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Pain due to internal orthopedic prosthetic devices, implants and grafts, sequela
ICD10CM code
Name of the Condition
- Pain due to internal orthopedic prosthetic devices, implants, and grafts, sequela
- ICD Code: T84.84XS
Summary
- This condition involves pain that arises as a result of complications or mechanical issues related to previously implanted orthopedic devices, such as prosthetics, implants, or grafts. The term "sequela" indicates that this is a secondary complication following the initial surgery or placement.
Causes
- Possible causes include mechanical loosening or failure of the device, reaction to the materials used in the implant, infection, or wear and tear over time affecting the surrounding tissues.
Risk Factors
- Factors increasing the likelihood of this condition include advanced age, high activity level placing stress on the implant, obesity, previous infections, and a history of multiple surgeries in the affected area.
Symptoms
- Common symptoms include localized pain at the site of the implant, swelling, restricted movement, or even audible clicking sounds from the joint or implant area.
Diagnosis
- Diagnosis typically involves a combination of patient history, physical examination, imaging studies like X-rays or MRI to assess the position and integrity of the implant, and sometimes blood tests to rule out infection.
Treatment Options
- Treatment may include pain management with medications, physical therapy to strengthen surrounding muscles, or surgical intervention to repair, adjust, or replace the implant. Revision surgery is often considered if the implant has failed or is causing significant pain.
Prognosis and Follow-Up
- Prognosis depends on the cause and treatment of the pain. With appropriate management, many patients experience relief. Ongoing follow-up through regular appointments helps ensure the implant functions correctly and timely address any arising issues.
Complications
- If untreated, complications may include chronic pain, reduced mobility, or progressive damage to surrounding bones and tissues, potentially leading to the need for additional surgeries.
Lifestyle & Prevention
- Maintaining a healthy weight, avoiding high-impact activities, and following physical therapy advice can help manage symptoms. While preventive measures for the condition itself may be limited, ensuring proper post-operative care and regular check-ups can mitigate risks.
When to Seek Professional Help
- Seek medical attention if experiencing severe or persistent pain, signs of infection like redness or fever, or sudden changes in mobility.
Additional Resources
Tips for Medical Coders
- Ensure that the documentation specifies "sequela" when coding for pain due to previous orthopedic implants.
- Avoid common errors by verifying that the pain is indeed related to a previous procedure and not due to a new acute event or unrelated condition.