Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist
ICD-10 M05.539 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA), characterized by peripheral nerve involvement due to systemic inflammation. The condition often presents with symptoms such as numbness, tingling, and weakness in the extremities, particularly affecting the hands and feet. Anatomically, the wrist is a complex joint composed of eight carpal bones, which articulate with the radius and ulna. In RA, synovial inflammation leads to joint damage, which can exacerbate nerve compression syndromes, such as carpal tunnel syndrome. Clinically, patients may exhibit joint swelling, stiffness, and reduced range of motion, particularly in the wrist, which can significantly impair daily activities. The presence of polyneuropathy complicates the clinical picture, as it may mask or mimic other conditions, necessitating thorough neurological evaluation alongside rheumatologic assessment.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and any surgical interventions performed.
Common scenarios include surgical interventions for joint repair or replacement, and management of carpal tunnel syndrome due to RA.
Joint-specific considerations include documenting the extent of joint damage and any deformities present.
Rheumatologic documentation must include laboratory tests for inflammation markers (e.g., ESR, CRP), disease activity scores, and patient-reported outcomes.
Scenarios often involve managing systemic symptoms of RA and monitoring for disease progression.
Considerations include the impact of systemic involvement on treatment choices and the need for multidisciplinary care.
Functional assessments should evaluate mobility, strength, and the need for assistive devices, along with rehabilitation goals.
Rehabilitation scenarios may focus on restoring function post-surgery or managing chronic pain.
Mobility limitations due to joint involvement and neurological symptoms must be documented to support therapy needs.
Used for follow-up visits to manage RA and assess neurological symptoms.
Document history of present illness, review of systems, and physical examination findings.
Considerations for rheumatology and neurology evaluations.
Performed to evaluate for polyneuropathy in patients with RA.
Document indications for the study and findings related to nerve function.
Neurology considerations for interpretation and follow-up.
Key symptoms include numbness, tingling, weakness in the extremities, and pain that may be exacerbated by joint inflammation. These symptoms can significantly impact daily activities and require comprehensive management.
