Name of the Condition

• Fibrosis due to Internal Orthopedic Prosthetic Devices, Implants and Grafts, Sequela
• Technical/Medical Term: T84.82XS

Summary

Fibrosis due to internal orthopedic prosthetic devices, implants, and grafts, sequela, refers to the formation of fibrous tissue as a result of the body's response to an implanted orthopedic device. This response can occur post-surgery and may lead to complications over time.

Causes

• Implantation of orthopedic prosthetic devices, implants, or grafts.
• Body's natural response to foreign materials.
• Surgical complications leading to fibrotic reactions.

Risk Factors

• Prior orthopedic surgeries involving implants.
• Infections related to prosthetic devices.
• Repeated trauma or surgeries.
• Individual variations in healing responses.

Symptoms

• Persistent pain or discomfort near the surgical site.
• Swelling or restricted movement in the affected area.
• Development of a palpable mass or stiffness.

Diagnosis

• Physical examination by a healthcare professional.
• Imaging tests such as X-rays, MRI, or CT scans to evaluate fibrosis.
• Biopsy in uncertain cases to rule out infections or malignancies.

Treatment Options

• Medications: Anti-inflammatory drugs to reduce pain and swelling.
• Physical Therapy: Exercises to improve mobility and reduce stiffness.
• Surgical Intervention: In severe cases, removal or replacement of the prosthetic device.
• Each treatment aims to alleviate symptoms and improve quality of life.

Prognosis and Follow-Up

• Outcome varies based on severity and response to treatment.
• Regular follow-ups are crucial for monitoring fibrosis progression and managing symptoms.

Complications

• Chronic pain and limited mobility.
• Possible need for revision surgery.
• Risk of infection or further complications due to surgery.

Lifestyle & Prevention

• Regular physical activity to maintain joint function.
• Adherence to post-operative care instructions to minimize risk.
• Routine medical check-ups to catch early signs.

When to Seek Professional Help

• Unexplained or worsening pain near the implant site.
• Swelling, redness, or any signs of infection.
• Limited range of motion interfering with daily activities.

Additional Resources

• American Academy of Orthopaedic Surgeons (AAOS)
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Tips for Medical Coders

• Verify the sequela nature of the condition; it's the result of a prior complication.
• Ensure accurate coding by confirming this condition is linked to previous implant surgery.
• Be cautious of coding for active complications rather than the sequela.