Felty's syndrome, right ankle and foot
ICD-10 M05.071 is a billable code used to indicate a diagnosis of felty's syndrome, right ankle and foot.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and leukopenia. In this specific case, the condition affects the right ankle and foot, leading to joint inflammation, pain, and potential deformity. Anatomically, the right ankle consists of the tibia, fibula, and talus, with ligaments and tendons that support movement. The foot comprises multiple bones, including the metatarsals and phalanges, which can also be affected by inflammatory processes. Clinically, patients may present with swelling, tenderness, and reduced range of motion in the affected joints, impacting their ability to perform daily activities. The pathophysiology involves autoimmune mechanisms where the immune system mistakenly attacks joint tissues, leading to chronic inflammation and joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Common scenarios include surgical interventions for joint deformities or arthroplasties due to severe damage.
Joint-specific considerations include the degree of deformity and functional impairment, which must be documented to justify surgical options.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Patients may present with exacerbations of rheumatoid arthritis, requiring adjustments in therapy.
Systemic involvement, such as splenomegaly and leukopenia, should be documented to reflect the severity of Felty's syndrome.
Functional assessments should evaluate the patient's ability to perform activities of daily living and the need for assistive devices.
Rehabilitation scenarios may include physical therapy to improve joint function and mobility.
Mobility limitations should be documented to support the need for rehabilitation services.
Used for joint swelling and pain management in Felty's syndrome.
Document the joint involved, the reason for the procedure, and any therapeutic agents used.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, particularly in the ankles and feet, fatigue, recurrent infections due to low white blood cell counts, and splenomegaly.
