Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
ICD-10 M05.551 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of right hip.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA), characterized by peripheral nerve damage due to systemic inflammation. The right hip joint is commonly affected in RA, leading to synovitis, joint erosion, and functional impairment. Anatomically, the hip joint comprises the femoral head and the acetabulum, surrounded by ligaments and muscles that facilitate movement. In RA, inflammatory mediators can lead to neuropathic pain and sensory deficits, complicating the clinical picture. Patients may present with joint pain, stiffness, and reduced range of motion in the right hip, alongside symptoms of neuropathy such as tingling, numbness, or weakness in the lower extremities. The interplay between joint inflammation and nerve involvement necessitates a comprehensive approach to diagnosis and management.
Detailed imaging reports (X-rays, MRIs) showing joint erosion and inflammation, functional assessments documenting range of motion and pain levels.
Surgical interventions such as hip arthroplasty or joint injections for pain management.
Documenting the extent of joint damage and functional limitations is crucial for treatment planning.
Laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and patient-reported outcomes.
Management of systemic symptoms and medication adjustments based on disease progression.
Monitoring for systemic involvement and potential complications of RA is essential.
Functional assessments including mobility evaluations and rehabilitation goals.
Rehabilitation programs focusing on improving joint function and reducing neuropathic symptoms.
Addressing mobility limitations and the need for assistive devices is critical for patient care.
Used for joint injections to manage inflammation in the right hip.
Document the joint involved, indication for injection, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes clear identification of the right hip involvement, evidence of rheumatoid arthritis diagnosis, details of polyneuropathy symptoms, and functional assessments to support treatment decisions.
