Rheumatoid lung disease with rheumatoid arthritis of shoulder
ICD-10 M05.11 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of shoulder.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleural effusions, and pulmonary nodules. The pathophysiology involves autoimmune-mediated inflammation leading to lung tissue damage. Clinically, patients may present with respiratory symptoms such as dyspnea, cough, and chest pain, alongside the typical joint manifestations of RA, including pain, swelling, and stiffness in the shoulder joint. Anatomically, the shoulder comprises the humerus, scapula, and clavicle, with the glenohumeral joint being the primary site of involvement. In RA, synovial inflammation can lead to joint erosion and functional impairment, impacting mobility and quality of life. The combination of lung disease and shoulder arthritis complicates management, necessitating a multidisciplinary approach to treatment, including pharmacotherapy, physical therapy, and possibly surgical intervention for severe cases.
Detailed imaging reports (X-rays, MRIs) and functional assessments of shoulder range of motion and strength.
Patients presenting with shoulder pain and limited range of motion due to RA, requiring surgical intervention such as arthroscopy or joint replacement.
Documenting the extent of joint damage and functional limitations to justify surgical options.
Documentation of inflammatory markers (e.g., ESR, CRP), disease activity scores, and lung function tests.
Patients with worsening joint symptoms and respiratory complaints, necessitating adjustments in DMARD therapy.
Monitoring systemic involvement and progression of both RA and lung disease.
Functional assessments focusing on mobility, strength, and endurance, along with rehabilitation goals.
Rehabilitation for patients post-surgery or those undergoing physical therapy for joint and lung function improvement.
Addressing mobility limitations and the need for assistive devices.
Used for shoulder joint injections in patients with RA.
Document joint aspiration/injection details, including indications and patient response.
Orthopedic considerations for joint health and rheumatologic implications for disease management.
Common symptoms include persistent cough, shortness of breath, chest pain, and fatigue, which may accompany joint symptoms such as swelling and stiffness in the shoulder.
