Rheumatoid arthritis of unspecified elbow with involvement of other organs and systems
ICD-10 M05.629 is a billable code used to indicate a diagnosis of rheumatoid arthritis of unspecified elbow with involvement of other organs and systems.
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder primarily affecting the synovial joints, including the elbow. In RA, the immune system mistakenly attacks the synovial membrane, leading to inflammation, pain, and eventual joint damage. The elbow, a hinge joint formed by the humerus, radius, and ulna, can exhibit swelling, stiffness, and reduced range of motion due to synovitis. Systemic involvement may manifest as fatigue, fever, and extra-articular symptoms affecting organs such as the lungs, heart, and skin. Clinically, patients may present with morning stiffness lasting more than an hour, symmetrical joint involvement, and deformities such as ulnar deviation. The diagnosis is supported by clinical examination, serological tests for rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA), and imaging studies to assess joint damage.
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 joint replacement surgery for severe RA or arthroscopy for synovitis management.
Documentation must detail joint-specific involvement, including any deformities or functional limitations.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP), disease activity scores, and assessments of extra-articular manifestations.
Scenarios include initiation of disease-modifying antirheumatic drugs (DMARDs) or biologics and monitoring for side effects.
Focus on systemic involvement and progression of the disease, including any comorbidities.
Functional assessments should evaluate mobility, strength, and the need for assistive devices, along with rehabilitation goals.
Rehabilitation scenarios may involve physical therapy for joint stiffness or occupational therapy for daily living activities.
Document mobility limitations and any adaptations required for patient safety.
Used for joint effusion management in RA patients.
Document joint aspiration details, including fluid analysis.
Orthopedic and rheumatologic perspectives on joint management.
Key documentation includes clinical findings, laboratory results, imaging studies, and details on systemic involvement. Ensure that all aspects of the patient's condition are documented to support the coding.
