Reiter's disease, unspecified elbow
ICD-10 M02.329 is a billable code used to indicate a diagnosis of reiter's disease, unspecified elbow.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that occurs as a reaction to an infection in another part of the body. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis, although not all patients exhibit all three symptoms. In the case of unspecified elbow involvement, the condition manifests as pain, swelling, and stiffness in the elbow joint, which can limit range of motion and functional ability. Anatomically, the elbow joint consists of the humerus, radius, and ulna, with ligaments and tendons providing stability and facilitating movement. Pathophysiologically, Reiter's disease is associated with an autoimmune response triggered by infections, often involving the genitourinary or gastrointestinal systems. Clinically, patients may present with acute onset of joint pain, tenderness, and swelling, particularly in the elbow, which can lead to significant functional impairment and disability if not managed appropriately.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on joint swelling and tenderness.
Common scenarios include acute exacerbations of elbow pain following a recent infection, requiring surgical intervention for joint debridement or synovectomy.
Documentation should specify the severity of joint involvement and any functional limitations experienced by the patient.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP), HLA-B27 antigen testing, and assessments of disease activity using validated scales.
Patients may present with systemic symptoms such as fever or fatigue alongside joint pain, necessitating a comprehensive evaluation of autoimmune activity.
Consideration of systemic involvement, such as ocular or genitourinary symptoms, is crucial for accurate diagnosis and treatment planning.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices or rehabilitation services.
Rehabilitation scenarios may include physical therapy to improve joint mobility and strength following an acute flare-up.
Documentation should address mobility limitations and the impact on the patient's quality of life.
Used for joint effusion management in patients with Reiter's disease.
Documentation must include the indication for the procedure, joint involved, and any prior treatments.
Orthopedic and rheumatologic considerations for joint health and management.
Common symptoms include joint pain and swelling, particularly in the knees and elbows, along with possible urethritis and conjunctivitis. Patients may also experience systemic symptoms such as fatigue and fever.
