Other reactive arthropathies, unspecified knee
ICD-10 M02.869 is a billable code used to indicate a diagnosis of other reactive arthropathies, unspecified knee.
Reactive arthropathies are a group of inflammatory joint conditions that occur secondary to infections or other inflammatory processes elsewhere in the body. The knee joint, a hinge joint formed by the femur, tibia, and patella, is commonly affected due to its weight-bearing function and mobility. In reactive arthropathies, the inflammation is not due to direct infection of the joint but rather a response to systemic conditions such as infections (e.g., urethritis, conjunctivitis) or autoimmune disorders. Clinically, patients may present with joint pain, swelling, and stiffness, particularly after an infection. The knee may exhibit limited range of motion, tenderness, and effusion. Diagnosis often involves clinical evaluation, imaging studies, and laboratory tests to rule out other causes of arthritis. Treatment typically includes NSAIDs for pain relief, corticosteroids for inflammation, and physical therapy to restore function.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity, functional assessments to evaluate range of motion, and any surgical interventions if applicable.
Patients may present with knee pain following a recent infection, requiring evaluation for possible arthroscopic intervention if conservative management fails.
Orthopedic documentation must detail the severity of joint involvement and any structural changes observed in imaging.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), autoimmune panels, and assessments of disease activity.
Patients may have a history of reactive arthritis following a genitourinary infection, necessitating a comprehensive evaluation of joint symptoms and systemic involvement.
Rheumatologists must document any systemic symptoms and the impact on the patient's overall health status.
Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation goals and progress notes.
Patients may require physical therapy to regain knee function after an episode of reactive arthritis.
Documentation should focus on mobility limitations and the need for assistive devices during rehabilitation.
Used for knee joint effusion management in reactive arthropathy cases.
Document the indication for the procedure, joint involved, and any findings during aspiration.
Orthopedic and rheumatologic considerations for joint management.
Common causes include infections (e.g., genitourinary, gastrointestinal), autoimmune diseases, and post-infectious inflammatory responses. It is essential to identify the underlying cause to guide treatment.
