M02.311
Reiter's disease, right shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that develops as a reaction to an infection in another part of the body. When it involves the right shoulder, it causes pain, swelling, and stiffness in that joint. This disease primarily affects young adults and can impact various joints, with symptoms often appearing after an infection elsewhere. Proper awareness and management can help reduce discomfort and prevent complications.
Causes & Symptoms
Clinical Causes: Previous infections, particularly those affecting the intestines, genitals, or urinary tract, such as chlamydia or Salmonella. Genetic predispositions, including the presence of the HLA-B27 gene. Environmental factors like stress and injuries may influence disease onset. Infections that trigger immune responses, leading to inflammation in joints.
Key Symptoms: Pain, tenderness, and swelling in the right shoulder joint. Restricted range of motion, making movement difficult. Possible redness and warmth over the affected joint. General symptoms including fever, fatigue, and malaise. Additional joint involvement, such as knees, ankles, or fingers, may occur. Signs of preceding infection, like urinary or gastrointestinal symptoms, might be present.
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of clinical evaluation and laboratory tests. Healthcare providers assess symptoms, physical examination of the shoulder, and medical history. Blood tests may include markers of inflammation like ESR or CRP, and testing for the HLA-B27 gene. Joint aspiration might be performed to analyze synovial fluid. Imaging studies such as X-rays help rule out other joint conditions and assess joint damage.
Treatment Protocols: Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and inflammation. Physical therapy to maintain joint mobility and strengthen surrounding muscles. Corticosteroid injections directly into the affected shoulder to decrease inflammation. Antibiotics if an active infection is identified as the initial trigger. Disease-modifying antirheumatic drugs (DMARDs) in severe or persistent cases. Lifestyle modifications, including rest and avoiding activities that exacerbate symptoms.
Clinical Advice & FAQs
Billing Guidance
Is M02.311 a billable ICD-10 code?
Yes, M02.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M02.311?
Clinical documentation must specify the nature of Reiter's disease, right shoulder and any associated comorbidities for accurate reporting.
Cite this Clinical Reference