Reiter's disease, left hand
ICD-10 M02.342 is a billable code used to indicate a diagnosis of reiter's disease, left hand.
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 M02.342, the condition specifically affects the left hand, which may involve the metacarpophalangeal joints and interphalangeal joints. The pathophysiology involves an autoimmune response triggered by infections, often of the urogenital or gastrointestinal tract. Clinically, patients may present with swelling, pain, and stiffness in the affected joints, particularly after an infection. The left hand may exhibit limited range of motion, tenderness, and swelling, impacting daily activities. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion.
Patients may present with acute pain and swelling in the left hand, requiring joint injections or surgical intervention for severe cases.
Documenting the severity of joint involvement and any surgical interventions is critical for accurate coding.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity scores.
Patients may exhibit systemic symptoms such as conjunctivitis or urethritis alongside joint symptoms, necessitating a comprehensive approach.
Monitoring for systemic involvement and documenting any extra-articular manifestations is essential.
Functional assessments should evaluate mobility limitations and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain in the left hand post-inflammation.
Documenting the impact on daily activities and the patient's rehabilitation goals is important.
Used for joint swelling and pain management in Reiter's disease.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, particularly in the hands and feet, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
