Rheumatoid vasculitis with rheumatoid arthritis of knee
ICD-10 M05.26 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of knee.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, which can lead to ischemia and tissue damage. In this condition, the knee joint is affected by RA, leading to synovitis, joint swelling, and pain. Anatomically, the knee comprises the femur, tibia, fibula, and patella, with surrounding ligaments, tendons, and synovial tissue. The pathophysiology involves an autoimmune response where the immune system mistakenly attacks the synovial membrane, leading to chronic inflammation. Clinically, patients may present with joint pain, stiffness, and systemic symptoms such as fatigue and fever. The presence of vasculitis can exacerbate symptoms, leading to skin lesions, neuropathy, or organ involvement, necessitating a comprehensive approach to management.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and any surgical interventions performed.
Common scenarios include joint replacement surgery due to severe RA damage or arthroscopy for synovitis management.
Documentation must detail the severity of joint involvement and any associated deformities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of systemic involvement.
Patients may present with exacerbations of RA requiring corticosteroid therapy or disease-modifying antirheumatic drugs (DMARDs).
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 management of chronic pain and disability.
Documentation should address mobility limitations and the impact on daily activities.
Used for knee joint effusion management in RA patients.
Document the joint involved, indication for the procedure, and any findings.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical notes on joint involvement, systemic symptoms, laboratory results indicating inflammation, and any imaging studies performed. It is crucial to document the severity of both the rheumatoid arthritis and the vasculitis.
