Reiter's disease, right ankle and foot
ICD-10 M02.371 is a billable code used to indicate a diagnosis of reiter's disease, right ankle and foot.
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that typically arises following a genitourinary or gastrointestinal infection. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the context of the right ankle and foot, the disease manifests as swelling, pain, and stiffness in the affected joints, particularly the ankle and the metatarsophalangeal joints. Anatomically, the right ankle consists of the tibia, fibula, and talus, while the foot comprises multiple bones including the tarsals, metatarsals, and phalanges. The inflammation in Reiter's disease can lead to significant joint damage if not managed appropriately. Clinically, patients may present with limited range of motion, tenderness, and swelling, which can severely impact mobility and quality of life. The pathophysiology involves an autoimmune response triggered by the initial infection, leading to synovial inflammation and subsequent 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 require surgical intervention for severe joint damage or persistent symptoms despite conservative management.
Documentation should detail the severity of joint involvement and any surgical procedures performed.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms, requiring a comprehensive evaluation of joint and extra-articular manifestations.
Consideration of systemic involvement, such as skin or eye symptoms, is crucial for accurate coding.
Functional assessments should evaluate mobility limitations and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain through physical therapy.
Documentation should reflect the impact of the disease on daily activities and mobility.
Used for joint effusion management in the right ankle.
Document the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic and rheumatologic considerations for joint injections.
Common symptoms include joint pain and swelling, particularly in the ankles and feet, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
