Reiter's disease, hip
ICD-10 M02.35 is a billable code used to indicate a diagnosis of reiter's disease, hip.
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 M02.35, the hip joint is specifically affected. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. Pathophysiologically, Reiter's disease is associated with an autoimmune response triggered by infections, often involving the urogenital or gastrointestinal tracts. Clinically, patients may present with unilateral or bilateral hip pain, swelling, and reduced range of motion, often accompanied by systemic symptoms such as fever and malaise. The inflammatory process can lead to 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 pain levels.
Common scenarios include patients presenting with hip pain following a recent infection, requiring surgical intervention for joint debridement or arthroplasty in severe cases.
Joint-specific considerations include the need to document the extent of joint damage and any surgical interventions performed.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP) and assessments of disease activity using tools like the Disease Activity Score (DAS).
Patients may present with a history of urethritis or conjunctivitis, necessitating a comprehensive evaluation of joint involvement and systemic symptoms.
Systemic involvement may require monitoring for complications such as uveitis or skin lesions.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may involve physical therapy to improve joint function and mobility post-inflammation.
Consideration of assistive devices may be necessary for patients with significant mobility limitations.
Used to relieve joint effusion in patients with Reiter's disease.
Document the indication for aspiration, joint involved, and any findings.
Orthopedic considerations for joint health and potential for further intervention.
Common symptoms include joint pain and swelling, particularly in the knees and hips, along with possible systemic symptoms such as fever, fatigue, and conjunctivitis.
