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M02.322

Billable

Reiter's disease, left elbow

HCC Category Mapping

V28HCC 94Reactive and Specified Arthropathies
0.000
V24HCC 40Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307
ESRDHCC 40Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000
RxHCCHCC 83Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000

What This Code Means

Reiter's disease affecting the left elbow, characterized by joint inflammation that occurs in response to a systemic infection.

Coding Tips

  • The third character '2' indicates this is Reiter's disease specifically; verify it's not another reactive arthritis
  • Document whether this is initial presentation or recurrent episode for accurate severity assessment

Clinical Significance

Reiter's disease affecting the left elbow represents a chronic inflammatory arthropathy that requires long-term management and monitoring. This reactive arthritis condition significantly impacts patient function and carries important risk adjustment implications for healthcare resource utilization.

Documentation Requirements

  • Specific documentation of left elbow involvement
  • Confirmation of Reiter's disease diagnosis with supporting clinical evidence
  • History of triggering infection (genitourinary, enteric, or respiratory)
  • Documentation of inflammatory joint findings (swelling, warmth, erythema)
  • Laboratory evidence supporting diagnosis (elevated inflammatory markers)
  • Assessment of functional limitations and pain levels
  • Treatment history including NSAIDs, DMARDs, or biologic agents
  • Monitoring for extra-articular manifestations (skin, eye, cardiac involvement)

Commonly Confused Codes

Code Hierarchy

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