Other reactive arthropathies, unspecified ankle and foot
ICD-10 M02.879 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified ankle and foot.
Reactive arthropathies are inflammatory joint conditions that occur secondary to infections or other systemic diseases. The ankle and foot are complex structures composed of numerous bones, ligaments, tendons, and synovial joints, which can be affected by these arthropathies. Clinically, patients may present with joint pain, swelling, and stiffness, particularly in the ankle and foot regions. The pathophysiology often involves an immune response triggered by an infection elsewhere in the body, leading to inflammation in the joints. Common causes include post-infectious reactions to bacterial infections, such as those caused by Chlamydia or gastrointestinal pathogens. Patients may experience movement limitations, particularly in dorsiflexion and plantarflexion, impacting their ability to walk or bear weight. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to rule out other conditions. Treatment may include NSAIDs, corticosteroids, and physical therapy to manage symptoms and improve function.
Orthopedic documentation should include imaging results (X-rays, MRIs) and functional assessments to evaluate joint stability and range of motion.
Patients may present with acute onset of ankle pain following a recent infection, requiring surgical intervention for severe cases.
Joint-specific considerations include assessing for ligamentous injuries or structural abnormalities that may complicate the reactive arthropathy.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments.
Patients with a history of autoimmune diseases may develop reactive arthropathies, necessitating a comprehensive evaluation of systemic involvement.
Consideration of systemic symptoms and potential for chronicity in reactive arthropathies is crucial for treatment planning.
Functional assessments should document the patient's mobility limitations and rehabilitation needs, including range of motion and strength testing.
Patients may require rehabilitation following acute episodes to restore function and mobility.
Assessment of assistive device needs and home modifications may be necessary for patients with significant mobility impairments.
Used for joint effusion management in reactive arthropathy cases.
Document the joint involved, the reason for the procedure, and any findings during aspiration.
Orthopedic and rheumatologic considerations include assessing joint stability and potential for further intervention.
Common causes include infections such as Chlamydia, gastrointestinal pathogens, and post-viral syndromes. These infections trigger an immune response that leads to joint inflammation.
