Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
ICD-10 M05.522 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of left elbow.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve damage due to systemic inflammation. The left elbow, a hinge joint formed by the humerus, ulna, and radius, can be affected by RA, leading to synovitis, joint erosion, and deformity. Clinically, patients may present with pain, swelling, and reduced range of motion in the elbow, alongside symptoms of neuropathy such as numbness, tingling, or weakness in the upper extremities. The pathophysiology involves immune-mediated inflammation that damages both the synovial tissue and peripheral nerves, complicating the clinical picture and necessitating a multidisciplinary approach for management.
Detailed imaging reports (X-rays, MRIs) showing joint damage, functional assessments documenting range of motion and strength.
Surgical interventions for joint repair or replacement, management of acute exacerbations.
Documentation of joint deformities, functional limitations, and impact on daily activities.
Lab results showing inflammatory markers (e.g., ESR, CRP), assessments of disease activity (e.g., DAS28 score).
Management of systemic symptoms, adjustment of DMARDs or biologics.
Monitoring for systemic involvement and comorbidities related to RA.
Functional assessments, rehabilitation goals, and progress notes detailing therapy outcomes.
Rehabilitation post-surgery, therapy for mobility restoration.
Assessment of assistive devices and home modifications for improved mobility.
Used for joint swelling management in RA patients.
Document joint involved, reason for procedure, and any therapeutic agents used.
Orthopedic and rheumatologic documentation must align for accurate coding.
Key documentation includes detailed clinical notes on joint involvement, symptoms of polyneuropathy, lab results indicating inflammatory markers, and imaging studies showing joint condition.
