Rheumatoid arthritis of right elbow with involvement of other organs and systems
ICD-10 M05.621 is a billable code used to indicate a diagnosis of rheumatoid arthritis of right elbow with involvement of other organs and systems.
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder characterized by synovial inflammation and joint destruction. The right elbow, a hinge joint formed by the humerus, radius, and ulna, is commonly affected in RA, leading to pain, swelling, and reduced range of motion. Involvement of other organs and systems may include systemic manifestations such as rheumatoid nodules, lung disease, and cardiovascular complications. Clinically, patients may present with morning stiffness, joint deformities, and systemic symptoms like fatigue and malaise. The pathophysiology involves immune-mediated processes that lead to synovitis and subsequent joint damage, necessitating comprehensive management strategies that may include pharmacotherapy, physical therapy, and surgical interventions.
Detailed imaging reports (X-rays, MRIs) and functional assessments (range of motion, strength testing).
Joint replacement surgery, arthroscopy for synovitis, and management of deformities.
Documenting joint-specific severity, including deformities and functional limitations.
Inflammatory markers (ESR, CRP), disease activity scores (DAS28), and comprehensive patient history.
Management of systemic manifestations, initiation of DMARD therapy, and monitoring of disease progression.
Assessing and documenting systemic involvement, including lung and cardiovascular assessments.
Functional assessments, rehabilitation goals, and progress notes on mobility and pain levels.
Rehabilitation post-surgery, physical therapy for joint stiffness, and mobility training.
Documenting assistive device needs and patient education on joint protection.
Used for joint effusion management in RA patients.
Document joint location, amount of fluid removed, and any therapeutic agents injected.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical evaluations, imaging results, laboratory tests for inflammatory markers, and notes on systemic involvement and treatment plans.
