Rheumatoid lung disease with rheumatoid arthritis of right hand
ICD-10 M05.141 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of right hand.
Rheumatoid lung disease is a complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleural effusions, and pulmonary nodules. The condition arises due to the systemic nature of RA, where the immune system attacks the synovial membranes, leading to joint inflammation and damage. Anatomically, the right hand may exhibit involvement of the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, resulting in pain, swelling, and reduced range of motion. Clinically, patients may present with dyspnea, cough, and joint stiffness, particularly in the morning. The combination of lung involvement and hand arthritis complicates management, necessitating a multidisciplinary approach to treatment, including disease-modifying antirheumatic drugs (DMARDs) and corticosteroids.
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 severe joint deformities or arthroplasties in the right hand.
Documentation should specify the severity of joint involvement and any surgical history.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., rheumatoid factor, anti-CCP antibodies) and assessments of disease activity (e.g., DAS28 score).
Patients may present with exacerbations of RA requiring adjustments in DMARD therapy.
Systemic involvement should be documented, including pulmonary function tests to assess lung disease.
Functional assessments should evaluate mobility, activities of daily living (ADLs), and the need for assistive devices.
Rehabilitation scenarios may involve physical therapy to improve hand function and respiratory therapy for lung disease.
Documentation should reflect mobility limitations and any prescribed assistive devices.
Used for joint swelling in the right hand due to RA.
Document joint involved, procedure performed, and indication for aspiration/injection.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include persistent cough, shortness of breath, and chest discomfort, often accompanied by joint pain and stiffness in the hands.
