Rheumatoid lung disease with rheumatoid arthritis of right knee
ICD-10 M05.161 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of right knee.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleural effusions, and pulmonary nodules. Anatomically, the lungs are affected by the systemic inflammatory process of RA, leading to fibrosis and impaired gas exchange. Clinically, patients may present with dyspnea, cough, and decreased exercise tolerance. The right knee involvement indicates localized joint inflammation, which can manifest as swelling, pain, and reduced range of motion. The combination of these conditions complicates the clinical picture, necessitating a multidisciplinary approach for management, including rheumatologic and orthopedic interventions.
Detailed imaging reports (X-rays, MRIs) and functional assessments of the right knee, including range of motion and strength testing.
Knee arthroscopy for synovitis, total knee arthroplasty in advanced cases.
Documenting the impact of RA on joint function and any surgical interventions performed.
Assessment of inflammatory markers (e.g., ESR, CRP), disease activity scores (DAS28), and pulmonary function tests.
Management of RA flares with DMARDs, biologics, and corticosteroids.
Monitoring for systemic involvement and adjusting treatment based on lung function and joint status.
Functional assessments including mobility evaluations and rehabilitation goals.
Rehabilitation post-joint surgery or during flare-ups to maintain function.
Addressing mobility limitations and the need for assistive devices.
Used for managing knee effusion in RA patients.
Document the joint involved, indication for procedure, and any complications.
Orthopedic and rheumatologic documentation must align for accurate coding.
Common symptoms include persistent cough, dyspnea, chest pain, and fatigue. These symptoms may overlap with those of rheumatoid arthritis, complicating diagnosis.
