Rheumatoid heart disease with rheumatoid arthritis of right hip
ICD-10 M05.351 is a billable code used to indicate a diagnosis of rheumatoid heart disease with rheumatoid arthritis of right hip.
Rheumatoid heart disease is a complication of rheumatoid arthritis (RA), an autoimmune disorder characterized by chronic inflammation of the joints. In this condition, the immune system mistakenly attacks the synovial membrane, leading to joint damage and systemic effects, including cardiovascular involvement. The right hip joint, a ball-and-socket joint, is particularly affected in this case, leading to pain, stiffness, and reduced range of motion. Patients may experience joint swelling and tenderness, which can significantly impair mobility. The anatomical structure of the hip includes the femoral head, acetabulum, and surrounding ligaments and muscles, all of which can be affected by inflammatory processes. Clinically, patients may present with symptoms such as hip pain exacerbated by movement, difficulty in weight-bearing activities, and systemic signs of rheumatoid disease, including fatigue and malaise. The presence of rheumatoid heart disease indicates potential complications such as pericarditis or valvular heart disease, necessitating a multidisciplinary approach to management.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed descriptions of any surgical interventions.
Common scenarios include joint replacement surgery for severe hip arthritis or arthroscopy for diagnostic purposes.
Orthopedic documentation must detail the extent of joint damage and any associated deformities, as well as the patient's functional limitations.
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 disease-modifying antirheumatic drugs (DMARDs) or biologics.
Documentation must reflect the systemic nature of the disease and any cardiovascular assessments performed.
Functional assessments should include evaluations of mobility, strength, and endurance, along with rehabilitation goals.
Rehabilitation scenarios may involve physical therapy for hip joint mobilization and strengthening exercises.
Documentation should address mobility limitations and the need for assistive devices, such as walkers or canes.
Used for joint effusion management in the right hip.
Document the indication for aspiration, joint assessment, and any therapeutic injections.
Orthopedic and rheumatologic documentation must support the need for the procedure.
Key documentation includes detailed descriptions of joint involvement, systemic symptoms, imaging results, and treatment plans. Ensure that all specialties involved in care provide consistent and comprehensive notes.
