Bouchard's nodes (with arthropathy)

This code signifies the presence of Bouchard's nodes, which are hard, bony enlargements that occur on the proximal interphalangeal (PIP) joints of the fingers. These nodes are a characteristic sign of osteoarthritis affecting these specific finger joints, often accompanied by pain, stiffness, and reduced range of motion.

Use this code when documentation explicitly states the presence of Bouchard's nodes in a patient diagnosed with arthropathy, typically osteoarthritis. Supporting documentation would include physical exam findings noting PIP joint enlargement and radiographic evidence of osteoarthritic changes in these joints.

• Ensure documentation specifies "Bouchard's nodes" and not Heberden's nodes (DIP joints).
• This code inherently includes the arthropathy; do not code an additional osteoarthritis code for the same joint.
• Laterality (left, right, bilateral) should be specified if documented, using the appropriate subclassification.