Felty's syndrome, right hand
ICD-10 M05.041 is a billable code used to indicate a diagnosis of felty's syndrome, right hand.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. Anatomically, the right hand may exhibit joint involvement primarily in the metacarpophalangeal (MCP) joints and proximal interphalangeal (PIP) joints, leading to deformities and functional limitations. The pathophysiology involves autoimmune processes that result in chronic inflammation, affecting synovial tissues and leading to joint destruction. Clinically, patients may present with swelling, pain, and stiffness in the right hand, impacting their ability to perform daily activities. The syndrome can also lead to systemic complications, including increased susceptibility to infections due to neutropenia, which further complicates management and treatment strategies.
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 must detail the specific joints involved and the extent of damage to guide treatment decisions.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Management of Felty's syndrome often involves immunosuppressive therapy and monitoring for infections.
Systemic involvement must be documented, including any complications arising from neutropenia.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation may focus on improving hand function and reducing pain through physical therapy.
Documentation should address any mobility limitations and the impact on daily living activities.
Used for follow-up visits to manage Felty's syndrome and assess joint involvement.
Documentation must include a review of systems, examination findings, and management plan.
Rheumatology and primary care considerations for ongoing management.
Used for joint injections in the right hand to manage pain and inflammation.
Indicate the joint involved and the reason for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Key symptoms include joint pain and swelling, particularly in the hands, splenomegaly, and recurrent infections due to neutropenia. Patients may also experience fatigue and systemic symptoms related to rheumatoid arthritis.
