Rheumatoid lung disease with rheumatoid arthritis of unspecified wrist
ICD-10 M05.139 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of unspecified wrist.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleural effusions, and pulmonary nodules. The pathophysiology involves autoimmune-mediated inflammation leading to lung tissue damage. Clinically, patients may present with respiratory symptoms such as dyspnea, cough, and chest pain, alongside the typical joint manifestations of RA, which include swelling, pain, and stiffness in the wrist and other joints. The wrist, being a complex joint composed of multiple carpal bones, ligaments, and tendons, is often affected in RA, leading to functional limitations and potential deformities. The combination of lung involvement and wrist arthritis complicates the clinical picture, necessitating a multidisciplinary approach for management and rehabilitation.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for joint deformities or severe pain management.
Documentation must detail the severity of joint involvement and any functional limitations.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Autoimmune flare-ups requiring medication adjustments or monitoring for lung complications.
Systemic involvement must be documented, including any pulmonary function tests.
Functional assessments should evaluate mobility, activities of daily living, and rehabilitation needs.
Rehabilitation scenarios may include physical therapy for joint mobility and respiratory therapy for lung function.
Mobility limitations and the need for assistive devices must be documented.
Used for follow-up visits assessing joint and lung involvement.
Document history of present illness, review of systems, and physical exam findings.
Rheumatology and pulmonology considerations for comprehensive care.
Common symptoms include chronic cough, dyspnea, chest pain, and fatigue, often accompanied by joint pain and swelling typical of rheumatoid arthritis.
