Rheumatoid vasculitis with rheumatoid arthritis of right wrist
ICD-10 M05.231 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of right wrist.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA), characterized by inflammation of blood vessels that can lead to ischemia and tissue damage. The right wrist, a complex joint composed of the radius, ulna, and multiple carpal bones, is often affected in RA. Patients may present with joint pain, swelling, and stiffness, particularly in the morning. The pathophysiology involves an autoimmune response where the immune system mistakenly attacks the synovial membrane, leading to chronic inflammation. This inflammation can extend to the vascular system, causing vasculitis. Clinically, patients may exhibit systemic symptoms such as fatigue, fever, and weight loss, alongside localized symptoms in the wrist. The involvement of the wrist can significantly impair hand function, affecting daily activities and quality of life.
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 repair or replacement due to severe damage from RA.
Joint-specific considerations include documenting the extent of joint destruction and functional limitations.
Rheumatologic documentation must 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 organ damage due to vasculitis.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include post-surgical recovery or therapy for joint stiffness and pain management.
Mobility limitations should be clearly documented, including the impact on daily living activities.
Used for therapeutic drainage of the wrist joint in cases of severe swelling.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic considerations include assessing joint stability and function post-procedure.
Key documentation points include the presence of rheumatoid arthritis, specific joint involvement (e.g., right wrist), evidence of systemic symptoms, and any laboratory findings that support the diagnosis of vasculitis.
