Other reactive arthropathies, ankle and foot
ICD-10 M02.87 is a billable code used to indicate a diagnosis of other reactive arthropathies, ankle and foot.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other systemic diseases, often affecting the ankle and foot. The ankle joint comprises the tibia, fibula, and talus, while the foot includes multiple bones such as the metatarsals and phalanges. In reactive arthropathies, the immune response to an infection elsewhere in the body leads to joint inflammation, resulting in pain, swelling, and stiffness. Clinically, patients may present with acute onset of joint pain, often following a recent infection, such as a urinary tract infection or gastrointestinal infection. The condition may also be associated with systemic symptoms like fever and malaise. Movement limitations can include difficulty in weight-bearing activities and reduced range of motion in the affected joints, particularly during dorsiflexion and plantarflexion of the ankle. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate mobility and pain levels.
Patients may present with acute ankle pain following a recent infection, requiring evaluation for possible surgical intervention if conservative management fails.
Joint-specific considerations include assessing for any structural damage or deformities that may complicate treatment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to monitor the inflammatory response.
Patients may have a history of autoimmune conditions that predispose them to reactive arthropathies, necessitating a comprehensive evaluation of systemic involvement.
Consideration of comorbid autoimmune diseases and their impact on treatment and prognosis is essential.
Functional assessments should document the patient's mobility limitations, pain levels, and rehabilitation needs, including any assistive devices required.
Patients may require rehabilitation following acute episodes to restore function and mobility.
Focus on the patient's ability to perform daily activities and the need for tailored rehabilitation programs.
Used for joint effusion management in reactive arthropathies.
Document the joint involved, indication for the procedure, and any findings during aspiration.
Orthopedic and rheumatologic considerations include the need for imaging guidance and assessment of joint stability.
Common causes include infections such as chlamydia, gastrointestinal infections, and other systemic inflammatory conditions. The immune response to these infections can trigger joint inflammation, particularly in the ankle and foot.
