Felty's syndrome, left knee
ICD-10 M05.062 is a billable code used to indicate a diagnosis of felty's syndrome, left knee.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. The left knee may be involved in the inflammatory process, leading to joint swelling, pain, and decreased range of motion. Anatomically, the knee joint consists of the femur, tibia, fibula, and patella, with synovial fluid providing lubrication. In Felty's syndrome, the inflammatory response can lead to synovitis, which may cause joint effusion and damage to cartilage and bone over time. Clinically, patients may present with joint deformities, systemic symptoms such as fatigue, and increased susceptibility to infections due to neutropenia. The management of Felty's syndrome often involves disease-modifying antirheumatic drugs (DMARDs), corticosteroids, and supportive care to address joint symptoms and systemic complications.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and treatment plans detailing surgical or non-surgical interventions.
Common scenarios include joint injections for symptomatic relief, arthroscopy for evaluation of joint damage, and joint replacement in advanced cases.
Joint-specific considerations include documenting the degree of joint effusion, presence of deformities, and impact on mobility.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), complete blood counts to monitor neutropenia, and assessments of disease activity using validated scales.
Common scenarios involve managing disease flares, adjusting DMARD therapy, and addressing complications related to neutropenia.
Systemic involvement should be documented, including any signs of splenomegaly and infections.
Functional assessments should evaluate the patient's ability to perform activities of daily living, mobility assessments, and rehabilitation goals.
Rehabilitation scenarios may include physical therapy for joint mobility, occupational therapy for adaptive strategies, and pain management interventions.
Mobility limitations should be documented, including the need for assistive devices such as braces or walkers.
Used for therapeutic aspiration of the left knee joint to relieve swelling and pain.
Document the indication for the procedure, joint involved, and any complications.
Orthopedic considerations include assessing joint stability and potential need for further intervention.
Key symptoms include joint pain and swelling, particularly in the knees, splenomegaly, and recurrent infections due to neutropenia. Patients may also experience fatigue and systemic symptoms related to rheumatoid arthritis.
