Reiter's disease, multiple sites
ICD-10 M02.39 is a billable code used to indicate a diagnosis of reiter's disease, multiple sites.
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that typically arises following an infection, most commonly of the urogenital or gastrointestinal tract. It is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. Anatomically, the disease primarily affects the joints, particularly the knees, ankles, and feet, leading to swelling, pain, and stiffness. The pathophysiology involves an autoimmune response triggered by the initial infection, resulting in inflammation of the synovial membranes and subsequent joint damage. Clinically, patients may present with asymmetric oligoarthritis, which can affect multiple sites, and may also experience enthesitis (inflammation at tendon insertion sites) and dactylitis (swelling of fingers or toes). The condition can lead to significant functional impairment and movement limitations, particularly in weight-bearing joints, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed descriptions of joint involvement.
Common scenarios include patients presenting with acute knee pain following a gastrointestinal infection, requiring joint aspiration or injection.
Joint-specific considerations include the need to document the severity of joint swelling and range of motion limitations.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP), HLA-B27 testing, and assessments of disease activity.
Patients may present with a history of urethritis and subsequent joint pain, necessitating a comprehensive evaluation of systemic involvement.
Consideration of extra-articular manifestations, such as skin lesions or ocular symptoms, is crucial for complete documentation.
Functional assessments should detail the patient's mobility limitations, pain levels, and rehabilitation needs, including any assistive devices used.
Rehabilitation scenarios may involve patients recovering from acute arthritis flare-ups, focusing on restoring range of motion and strength.
Documentation should reflect the impact of joint involvement on daily activities and the need for adaptive strategies.
Used for patients with significant joint effusion due to Reiter's disease.
Document the joint involved, the amount of fluid aspirated, and the patient's response.
Orthopedic considerations include the need for imaging to guide the procedure.
Common symptoms include joint pain and swelling, particularly in the knees and ankles, along with possible conjunctivitis and urethritis. Patients may also experience dactylitis and enthesitis.
