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ICD Hub / Diseases of the musculoskeletal system or connective tissue (M00–M99) / FA02.0 - Primary osteoarthritis of wrist or hand
ICD-11

ICD-11 Codes
for FA02.0 - Primary osteoarthritis of wrist or hand
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Primary Osteoarthritis of the Wrist and Hand (FA02.0)

Primary osteoarthritis of the wrist or hand, identified by the ICD-11 code FA02.0, is a degenerative condition affecting the cartilage within the joints of the wrist and hand. This condition is characterized by the gradual breakdown of articular cartilage, leading to pain, stiffness, and reduced mobility. As a "primary" form, it develops without a specific identifiable underlying disease or injury, often attributed to wear and tear over time. The ICD-11 code for Primary osteoarthritis of wrist or hand is FA02.0, crucial for accurate medical documentation and billing. This condition can significantly impact a patient's ability to perform daily activities, affecting quality of life.

Recognizing the Signs of Wrist and Hand Osteoarthritis

Patients experiencing primary osteoarthritis of the wrist or hand often present with several key symptoms. Joint pain is a primary complaint, typically worsening with activity and potentially present even at rest in more advanced stages. Stiffness, particularly noticeable in the mornings or after periods of inactivity, is common. Swelling around the affected joints, a reduced range of motion, and a noticeable decrease in grip strength can also occur. The most commonly affected joints include the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints of the fingers, as well as the carpometacarpal (CMC) joint at the base of the thumb.

Factors Contributing to Wrist and Hand Osteoarthritis

The development of primary osteoarthritis of the wrist or hand is multifactorial. While the exact cause is not always clear, it is understood to be a progressive degenerative process involving the breakdown of joint cartilage. Key risk factors include increasing age, as cartilage naturally wears down over time. Genetic predisposition plays a role, and the condition is observed to be more prevalent and often more severe in women, particularly after menopause. Previous injuries to the wrist or hand joints can increase susceptibility, as can repetitive occupational or recreational activities that place sustained stress on these joints.

Diagnosing Primary Osteoarthritis of the Wrist and Hand

Accurate diagnosis of primary osteoarthritis of the wrist or hand (FA02.0) relies on a combination of clinical assessment and diagnostic imaging. Healthcare professionals will typically take a detailed medical history, inquiring about symptoms, onset, and any contributing factors. A thorough physical examination follows, assessing for pain, tenderness, swelling, range of motion, and grip strength. Radiographs (X-rays) are considered the gold standard for diagnosis, revealing characteristic changes such as joint space narrowing, the formation of bone spurs (osteophytes), and subchondral bone sclerosis or cysts. These findings help differentiate osteoarthritis from other joint conditions.

Managing Wrist and Hand Osteoarthritis

Effective management of primary osteoarthritis of the wrist or hand focuses on alleviating symptoms and maintaining function. Conservative treatment strategies are often the first line of approach. These include pain management with over-the-counter analgesics like paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs), and topical anti-inflammatories. Therapeutic exercises designed to strengthen surrounding muscles and improve joint mobility are crucial. Splinting can provide support and reduce pain, while joint protection techniques help minimize stress on the affected joints during daily activities. In severe cases where conservative measures are insufficient, surgical options may be considered.

ICD-11 Coding and Documentation for FA02.0

The ICD-11 code FA02.0 is the official classification for Primary osteoarthritis of wrist or hand. This code is essential for accurate medical record-keeping, statistical reporting, and insurance billing. When documenting this condition, healthcare providers should use FA02.0. Further specificity can be added through postcoordination, allowing for the selection of codes indicating laterality (e.g., left, right, bilateral) and the precise anatomical sites within the wrist and hand affected by the osteoarthritis. Proper use of this ICD-11 code ensures clear communication among healthcare professionals and facilitates appropriate reimbursement.

Frequently asked questions

What is the ICD-11 classification for Primary osteoarthritis of wrist or hand?
FA02.0 is the ICD-11 code for Primary osteoarthritis of wrist or hand.
How can laterality and specific anatomical sites be detailed for FA02.0 Primary osteoarthritis of wrist or hand in ICD-11?
Laterality for FA02.0 can be specified as Bilateral, Left, Right, or Unspecified. Specific anatomical sites that can be detailed include the Wrist joint, Distal radioulnar joint, Radiocarpal joint, and Joints of the hand, such as the Carpal joint, Intercarpal joint, Midcarpal joint, Carpometacarpal joint, Intermetacarpal joint, Metacarpophalangeal joint, and Interphalangeal joint of the hand.
What types of manifestations can be associated with FA02.0 Primary osteoarthritis of wrist or hand in ICD-11 coding?
Manifestations that can be associated with FA02.0 include Chronic secondary musculoskeletal pain from persistent inflammation and Chronic secondary musculoskeletal pain associated with structural changes.
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