Reiter's disease, unspecified site
ICD-10 M02.30 is a billable code used to indicate a diagnosis of reiter's disease, unspecified site.
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, often the urogenital or gastrointestinal tract. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis, although not all patients exhibit all three symptoms. Anatomically, Reiter's disease primarily affects the joints, particularly the lower extremities, including the knees, ankles, and feet. The pathophysiology involves an autoimmune response triggered by infections, leading to inflammation of the synovial membranes and subsequent joint damage. Clinically, patients may present with joint pain, swelling, and stiffness, which can lead to significant movement limitations. The condition can also involve enthesitis, which is inflammation at the sites where tendons and ligaments attach to bone, and may affect the spine in some cases. Early diagnosis and management are crucial to prevent chronic disability.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed descriptions of joint involvement.
Patients may present with acute onset of knee pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if joint damage is significant.
Documentation should specify which joints are affected and the severity of involvement, as this can impact treatment decisions.
Rheumatologic documentation must include laboratory tests for inflammation markers (ESR, CRP) and assessments of disease activity using tools like the Disease Activity Score (DAS).
Patients may present with a history of urethritis followed by joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement, such as skin lesions or ocular symptoms, should be documented to provide a complete clinical picture.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Patients may require rehabilitation following acute flare-ups to restore mobility and function.
Documentation should address mobility limitations and the impact on quality of life.
Used for joint effusion management in patients with Reiter's disease.
Document the joint involved, the amount of fluid aspirated, and any therapeutic agents injected.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common symptoms include joint pain and swelling, particularly in the knees and ankles, along with possible urethritis and conjunctivitis. Patients may also experience enthesitis and low back pain.
