Rheumatoid lung disease with rheumatoid arthritis of unspecified shoulder
ICD-10 M05.119 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of unspecified shoulder.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by inflammation and fibrosis of lung tissue, leading to respiratory symptoms. The condition often coexists with joint involvement, particularly in the shoulders, which are commonly affected in RA. Anatomically, the shoulder comprises the glenohumeral joint, acromioclavicular joint, and surrounding musculature, all of which can be impacted by inflammatory processes. Clinically, patients may present with joint pain, stiffness, and reduced range of motion in the shoulder, alongside respiratory symptoms such as cough, dyspnea, and chest discomfort. The pathophysiology involves autoimmune mechanisms where the immune system attacks synovial tissues, leading to joint erosion and systemic manifestations, including lung involvement. Diagnosis typically requires a combination of clinical evaluation, imaging studies, and laboratory tests to assess inflammation and lung function.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint repair or replacement due to severe damage from RA.
Documentation must detail the specific joints affected and the extent of damage to guide treatment decisions.
Rheumatologic documentation should include lab results for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Patients may present with exacerbations of RA requiring adjustments in medication or therapy.
Systemic involvement must be documented, including lung function tests and any respiratory symptoms.
Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation needs.
Patients may require physical therapy to improve joint function and respiratory therapy for lung involvement.
Documentation should address mobility limitations and the need for assistive devices.
Used for joint swelling management in RA patients.
Document joint location, fluid analysis, and patient response.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include persistent cough, shortness of breath, chest pain, and fatigue, often accompanied by joint pain and stiffness.
