Rheumatoid vasculitis with rheumatoid arthritis of unspecified hand
ICD-10 M05.249 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of unspecified hand.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, leading to ischemia and potential necrosis of tissues. In this condition, the vasculitis is associated with the systemic effects of RA, which primarily affects the synovial joints, including the hands. The hands consist of multiple joints, including the metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints, and distal interphalangeal (DIP) joints, all of which can be involved in RA. Clinically, patients may present with joint pain, swelling, and stiffness, particularly in the morning. The presence of vasculitis can lead to additional symptoms such as skin lesions, neuropathy, and organ involvement, complicating the clinical picture. The diagnosis is often supported by serological markers such as rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA), along with imaging studies to assess joint damage and inflammation.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments, and detailed descriptions of joint involvement.
Common scenarios include surgical interventions for joint deformities or severe pain management.
Documentation must specify which joints are affected and the severity of involvement to guide treatment decisions.
Rheumatologic documentation should include lab results for inflammatory markers (ESR, CRP), disease activity scores, and assessments of systemic involvement.
Scenarios often involve managing flares of RA and monitoring for complications of vasculitis.
Systemic involvement must be documented, including any organ damage or additional symptoms related to vasculitis.
Functional assessments should evaluate mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include post-operative recovery or management of chronic pain.
Focus on mobility limitations and the impact of joint involvement on daily activities.
Used for joint pain management in patients with RA and vasculitis.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint health and systemic implications.
Key symptoms include joint pain and swelling, skin lesions, neuropathy, and systemic symptoms such as fatigue and fever. The presence of these symptoms indicates the need for comprehensive evaluation and management.
