ICD 10 CM M14.642 | Description & Clinical Information

ICD 10 M14.642 describes a pathological condition known as Charcot’s joint, which is a complication of various underlying medical conditions, characterized by progressive damage to the joint in the left hand, leading to dislocations, fractures, and deformities, and also referred to as neuropathic arthropathy.

Official Description Of M14.642

The ICD 10 CM book defines ICD 10 code M14.642 as:

Charcot’s joint, left hand
Parent Code Notes: M14.6

Excludes1: Charcôt’s joint in diabetes mellitus (E08-E13 with .610)
Charcôt’s joint in tabes dorsalis (A52.16)

Parent Code Notes: M14

Excludes1: arthropathy in:
diabetes mellitus (E08-E13 with .61-)
hematological disorders (M36.2-M36.3)
hypersensitivity reactions (M36.4)
neoplastic disease (M36.1)
neurosyphillis (A52.16)
sarcoidosis (D86.86)
enteropathic arthropathies (M07.-)
juvenile psoriatic arthropathy (L40.54)
lipoid dermatoarthritis (E78.81)

When To Use M14.642

The diagnosis described by the ICD 10 CM M14.642 code is Charcot’s joint, also known as neuropathic arthropathy. This condition can occur due to nerve damage, which leads to a loss of sensation in a joint. Patients with Charcot’s joint may experience symptoms such as swelling, redness, increased warmth, pain, numbness, tingling, and a loss of function in the affected joint.

Diagnosing Charcot’s joint requires a thorough evaluation of the patient’s medical history and physical examination. Providers may also use imaging techniques such as X-rays, MRI, or CT scans to confirm the diagnosis. The imaging may show bone changes, fractures, or dislocations, which can occur as a result of the weakened joint.

Once the diagnosis of Charcot’s joint has been confirmed, treatment options are tailored to address the specific needs of each patient. Depending on the severity of the condition, these may include immobilization of the affected joint with a cast or brace, limiting weight-bearing activities to avoid further damage, or the use of an orthosis to support the joint.

In addition to these measures, pain management is also an essential aspect of treatment. Providers may prescribe medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen to help manage pain and discomfort. In severe cases, opioid medications may be necessary to control pain symptoms.

It is important to note that Charcot’s joint is a progressive condition that can worsen without proper treatment. Therefore, patients with this condition should receive ongoing care and close monitoring to prevent complications such as joint deformity, infections, or amputation.

In conclusion, Charcot’s joint is a challenging diagnosis that requires a thorough evaluation and a multidisciplinary approach to treatment. By working together with medical professionals, patients with Charcot’s joint can receive the care and support they need to manage their symptoms and maintain their quality of life.

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