Rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems
ICD-10 M05.619 is a billable code used to indicate a diagnosis of rheumatoid arthritis of unspecified shoulder with involvement of other organs and systems.
Rheumatoid arthritis (RA) is a chronic inflammatory disorder that primarily affects the synovial joints, leading to pain, swelling, and eventual joint destruction. In the case of M05.619, the unspecified shoulder joint is affected, which may present with limited range of motion, stiffness, and pain during movement. Anatomically, the shoulder comprises the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, all of which can be involved in RA. The systemic nature of RA means that it can also affect other organs, including the lungs, heart, and skin, leading to extra-articular manifestations. Clinically, patients may present with morning stiffness, fatigue, and symmetrical joint involvement. The pathophysiology involves an autoimmune response where the immune system mistakenly attacks the synovial membrane, resulting in inflammation and joint damage. Early diagnosis and management are crucial to prevent irreversible joint damage and maintain functional capacity.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint damage, as well as functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint repair or replacement due to severe damage from RA.
Orthopedic documentation must detail the specific joints involved and the extent of damage to guide treatment decisions.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Patients may present with flares of RA requiring adjustment of disease-modifying antirheumatic drugs (DMARDs).
Documentation must capture the systemic effects of RA, including any organ involvement.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid rehabilitation.
Patients may undergo physical therapy to improve joint function and reduce pain.
Documentation should reflect the impact of RA on daily activities and quality of life.
Used for joint swelling and pain relief in RA patients.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include pain, swelling, stiffness, and decreased range of motion in the shoulder joint. Patients may also experience systemic symptoms such as fatigue and malaise.
