Felty's syndrome, unspecified hand
ICD-10 M05.049 is a billable code used to indicate a diagnosis of felty's syndrome, unspecified hand.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. The condition primarily affects the immune system and can lead to significant musculoskeletal manifestations. Anatomically, the hand is often involved, with joint inflammation leading to pain, swelling, and deformities. Patients may experience limited range of motion due to synovitis affecting the metacarpophalangeal and proximal interphalangeal joints. The pathophysiology involves autoimmune processes that result in joint destruction and systemic effects, including increased susceptibility to infections due to neutropenia. Clinically, patients may present with joint pain, fatigue, and splenic enlargement, necessitating a comprehensive evaluation to manage both the rheumatologic and orthopedic aspects of the disease.
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 specify which joints are affected and the degree of functional impairment.
Rheumatologic documentation should include lab results for rheumatoid factor, anti-CCP antibodies, and complete blood counts to monitor neutrophil levels.
Management of Felty's syndrome may involve 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 joint function and managing pain through physical therapy.
Mobility limitations should be clearly documented to support rehabilitation goals.
Used for joint swelling management in Felty's syndrome patients.
Document joint aspiration details, including the joint involved and the volume of fluid removed.
Orthopedic considerations for joint health and rheumatologic implications for inflammation management.
Common symptoms include joint pain and swelling, fatigue, recurrent infections due to neutropenia, and splenomegaly. Patients may also experience decreased mobility in affected joints.
