Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
ICD-10 M05.512 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The left shoulder is often affected in RA, leading to joint pain, swelling, and stiffness. Anatomically, the shoulder joint comprises the humerus, scapula, and clavicle, with surrounding muscles, tendons, and ligaments contributing to its complex movement. In RA, synovial inflammation can lead to joint erosion and deformity, impacting mobility. Clinically, patients may present with weakness, sensory changes, and pain radiating from the shoulder, often exacerbated by inflammatory flares. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests for rheumatoid factor and anti-CCP antibodies. Management includes pharmacologic interventions, physical therapy, and possibly surgical options for severe cases.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on joint stability.
Common scenarios include surgical interventions for joint repair or replacement, and management of acute exacerbations requiring corticosteroid injections.
Joint-specific considerations include documenting the extent of erosion, deformity, and functional limitations affecting daily activities.
Rheumatologic documentation must include laboratory results indicating inflammation (ESR, CRP), disease activity scores, and assessments of systemic involvement.
Autoimmune scenarios may involve managing flares with DMARDs or biologics, and monitoring for extra-articular manifestations.
Systemic involvement requires careful tracking of symptoms and treatment responses to adjust therapy accordingly.
Functional assessments should evaluate mobility, strength, and the need for assistive devices, along with rehabilitation goals.
Rehabilitation scenarios may include post-surgical recovery or therapy for improving range of motion and strength.
Mobility limitations should be documented thoroughly to justify therapy interventions and assistive device prescriptions.
Used for managing joint inflammation in the left shoulder.
Document the joint involved, indication for the procedure, and any prior treatments.
Orthopedic considerations include assessing joint stability and range of motion pre- and post-procedure.
Common symptoms include weakness, numbness, tingling in the extremities, and pain that may radiate from the affected joints. These symptoms can significantly impact daily activities and quality of life.
