Rheumatoid lung disease with rheumatoid arthritis of wrist
ICD-10 M05.13 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of wrist.
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 hallmark symptoms of RA, including joint pain, swelling, and stiffness, particularly in the wrist joints. Anatomically, the wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. In RA, synovial inflammation leads to joint destruction and deformities, impacting functional mobility. The combination of rheumatoid lung disease and wrist involvement complicates management, necessitating a multidisciplinary approach to address both musculoskeletal and pulmonary symptoms.
Detailed imaging reports (X-rays, MRIs) showing joint damage, functional assessments, and treatment plans.
Patients undergoing joint replacement or synovectomy due to severe RA.
Documenting specific joint deformities and functional limitations in the wrist.
Lab results indicating inflammatory markers (e.g., RF, anti-CCP), disease activity scores, and treatment response.
Management of systemic symptoms alongside joint treatment, including DMARD therapy.
Monitoring for systemic complications and adjusting treatment based on disease progression.
Functional assessments, rehabilitation goals, and progress notes on mobility and strength.
Rehabilitation post-surgery or during flare-ups to improve joint function.
Assessing the need for assistive devices and adaptive strategies for daily living.
Used for follow-up visits to manage RA and associated lung disease.
Detailed history of present illness, review of systems, and physical examination findings.
Rheumatology and pulmonology considerations for comprehensive care.
Common symptoms include persistent cough, shortness of breath, chest pain, and fatigue, often accompanied by joint pain and swelling typical of rheumatoid arthritis.
