Rheumatoid vasculitis with rheumatoid arthritis of right shoulder
ICD-10 M05.211 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of right shoulder.
Rheumatoid vasculitis is a severe complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, leading to ischemia and damage to various tissues. In this case, the right shoulder is affected, indicating localized joint involvement. The shoulder joint comprises the humerus, scapula, and clavicle, with a complex arrangement of ligaments, tendons, and muscles that facilitate a wide range of motion. Patients may present with pain, swelling, and reduced mobility in the shoulder, alongside systemic symptoms of RA such as fatigue and morning stiffness. The pathophysiology involves immune-mediated damage to the vascular endothelium, resulting in vasculitis that can affect multiple organ systems. Clinically, this condition may lead to joint deformities and functional limitations, necessitating a multidisciplinary approach to management, including pharmacotherapy and physical rehabilitation.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for joint repair or replacement due to severe damage from RA.
Documentation must reflect the severity of joint involvement and any deformities present.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Management of systemic symptoms and monitoring for complications of RA and vasculitis.
Consideration of systemic involvement and potential organ damage is crucial.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include post-surgical recovery or management of chronic pain.
Focus on mobility limitations and the impact on daily activities.
Used for joint injection or aspiration in patients with RA and vasculitis.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical notes on joint involvement, systemic symptoms, imaging results, and laboratory tests indicating inflammation and vasculitis.
