Other reactive arthropathies, left ankle and foot
ICD-10 M02.872 is a billable code used to indicate a diagnosis of other reactive arthropathies, left ankle and foot.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases. The left ankle and foot consist of multiple joints, including the talocrural joint (ankle), subtalar joint, and various tarsal and metatarsal joints. In reactive arthropathies, the immune response to an infection elsewhere in the body can lead to inflammation in these joints, causing pain, swelling, and limited mobility. Clinically, patients may present with unilateral symptoms, often following a genitourinary or gastrointestinal infection. The pathophysiology involves the deposition of immune complexes in the joint space, leading to synovitis and subsequent joint damage if untreated. Patients may experience stiffness, particularly in the morning or after periods of inactivity, and may have difficulty with weight-bearing activities due to pain. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include post-infectious arthritis following a urinary tract infection or gastrointestinal illness, requiring surgical intervention if joint damage is severe.
Joint-specific considerations include assessing for effusion, tenderness, and range of motion limitations, as well as documenting any surgical interventions.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments.
Scenarios may involve patients with a history of reactive arthritis presenting with acute joint swelling and pain, necessitating a thorough evaluation for systemic involvement.
Considerations include monitoring for systemic symptoms and potential progression to chronic arthritis, which may require long-term management.
Functional assessments should document the patient's ability to perform activities of daily living and any rehabilitation needs.
Rehabilitation scenarios may involve patients recovering from acute reactive arthritis, focusing on restoring mobility and strength.
Mobility limitations may necessitate the use of assistive devices, which should be documented to support the need for therapy.
Used to relieve joint effusion in the left ankle due to reactive arthropathy.
Document the joint involved, indication for the procedure, and any findings during aspiration.
Orthopedic and rheumatologic considerations include assessing the need for joint injections for inflammation control.
Common causes include infections such as Chlamydia, Salmonella, and Yersinia, as well as post-viral syndromes. These infections trigger an immune response that can lead to joint inflammation.
