Other reactive arthropathies, multiple sites
ICD-10 M02.89 is a billable code used to indicate a diagnosis of other reactive arthropathies, multiple sites.
Reactive arthropathies are inflammatory joint conditions that arise secondary to infections or other inflammatory processes in the body. M02.89 specifically refers to cases where multiple joints are affected, but the exact cause is not classified under more specific reactive arthropathies. Clinically, patients may present with joint pain, swelling, and stiffness, often following an infection elsewhere in the body, such as a urinary tract infection or gastrointestinal infection. Anatomically, the condition can involve any synovial joint, including the knees, wrists, and ankles, leading to significant functional limitations. The pathophysiology involves an immune-mediated response where the body’s immune system mistakenly attacks joint tissues, resulting in inflammation and damage. Patients may experience varying degrees of movement limitations, particularly in affected joints, which can impact daily activities and overall quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute joint pain following a recent infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for effusion, tenderness, and range of motion limitations, which are critical for treatment planning.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity assessments to monitor progression.
Patients may have a history of autoimmune conditions that complicate the reactive arthropathy, necessitating a multidisciplinary approach.
Systemic involvement, such as skin rashes or ocular symptoms, should be documented to assess the full impact of the disease.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to support rehabilitation efforts.
Patients may require physical therapy to regain function after an acute episode of reactive arthropathy.
Documentation should focus on mobility limitations and the impact on daily living activities.
Used for joint swelling and pain management in reactive arthropathies.
Document the joint involved, indication for the procedure, and any findings during the procedure.
Orthopedic and rheumatologic considerations include the need for imaging guidance in some cases.
Common causes include infections such as those from the urinary tract, gastrointestinal tract, or respiratory infections, as well as post-infectious inflammatory responses.
