M02.112
Postdysenteric arthropathy, left shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
Postdysenteric arthropathy is a type of joint inflammation that occurs following an intestinal infection, specifically after dysentery caused by bacteria like Shigella. When this condition affects the left shoulder, it is referred to as postdysenteric arthropathy of the left shoulder. This condition results from an immune response triggered by the infection, leading to inflammation and pain in the affected joint. It typically develops weeks after the initial gastrointestinal illness and can cause discomfort, swelling, and limited mobility in the shoulder.
Causes & Symptoms
Clinical Causes: Previous intestinal infection with bacteria such as Shigella, Salmonella, or Yersinia Immune system response to the infection leading to joint inflammation Genetic predisposition affecting immune response Environmental factors that may trigger or exacerbate immune reactions
Key Symptoms: Pain in the affected shoulder that may worsen with movement Swelling and tenderness around the shoulder joint Reduced range of motion or stiffness in the shoulder Possible mild fever or fatigue during the active phase Ache or discomfort that persists for weeks to months after intestinal symptoms resolve
Diagnostic & Treatment
Diagnosis Path: Detailed medical history noting recent gastrointestinal illnesses Physical examination focused on shoulder mobility and tenderness Laboratory tests such as blood tests to check for inflammation markers (e.g., ESR, CRP) Imaging studies like X-rays or MRI to evaluate joint inflammation or damage Exclusion of other causes of shoulder pain such as rotator cuff injuries or arthritis
Treatment Protocols: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation Physical therapy to improve joint function and strengthen shoulder muscles Rest and activity modification to prevent aggravation of symptoms In some cases, corticosteroid injections may be used to control inflammation Monitoring and treating any underlying infections or immune reactions Follow-up evaluations to assess progression or resolution of symptoms
Clinical Advice & FAQs
Billing Guidance
Is M02.112 a billable ICD-10 code?
Yes, M02.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M02.112?
Clinical documentation must specify the nature of Postdysenteric arthropathy, left shoulder and any associated comorbidities for accurate reporting.
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