M02.14
Postdysenteric arthropathy, hand
Clinical Classification Guidelines
Inclusion Terms
- Postdysenteric arthropathy, metacarpus and phalanges
Medical Intelligence & Overview
Postdysenteric arthropathy is a type of joint inflammation that occurs after a bout of dysentery, an intestinal infection typically caused by bacteria. When this condition affects the hand, particularly the metacarpus and phalanges (finger bones), it can lead to pain, swelling, and reduced movement. Recognized under ICD-10 code M02.14, this condition is part of a group of reactive arthritides that present following infections elsewhere in the body.
Causes & Symptoms
Clinical Causes: Previous bacterial dysentery infection, often caused by pathogens like Shigella, Salmonella, or Campylobacter Genetic predisposition, including certain HLA-B27 gene variations Immune system reactions to bacterial infection may trigger joint inflammation
Key Symptoms: Joint pain, especially in the fingers and hand bones Swelling and tenderness around the affected joints Stiffness, which may limit finger movement Redness and warmth over the joint areas Possible reduced grip strength due to joint discomfort
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a thorough medical history and physical examination. Healthcare providers may confirm previous dysentery infection through laboratory tests. Imaging studies like X-rays can reveal joint changes, such as swelling or erosion. Blood tests may show inflammation markers and help identify immune responses associated with reactive arthritis.
Treatment Protocols: Management often includes anti-inflammatory medications such as NSAIDs to decrease joint pain and swelling. Physical therapy may be recommended to maintain joint function and mobility. In some cases, corticosteroids or disease-modifying antirheumatic drugs (DMARDs) are used to control inflammation. Resting the affected hand and avoiding activities that exacerbate symptoms are also beneficial. Treatment is tailored to each patient's specific condition and severity.
Clinical Advice & FAQs
Billing Guidance
Is M02.14 a billable ICD-10 code?
Yes, M02.14 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M02.14?
Clinical documentation must specify the nature of Postdysenteric arthropathy, hand and any associated comorbidities for accurate reporting.
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