Rheumatoid lung disease with rheumatoid arthritis of right shoulder
ICD-10 M05.111 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of right shoulder.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleuritis, or pulmonary nodules. In this condition, the immune system mistakenly attacks the synovial membranes, leading to inflammation and damage in joints, including the right shoulder. Anatomically, the right shoulder comprises the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of movement. Patients may present with joint pain, swelling, and stiffness, particularly in the morning or after periods of inactivity. The lung involvement can manifest as dyspnea, cough, and reduced exercise tolerance, complicating the overall clinical picture. The interplay between joint and lung symptoms necessitates a comprehensive approach to management, including pharmacologic and non-pharmacologic interventions.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity, functional assessments to evaluate range of motion, and detailed descriptions of any surgical interventions.
Common scenarios include joint replacement surgeries, arthroscopy for joint debridement, and management of acute exacerbations of arthritis.
Documentation must reflect the severity of joint involvement, including any deformities or functional limitations.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), imaging for lung involvement, and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve the initiation of DMARD therapy, monitoring for side effects, and managing comorbidities.
Systemic involvement must be documented, including any pulmonary function tests to assess lung capacity.
Functional assessments should include evaluations of mobility, strength, and endurance, along with rehabilitation goals.
Rehabilitation scenarios may involve physical therapy for joint mobility and pulmonary rehabilitation for lung function.
Documentation should address mobility limitations and the need for assistive devices.
Used for managing joint effusion in the right shoulder.
Document the joint involved, the reason for the procedure, and any findings during the aspiration.
Orthopedic considerations include the need for imaging guidance in some cases.
Key documentation includes detailed descriptions of joint involvement, evidence of lung disease (e.g., imaging, pulmonary function tests), and a comprehensive treatment plan that addresses both joint and respiratory symptoms.
