Felty's syndrome, left shoulder
ICD-10 M05.012 is a billable code used to indicate a diagnosis of felty's syndrome, left shoulder.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. In the context of the left shoulder, patients may experience significant joint inflammation, pain, and functional limitations due to the autoimmune process affecting the synovial tissue. Anatomically, the left shoulder comprises the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, all of which can be affected by the inflammatory processes associated with Felty's syndrome. Clinically, patients may present with swelling, tenderness, and decreased range of motion in the left shoulder, impacting daily activities and quality of life. The pathophysiology involves immune-mediated damage to the joint structures, leading to chronic inflammation and potential joint destruction if not managed appropriately.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity, as well as functional assessments to evaluate range of motion and strength.
Patients may present with severe shoulder pain requiring surgical intervention, such as arthroscopy or joint replacement, due to joint destruction.
Documenting the severity of joint involvement and any surgical interventions is crucial for accurate coding.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Patients may experience exacerbations of rheumatoid arthritis leading to increased shoulder pain and functional limitations.
Systemic involvement, such as splenomegaly and neutropenia, should be documented to support the diagnosis of Felty's syndrome.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid rehabilitation.
Patients may require physical therapy to improve shoulder function and manage pain.
Documenting mobility limitations and the impact on daily activities is essential for rehabilitation coding.
Used for joint effusion management in the left shoulder.
Document the indication for the procedure, including joint involvement and any prior treatments.
Orthopedic and rheumatologic considerations for joint aspiration.
Felty's syndrome is characterized by rheumatoid arthritis, splenomegaly, and neutropenia. Patients may experience joint pain, particularly in the shoulders, and increased susceptibility to infections due to low neutrophil counts.
