Felty's syndrome, unspecified shoulder
ICD-10 M05.019 is a billable code used to indicate a diagnosis of felty's syndrome, unspecified shoulder.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and leukopenia. The condition can lead to significant joint involvement, particularly in the shoulders, which may present with pain, swelling, and limited range of motion. Anatomically, the shoulder consists of the humerus, scapula, and clavicle, with the glenohumeral joint being the most mobile joint in the body. In Felty's syndrome, the inflammatory process can cause synovitis, leading to joint destruction and deformity. Clinically, patients may experience systemic symptoms such as fatigue and recurrent infections due to leukopenia, alongside localized symptoms in the shoulder region. The pathophysiology involves immune dysregulation and increased autoantibody production, contributing to joint inflammation and systemic manifestations.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with shoulder pain and limited mobility, requiring surgical intervention such as arthroscopy or joint replacement in severe cases.
Documentation must detail the extent of joint damage and any surgical interventions performed.
Rheumatologic documentation should include laboratory tests for rheumatoid factor, anti-CCP antibodies, and complete blood counts to monitor leukopenia and disease activity.
Patients may experience exacerbations of rheumatoid arthritis symptoms, necessitating adjustments in disease-modifying antirheumatic drugs (DMARDs).
Systemic involvement must be documented, including any splenomegaly or recurrent infections.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation may focus on restoring shoulder function through physical therapy and pain management strategies.
Mobility limitations should be clearly documented to support the need for rehabilitation services.
Used for managing joint effusion in the shoulder due to Felty's syndrome.
Documentation must include the indication for the procedure and any imaging guidance used.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Key symptoms include joint pain and swelling, particularly in the shoulders, fatigue, splenomegaly, and recurrent infections due to leukopenia. Accurate documentation of these symptoms is crucial for proper coding.
