Reiter's disease, left ankle and foot
ICD-10 M02.372 is a billable code used to indicate a diagnosis of reiter's disease, left ankle and foot.
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. In the case of M02.372, the condition specifically affects the left ankle and foot. Anatomically, the left ankle consists of the tibia, fibula, and talus, while the foot includes multiple bones such as the metatarsals and phalanges. Pathophysiologically, Reiter's disease is believed to be triggered by an immune response to infections, commonly involving the urogenital or gastrointestinal tracts. Clinically, patients may present with swelling, pain, and stiffness in the left ankle and foot, often accompanied by systemic symptoms such as fever and malaise. Movement limitations can include reduced range of motion and difficulty bearing weight on the affected limb, impacting daily activities and quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility.
Common scenarios include surgical interventions for severe joint damage or arthroscopy for diagnostic purposes.
Joint-specific considerations include the assessment of joint stability and the presence of enthesitis.
Rheumatologic documentation must include laboratory tests for inflammation markers (ESR, CRP) and disease activity scores.
Scenarios often involve managing flare-ups and adjusting immunosuppressive therapies.
Systemic involvement, such as skin lesions or ocular symptoms, should be documented to reflect the full extent of the disease.
Functional assessments should evaluate the patient's ability to perform activities of daily living and mobility.
Rehabilitation scenarios may include physical therapy to improve joint function and strength.
Documentation of assistive devices used for mobility and the impact of pain on rehabilitation outcomes is essential.
Used when joint swelling necessitates aspiration for diagnostic or therapeutic purposes.
Document the joint involved, indication for the procedure, and any findings.
Orthopedic and rheumatologic considerations include the need for imaging guidance in some cases.
Common symptoms include joint pain and swelling, particularly in the lower extremities, along with possible systemic symptoms such as fever, fatigue, and conjunctivitis.
