Rheumatoid polyneuropathy with rheumatoid arthritis of shoulder
ICD-10 M05.51 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of shoulder.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement, often leading to sensory and motor deficits. The shoulder joint, a ball-and-socket joint formed by the humerus and the scapula, is frequently affected in RA, leading to inflammation, pain, and reduced range of motion. Patients may present with symptoms such as shoulder pain, weakness, and numbness in the upper extremities due to nerve compression or damage. The pathophysiology involves autoimmune-mediated inflammation that can lead to synovitis, joint destruction, and secondary neuropathic changes. Clinically, patients may exhibit limited shoulder abduction and external rotation, impacting daily activities and overall quality of life. Early diagnosis and management are crucial to prevent further joint damage and improve functional outcomes.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments, and treatment plans detailing surgical or non-surgical interventions.
Patients may require surgical intervention for joint repair or replacement due to severe damage from RA.
Documentation must specify the degree of joint involvement and any associated deformities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and treatment response evaluations.
Management of systemic symptoms and medication adjustments based on disease progression.
Consideration of comorbidities and their impact on treatment choices.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation programs focusing on restoring function and managing pain.
Assessment of the patient's ability to perform activities of daily living and the need for occupational therapy.
Used for managing joint effusion in the shoulder due to RA.
Document the joint involved, the procedure performed, and the patient's response.
Orthopedic considerations for joint management and rheumatologic considerations for inflammation control.
Common symptoms include numbness, tingling, weakness in the extremities, and pain, particularly in the shoulders and arms, which can significantly impact daily activities.
