Reiter's disease, right elbow
ICD-10 M02.321 is a billable code used to indicate a diagnosis of reiter's disease, right elbow.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that develops in response to an infection in another part of the body. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the case of M02.321, the focus is on the right elbow joint, which may exhibit swelling, pain, and limited range of motion due to inflammation. Anatomically, the elbow joint comprises the humerus, radius, and ulna, with synovial fluid providing lubrication. Pathophysiologically, the condition is believed to involve an autoimmune response triggered by infections, commonly in the urogenital or gastrointestinal tract. Clinically, patients may present with unilateral joint involvement, particularly in the lower extremities, but can also affect the elbow, leading to significant discomfort and functional impairment. The inflammatory process can result in joint erosion and long-term disability if not managed appropriately.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for severe joint damage or arthroscopic procedures to assess joint health.
Joint-specific considerations include documenting the severity of inflammation and any structural changes observed in imaging.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity.
Autoimmune and inflammatory scenarios often involve monitoring disease progression and response to treatment.
Systemic involvement may necessitate additional documentation of extra-articular manifestations.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation scenarios may focus on restoring function and managing pain through physical therapy.
Mobility limitations should be documented to justify therapy interventions and assistive device prescriptions.
Used for joint effusion management in Reiter's disease.
Document the joint involved, indication for the procedure, and any findings during aspiration.
Orthopedic considerations include assessing joint stability and potential for further intervention.
Common symptoms include joint pain and swelling, particularly in the knees and elbows, along with possible conjunctivitis and urinary symptoms. Patients may also experience fatigue and systemic symptoms due to inflammation.
