Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder
ICD-10 M05.519 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The condition can lead to symptoms such as pain, weakness, and sensory disturbances in the extremities. Anatomically, the shoulder joint, which consists of the humerus, scapula, and clavicle, may be affected by RA, leading to synovitis, joint erosion, and functional impairment. Patients may present with limited range of motion, pain during movement, and muscle weakness due to both joint involvement and neuropathic effects. The pathophysiology involves autoimmune processes that cause inflammation in the synovial membrane, leading to joint damage and potential nerve compression or injury. Clinically, patients may report difficulty with overhead activities, lifting, and performing daily tasks, necessitating a multidisciplinary approach for management.
Detailed imaging reports (X-rays, MRIs) showing joint erosion and inflammation, functional assessments documenting range of motion and strength.
Patients presenting with shoulder pain and limited mobility due to RA, potential surgical interventions like arthroscopy or joint replacement.
Documenting the severity of joint damage and functional limitations is crucial for treatment planning and coding.
Lab results indicating inflammatory markers (e.g., ESR, CRP), assessments of disease activity (e.g., DAS28 score), and history of systemic symptoms.
Patients with worsening RA symptoms and new neurological complaints, requiring adjustment of immunosuppressive therapy.
Monitoring for systemic involvement and documenting changes in disease progression are essential for accurate coding.
Functional assessments including mobility tests, evaluations of activities of daily living (ADLs), and rehabilitation goals.
Patients undergoing physical therapy for shoulder rehabilitation post-RA flare-up, focusing on restoring function and mobility.
Assessing the need for assistive devices and documenting progress in rehabilitation are important for coding and billing.
Used for rehabilitation of shoulder function in RA patients.
Document specific exercises performed and patient progress.
Physical therapy documentation should reflect the impact of RA on mobility.
Key symptoms include pain, weakness, and sensory disturbances in the extremities, often accompanied by joint pain and stiffness due to rheumatoid arthritis.
