Felty's syndrome, left elbow
ICD-10 M05.022 is a billable code used to indicate a diagnosis of felty's syndrome, left elbow.
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 elbow, this condition may lead to significant joint inflammation, pain, and functional impairment. Anatomically, the elbow joint comprises the humerus, radius, and ulna, with ligaments and tendons providing stability and facilitating movement. Pathophysiologically, Felty's syndrome results from autoimmune processes that lead to joint destruction and systemic effects, including increased susceptibility to infections due to neutropenia. Clinically, patients may present with swelling, tenderness, and reduced range of motion in the left elbow, impacting daily activities and overall quality of life. Early diagnosis and management are crucial to prevent further joint damage and systemic complications.
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.
Common scenarios include surgical interventions for joint repair or replacement, and management of acute exacerbations of joint pain.
Joint-specific considerations include the assessment of joint stability, alignment, and the presence of any deformities.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Autoimmune scenarios may involve managing flare-ups of rheumatoid arthritis and monitoring for systemic complications.
Systemic involvement may require documentation of splenomegaly and neutropenia, as well as their implications for treatment.
Functional assessments should evaluate the patient's ability to perform activities of daily living and any rehabilitation needs.
Rehabilitation scenarios may include physical therapy for joint mobility and strength training.
Mobility limitations may necessitate the use of assistive devices, which should be documented.
Used when joint effusion is present in the left elbow due to Felty's syndrome.
Documentation must include the indication for the procedure, findings, and any therapeutic interventions performed.
Orthopedic considerations include the need for imaging guidance if indicated.
Key features include the presence of rheumatoid arthritis, evidence of splenomegaly, and laboratory confirmation of neutropenia. Documentation should also reflect the impact on joint function, particularly in the affected elbow.
