Reiter's disease, unspecified ankle and foot
ICD-10 M02.379 is a billable code used to indicate a diagnosis of reiter's disease, unspecified ankle and foot.
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that typically arises following an infection, most commonly in the urogenital or gastrointestinal tract. It is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. In the context of the ankle and foot, patients may experience swelling, pain, and stiffness in these joints, which can lead to significant functional impairment. Anatomically, the ankle joint comprises the tibia, fibula, and talus, while the foot consists of multiple bones including the tarsals, metatarsals, and phalanges. The inflammatory process in Reiter's disease can lead to enthesitis, affecting the sites where tendons and ligaments attach to bone, particularly in the heel and plantar fascia. Clinically, patients may present with asymmetric joint involvement, often affecting the lower extremities, and may report morning stiffness and pain that improves with activity. The pathophysiology involves an autoimmune response triggered by the initial infection, leading to synovial inflammation and joint damage if left untreated.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute onset of ankle pain following a recent infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for enthesitis and the impact of inflammation on mobility and daily activities.
Rheumatologic documentation must include laboratory tests for inflammatory markers (ESR, CRP) and disease activity indices to monitor progression.
Patients may exhibit systemic symptoms such as fever or conjunctivitis alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may require monitoring for complications such as uveitis or skin lesions, which can influence treatment decisions.
Functional assessments should document the patient's ability to perform activities of daily living and any need for assistive devices.
Rehabilitation scenarios may involve physical therapy to improve joint mobility and strength following acute exacerbations.
Mobility limitations should be clearly documented, including the need for adaptive equipment or modifications to home environments.
Used for joint swelling and pain management in Reiter's disease.
Document the joint involved, indication for the procedure, and any prior treatments.
Orthopedic considerations include assessing joint effusion and potential for joint damage.
Common symptoms include joint pain and swelling, particularly in the ankles and feet, along with possible conjunctivitis and urethritis. Patients may also experience morning stiffness and fatigue.
