Reiter's disease, right hip
ICD-10 M02.351 is a billable code used to indicate a diagnosis of reiter's disease, right hip.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that occurs as a reaction to an infection in another part of the body. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the case of M02.351, the inflammation specifically affects the right hip joint. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. Pathophysiologically, Reiter's disease is believed to be triggered by an autoimmune response following infections, commonly involving the genitourinary or gastrointestinal systems. Clinically, patients may present with pain, swelling, and stiffness in the right hip, which can lead to significant movement limitations and functional impairment. The condition may also involve other joints and can be associated with enthesitis and dactylitis. Early diagnosis and management are crucial to prevent chronic joint damage and disability.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, range of motion assessments, and functional evaluations.
Common scenarios include surgical interventions for joint repair or replacement in advanced cases, as well as conservative management strategies.
Joint-specific considerations include the assessment of joint stability, alignment, and the presence of effusion or synovitis.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP), HLA-B27 testing, and assessments of disease activity.
Autoimmune scenarios may involve managing systemic symptoms and coordinating care with other specialists.
Consideration of systemic involvement, such as skin or eye symptoms, is crucial for comprehensive management.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy for joint mobility and strength training.
Focus on improving functional outcomes and quality of life for patients with mobility impairments.
Used for joint aspiration in cases of effusion or injection of corticosteroids for inflammation.
Documentation must include the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations include the need for follow-up assessments post-procedure.
Common symptoms include joint pain and swelling, particularly in the knees, ankles, and hips, along with possible urethritis and conjunctivitis. Patients may also experience systemic symptoms such as fatigue and fever.
