy to restore joint mobility and strengthen surrounding muscles Rest and activity modification to prevent worsened symptoms Antibiotics or antivirals if an active infection is identified Corticosteroid injections in persistent cases to control inflammation Monitoring and follow-up to assess response and prevent joint damage

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M02.861 a billable ICD-10 code?
Yes, M02.861 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M02.861?
Clinical documentation must specify the nature of Other reactive arthropathies, right knee and any associated comorbidities for accurate reporting.

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