Felty's syndrome, unspecified hip
ICD-10 M05.059 is a billable code used to indicate a diagnosis of felty's syndrome, unspecified hip.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and leukopenia. In the context of unspecified hip involvement, patients may experience joint pain, swelling, and stiffness in the hip region, which can lead to significant mobility limitations. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. The pathophysiology involves autoimmune processes leading to synovial inflammation and joint destruction. Clinically, patients may present with systemic symptoms such as fatigue and malaise, alongside localized hip pain and reduced range of motion. Diagnosis is often supported by imaging studies, laboratory tests for rheumatoid factor, and assessment of splenic size. Early recognition and management are crucial to prevent further joint damage and improve functional outcomes.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed descriptions of any surgical interventions.
Common scenarios include joint replacement surgeries or arthroscopic procedures for severe hip involvement.
Joint-specific considerations include the degree of joint degeneration and the impact on the patient's overall mobility and quality of life.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of splenomegaly.
Autoimmune and inflammatory scenarios often involve managing disease-modifying antirheumatic drugs (DMARDs) and monitoring for side effects.
Systemic involvement may necessitate a multidisciplinary approach, considering the effects of Felty's syndrome on overall health.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs, including physical therapy.
Rehabilitation scenarios may focus on restoring mobility and strength post-surgery or during flare-ups.
Mobility limitations may require the use of assistive devices, which should be documented for proper coding.
Used for joint aspiration in patients with hip effusion due to Felty's syndrome.
Document the indication for the procedure, findings, and any therapeutic interventions.
Orthopedic and rheumatologic considerations include monitoring for infection and assessing joint fluid.
Common symptoms include joint pain, particularly in the hips, splenomegaly, fatigue, and leukopenia. Patients may also experience systemic symptoms related to rheumatoid arthritis.
