Reiter's disease, left hip
ICD-10 M02.352 is a billable code used to indicate a diagnosis of reiter's disease, left 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 M02.352, the left 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. The inflammation in Reiter's disease can lead to synovitis, which causes pain, swelling, and stiffness in the affected joint. Clinically, patients may present with unilateral hip pain, reduced range of motion, and tenderness upon palpation. The pathophysiology involves an autoimmune response triggered by infections, often of the urogenital or gastrointestinal tract, leading to inflammation in the joints, particularly in the lower extremities. Early diagnosis and management are crucial to prevent chronic joint damage and disability.
Orthopedic documentation should include imaging studies (e.g., 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 arthroplasty in chronic cases.
Joint-specific considerations include the need to document any deformities or functional limitations resulting from the disease.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., patient-reported outcomes).
Autoimmune and inflammatory scenarios often involve managing flare-ups and long-term disease management strategies.
Systemic involvement, such as ocular or genitourinary symptoms, should be documented to reflect the full impact of the disease.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy to restore function and mobility post-flare.
Mobility limitations should be documented to justify rehabilitation services and assistive device prescriptions.
Used for therapeutic drainage or injection of corticosteroids in the left hip joint.
Document the indication for the procedure, including joint involvement and any imaging findings.
Orthopedic considerations include the need for imaging guidance in some cases.
Common symptoms include joint pain and swelling, particularly in the knees and hips, along with possible urethritis and conjunctivitis. Patients may also experience systemic symptoms such as fatigue and fever.
