Rheumatoid lung disease with rheumatoid arthritis of left hip
ICD-10 M05.152 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of left hip.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleuritis, or pulmonary nodules. The condition arises from the systemic inflammatory nature of RA, where autoantibodies attack synovial tissues, leading to joint destruction and systemic manifestations. The left hip, being a major weight-bearing joint, can exhibit significant inflammation, pain, and reduced range of motion due to synovitis and erosive changes. Clinically, patients may present with joint stiffness, particularly in the morning, and may experience dyspnea or cough due to lung involvement. The anatomical considerations include the hip joint's structure, comprising the acetabulum and femoral head, and the lung's alveolar architecture, which can be compromised by inflammatory processes. Diagnosis often involves imaging studies, serological tests for rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA), and pulmonary function tests to assess lung capacity and function.
Detailed imaging reports (X-rays, MRIs) showing joint erosion, functional assessments, and treatment plans including medications and physical therapy.
Patients undergoing joint replacement surgery or arthroscopy due to severe RA-related damage.
Documenting the degree of joint damage and functional limitations is crucial for treatment planning and coding.
Serological markers (RF, ACPA), imaging studies for lung involvement, and assessments of disease activity (DAS28 score).
Management of RA flares with systemic therapies and monitoring for lung complications.
Systemic involvement requires careful tracking of both joint and lung symptoms, necessitating thorough documentation.
Functional assessments, rehabilitation goals, and progress notes detailing mobility limitations.
Patients requiring physical therapy for joint stiffness and lung rehabilitation for pulmonary function.
Assistive devices and mobility aids should be documented to support functional restoration efforts.
Used for joint effusion management in the left hip.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic considerations include the need for imaging guidance and assessment of joint stability.
Key documentation includes detailed clinical notes on joint involvement, imaging results for both the hip and lungs, serological markers for rheumatoid arthritis, and any functional assessments related to mobility and respiratory function.
