Rheumatoid lung disease with rheumatoid arthritis of unspecified hand
ICD-10 M05.149 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of unspecified hand.
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 musculoskeletal manifestations of RA, including joint pain and swelling. The unspecified hand involvement indicates that the specific hand affected is not documented, which can complicate treatment and management strategies. Anatomically, the hands consist of multiple joints, including the metacarpophalangeal and interphalangeal joints, which can be severely affected in RA, leading to deformities and functional limitations. The interplay between lung and joint involvement necessitates a multidisciplinary approach to management, including rheumatology and pulmonary care.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility and strength.
Common scenarios include surgical interventions for joint deformities or severe pain management strategies.
Documentation must detail the specific joints involved and the degree of functional impairment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve managing systemic symptoms and adjusting DMARD therapy based on disease progression.
Systemic involvement must be documented, including any pulmonary function tests or imaging results.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may include physical therapy for joint mobility and respiratory therapy for lung function.
Mobility limitations should be clearly documented, along with any recommendations for adaptive equipment.
Used for follow-up visits to manage RA and assess lung function.
Documentation must include history, examination findings, and treatment plan.
Rheumatology and pulmonology considerations for comprehensive care.
Common symptoms include persistent cough, shortness of breath, chest pain, and fatigue, often accompanied by joint pain and stiffness typical of rheumatoid arthritis.
