Rheumatoid lung disease with rheumatoid arthritis of right wrist
ICD-10 M05.131 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of right wrist.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleuritis, or pulmonary nodules. The right wrist involvement indicates that the synovial joints are affected, leading to inflammation, pain, and potential deformity. Anatomically, the wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. In RA, the immune system mistakenly attacks the synovial membrane, causing swelling and pain in the joints. Clinically, patients may present with joint stiffness, particularly in the morning, and systemic symptoms such as fatigue and weight loss. The presence of lung disease complicates the management of RA, as it may require additional treatments such as corticosteroids or immunosuppressants, which can further impact joint health.
Detailed imaging reports (X-rays, MRIs) showing joint erosion or deformity, functional assessments documenting range of motion and strength.
Patients requiring joint injections, surgical interventions for severe deformities, or joint replacements.
Documentation must reflect the severity of joint involvement and any functional limitations.
Lab results showing rheumatoid factor, anti-CCP antibodies, and inflammatory markers (ESR, CRP), along with assessments of disease activity (DAS28).
Management of RA flares, initiation of DMARD therapy, and monitoring for lung complications.
Systemic involvement must be documented, including any respiratory symptoms or imaging findings.
Functional assessments including mobility evaluations, assistive device needs, and rehabilitation goals.
Patients undergoing physical therapy for joint mobility and strength restoration.
Focus on mobility limitations due to joint pain and lung disease, and the need for adaptive strategies.
Used for joint effusion management in the right wrist.
Document joint effusion, procedure details, and post-procedure assessment.
Orthopedic documentation must include imaging findings and functional assessments.
Documentation must include a clear diagnosis of rheumatoid arthritis, specific joint involvement (right wrist), and any lung disease manifestations. Lab results, imaging studies, and functional assessments should be included to support the complexity of the condition.
