Reiter's disease, right shoulder
ICD-10 M02.311 is a billable code used to indicate a diagnosis of reiter's disease, right shoulder.
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 M02.311, the focus is on the right shoulder joint, which may exhibit swelling, pain, and limited range of motion due to inflammation. Anatomically, the shoulder comprises the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of involvement. Pathophysiologically, the disease is believed to be triggered by infections, particularly genitourinary or gastrointestinal, leading to an autoimmune response that targets the joints. Clinically, patients may present with acute pain, tenderness, and stiffness in the right shoulder, often exacerbated by movement. The condition can lead to chronic joint damage if not managed appropriately, necessitating a comprehensive treatment approach that includes anti-inflammatory medications, physical therapy, and possibly disease-modifying antirheumatic drugs (DMARDs).
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and treatment plans detailing surgical or non-surgical interventions.
Common scenarios include acute exacerbations requiring joint injections or surgical interventions for severe cases.
Joint-specific considerations include the assessment of joint stability and the potential for chronic changes in the shoulder joint.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of systemic involvement.
Autoimmune scenarios may involve managing concurrent conditions such as psoriasis or inflammatory bowel disease.
Consideration of systemic involvement is crucial, as Reiter's disease can affect multiple systems beyond the musculoskeletal.
Functional assessments should document the patient's mobility limitations, pain levels, and rehabilitation goals.
Rehabilitation scenarios may include physical therapy for restoring shoulder function and strength.
Mobility limitations may necessitate the use of assistive devices, which should be documented for coding purposes.
Used for managing acute exacerbations of shoulder pain due to Reiter's disease.
Documentation must include indication for the procedure, joint involved, and any imaging studies performed.
Orthopedic considerations include assessing joint stability and potential for chronic changes.
Common symptoms include joint pain and swelling, particularly in the knees and shoulders, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
