Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
ICD-10 M05.511 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The right shoulder, being a common site of RA, may exhibit synovitis, joint effusion, and erosive changes leading to pain and functional impairment. Anatomically, the shoulder comprises the glenohumeral joint, acromioclavicular joint, and surrounding musculature, which can be affected by inflammatory processes. Clinically, patients may present with weakness, sensory changes, and limited range of motion in the shoulder, alongside systemic symptoms of RA such as fatigue and morning stiffness. The pathophysiology involves immune-mediated damage to both joints and peripheral nerves, necessitating a comprehensive approach to management and coding.
Detailed imaging reports (X-rays, MRIs) showing joint damage, functional assessments documenting range of motion and strength.
Patients undergoing joint injections, arthroscopy, or joint replacement due to severe RA.
Documenting the extent of joint damage and any surgical interventions performed.
Lab results indicating inflammatory markers (e.g., ESR, CRP), disease activity scores (DAS28), and patient-reported outcomes.
Management of RA flares, initiation of DMARD therapy, or biologics.
Monitoring systemic involvement and adjusting treatment based on disease progression.
Functional assessments including mobility evaluations, assistive device needs, and rehabilitation goals.
Rehabilitation post-surgery or during flare-ups to improve function and mobility.
Addressing mobility limitations and planning for assistive devices.
Used for joint effusion management in RA patients.
Document the joint involved, the procedure performed, and the patient's response.
Orthopedic documentation should include imaging findings and functional assessments.
Common symptoms include weakness, numbness, tingling in the extremities, and joint pain, particularly in the shoulders and hands, which can significantly impact daily activities.
