Rheumatoid vasculitis with rheumatoid arthritis of ankle and foot
ICD-10 M05.27 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of ankle and foot.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, leading to ischemia and tissue damage. In the context of the ankle and foot, this condition can manifest as pain, swelling, and ulceration due to compromised blood flow. Anatomically, the ankle consists of the tibia, fibula, and talus, while the foot comprises multiple bones including the metatarsals and phalanges. The involvement of these structures can lead to significant functional impairment, including limited range of motion and difficulty in weight-bearing activities. Clinically, patients may present with systemic symptoms such as fatigue and fever, alongside localized symptoms in the affected joints. The pathophysiology involves immune-mediated damage to the vascular endothelium, contributing to the systemic manifestations of RA. Early diagnosis and management are crucial to prevent irreversible damage and improve quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Common scenarios include surgical interventions for joint deformities or severe pain management.
Joint-specific considerations include documenting the extent of joint damage and functional limitations affecting daily activities.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Autoimmune scenarios may involve managing flares of RA and monitoring for complications like vasculitis.
Systemic involvement should be documented, including any organ systems affected by vasculitis.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may focus on restoring function post-surgery or managing chronic pain.
Mobility limitations should be clearly documented, including the impact on activities of daily living.
Used for joint effusion management in patients with rheumatoid vasculitis.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include pain and swelling in the affected joints, skin ulcers, and systemic symptoms like fatigue and fever. It is crucial to monitor for these symptoms in patients with rheumatoid arthritis.
