Rheumatoid lung disease with rheumatoid arthritis of left wrist
ICD-10 M05.132 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of left wrist.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleuritis, and pulmonary nodules. In this condition, the immune system mistakenly attacks the synovial membranes, leading to inflammation and damage in joints, particularly in the left wrist in this case. The wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. Patients may present with joint pain, swelling, and stiffness, particularly in the morning or after periods of inactivity. The involvement of the lungs can manifest as dyspnea, cough, and reduced exercise tolerance, complicating the management of RA. The interplay between joint and lung involvement necessitates a multidisciplinary approach to treatment, including disease-modifying antirheumatic drugs (DMARDs), corticosteroids, and possibly biologics, alongside pulmonary care.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and any surgical interventions performed.
Common scenarios include joint replacement surgeries or arthroscopic procedures for severe joint damage.
Documentation must reflect the severity of joint involvement and any functional limitations experienced by the patient.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), imaging studies for lung involvement, and assessments of disease activity (e.g., DAS28).
Scenarios often involve the initiation or adjustment of DMARD therapy based on disease progression.
Systemic involvement must be documented, including any changes in lung function or respiratory symptoms.
Functional assessments should evaluate mobility, strength, and endurance, along with any rehabilitation needs.
Rehabilitation scenarios may include physical therapy for joint mobility and pulmonary rehabilitation for lung function.
Documentation should address mobility limitations and the need for assistive devices.
Used for follow-up visits to manage RA and lung disease.
Requires documentation of both joint and lung assessments.
Rheumatology and pulmonology considerations for comprehensive care.
Key documentation includes clear identification of joint involvement (left wrist), evidence of lung disease (imaging, pulmonary function tests), and details on treatment plans and disease activity.
