Chronic postrheumatic arthropathy [Jaccoud], right shoulder

This code describes a chronic joint disorder affecting the right shoulder, characterized by deformity and dysfunction, that develops as a long-term complication of rheumatic fever. It represents a non-inflammatory arthropathy, often with ulnar deviation of the fingers, but in this specific instance, it refers to the shoulder joint.

Use this code when documentation clearly indicates a diagnosis of Jaccoud's arthropathy specifically affecting the right shoulder, and the condition is chronic. This diagnosis typically follows a history of rheumatic fever and presents with characteristic, often reducible, joint deformities.

• Ensure documentation specifies "chronic" and clearly links the arthropathy to a history of rheumatic fever.
• Verify the affected joint is the right shoulder; laterality is crucial for accurate coding.
• Do not confuse with acute rheumatic fever with cardiac involvement (I00-I02) or other forms of chronic arthropathy not directly linked to rheumatic fever.