Other reactive arthropathies
ICD-10 M02.8 is a billable code used to indicate a diagnosis of other reactive arthropathies.
Reactive arthropathies are a group of inflammatory joint conditions that arise secondary to infections or other inflammatory processes elsewhere in the body. They are characterized by the presence of joint pain, swelling, and stiffness, often affecting the knees, ankles, and feet. Anatomically, these conditions can involve synovial joints, where inflammation of the synovial membrane leads to effusion and pain. The pathophysiology often involves an immune response triggered by infections, such as those caused by Chlamydia or gastrointestinal pathogens, leading to a cascade of inflammatory mediators that affect joint tissues. Clinically, patients may present with asymmetric joint involvement, morning stiffness, and systemic symptoms such as fever or malaise. The diagnosis is often supported by clinical examination, serological tests, and imaging studies to assess joint involvement and rule out other conditions.
Orthopedic documentation should include imaging results (e.g., X-rays, MRIs) and functional assessments to evaluate joint mobility and pain levels.
Patients may present with acute knee swelling following a recent infection, requiring surgical intervention for joint aspiration.
Documentation should specify which joints are affected and the severity of the condition to guide treatment options.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients with a history of reactive arthritis may present with recurrent episodes triggered by infections, necessitating a review of their medical history.
Systemic involvement, such as skin or eye symptoms, should be documented to assess the full impact of the disease.
Functional assessments should evaluate the patient's mobility, pain levels, and rehabilitation needs.
Patients may require physical therapy to regain joint function after an episode of reactive arthritis.
Documentation should address any assistive devices used and the patient's progress in rehabilitation.
Used for joint swelling in reactive arthropathies to relieve pressure and pain.
Document the joint involved, the amount of fluid aspirated, and any medications injected.
Orthopedic considerations include the need for imaging to guide the procedure.
Common triggers include infections such as Chlamydia, gastrointestinal pathogens, and viral illnesses. It is essential to document any recent infections to support the diagnosis.
