Reiter's disease, vertebrae
ICD-10 M02.38 is a billable code used to indicate a diagnosis of reiter's disease, vertebrae.
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 context of the vertebrae, Reiter's disease can lead to spondylitis, which is inflammation of the spinal joints. This condition primarily affects the sacroiliac joints and can lead to significant pain and stiffness in the lower back. Anatomically, the vertebrae consist of 33 individual bones that form the spinal column, providing structural support and protecting the spinal cord. The inflammation associated with Reiter's disease can result in movement limitations, particularly in the lumbar and sacral regions, leading to decreased range of motion and functional impairment. Clinically, patients may present with back pain, tenderness over the affected joints, and systemic symptoms such as fatigue and malaise. Diagnosis is often supported by imaging studies that reveal changes in the sacroiliac joints and vertebrae, as well as laboratory tests to identify underlying infections.
Orthopedic documentation should include imaging results (X-rays, MRI) showing vertebral involvement, functional assessments of mobility, and any surgical interventions performed.
Patients may present with chronic back pain requiring surgical intervention for severe spondylitis or joint fusion.
Documenting the severity of joint involvement and any surgical history is crucial for accurate coding.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and any systemic symptoms.
Patients may present with acute inflammatory episodes following a genitourinary or gastrointestinal infection.
Systemic involvement, such as skin or eye symptoms, should be documented to support the diagnosis.
Functional assessments should evaluate mobility limitations, pain levels, and the need for assistive devices.
Patients may require rehabilitation services to improve mobility and manage pain.
Documenting the impact of the disease on daily activities and rehabilitation progress is essential.
Used for joint pain management in patients with Reiter's disease.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic considerations include assessing joint effusion and the need for imaging prior to the procedure.
Common symptoms include joint pain and swelling, particularly in the lower back and sacroiliac joints, as well as systemic symptoms like fatigue and conjunctivitis.
