Rheumatoid lung disease with rheumatoid arthritis of left knee
ICD-10 M05.162 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of left knee.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by inflammation and fibrosis of lung tissue, which can lead to respiratory issues. The left knee involvement indicates that the patient has active rheumatoid arthritis affecting this specific joint, leading to pain, swelling, and potential loss of function. Anatomically, the left knee consists of the femur, tibia, fibula, patella, and surrounding ligaments and cartilage. The pathophysiology of RA involves an autoimmune response that targets synovial tissue, resulting in joint inflammation and damage. 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 may manifest as chronic cough, dyspnea, or pleuritic chest pain, complicating the management of the patient's overall health.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed descriptions of joint swelling and tenderness.
Common scenarios include surgical interventions such as arthroscopy or total knee arthroplasty for severe joint damage.
Joint-specific considerations include documenting the range of motion, presence of effusion, and any deformities.
Rheumatologic documentation must include laboratory tests (e.g., rheumatoid factor, anti-CCP antibodies), imaging for lung involvement, and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve managing disease-modifying antirheumatic drugs (DMARDs) and monitoring for side effects.
Systemic involvement requires careful tracking of lung function tests and potential pulmonary complications.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may include physical therapy for joint mobility and respiratory therapy for lung function.
Mobility limitations due to joint pain and respiratory issues must be documented to justify therapy.
Used for joint effusion management in the left knee.
Document the joint accessed, amount of fluid removed, and any therapeutic agents injected.
Orthopedic considerations include the need for imaging guidance in some cases.
Key documentation points include specifying the laterality of the knee joint, detailing the severity of both the rheumatoid arthritis and lung disease, and providing evidence of systemic involvement through lab results and imaging studies.
