Rheumatoid vasculitis with rheumatoid arthritis of left wrist
ICD-10 M05.232 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of left 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. In this case, the left wrist is affected, indicating localized involvement. The wrist joint comprises the distal radius and ulna, carpal bones, and the proximal ends of the metacarpals. RA is an autoimmune disorder that primarily affects synovial joints, leading to synovitis, joint destruction, and systemic manifestations. Patients may present with joint pain, swelling, and stiffness, particularly in the morning. In cases of vasculitis, symptoms may include skin lesions, neuropathy, and systemic symptoms such as fever and malaise. The anatomical complexity of the wrist, combined with the systemic nature of RA and the potential for vascular complications, necessitates careful assessment and documentation.
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.
Documentation must reflect the severity of joint involvement and any surgical history.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Patients may present with exacerbations of RA requiring adjustments in therapy or monitoring for systemic involvement.
Systemic involvement must be documented, including any organ systems affected by vasculitis.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy to improve joint function and mobility.
Documentation should address any limitations in daily activities and the impact of RA on quality of life.
Used for joint aspiration in cases of swelling or effusion in the left wrist.
Document the reason for aspiration, findings, and any therapeutic interventions.
Orthopedic and rheumatologic considerations for joint management.
Key symptoms include joint pain and swelling, skin lesions, neuropathy, and systemic symptoms such as fever and malaise. Documentation should reflect both local and systemic manifestations.
