Rheumatoid arthritis of right wrist with involvement of other organs and systems
ICD-10 M05.631 is a billable code used to indicate a diagnosis of rheumatoid arthritis of right wrist 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 wrist, comprising the distal radius, ulna, carpal bones, and associated ligaments, is commonly affected in RA. The pathophysiology involves the immune system mistakenly attacking the synovial membrane, leading to swelling, pain, and eventual joint damage. Clinically, patients may present with morning stiffness, swelling, and decreased range of motion in the wrist. Systemic involvement can include manifestations in the lungs, heart, and skin, complicating the clinical picture and necessitating a multidisciplinary approach to management.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint deformities or severe pain management.
Documentation should detail the specific joints involved and the severity of any deformities.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Management of RA flares and monitoring for systemic complications such as interstitial lung disease.
Documenting the extent of systemic involvement is crucial for treatment planning.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation programs focusing on improving joint function and reducing pain.
Consideration of mobility limitations and the impact on daily activities is essential.
Used for joint effusion management in RA patients.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint health and management.
Key documentation includes specific joint involvement, systemic manifestations, laboratory results, and treatment plans. Clear notes on the patient's functional status and any changes in condition are also essential.
