Rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and foot
ICD-10 M05.179 is a billable code used to indicate a diagnosis of rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and foot.
Rheumatoid lung disease is a serious complication of rheumatoid arthritis (RA), characterized by interstitial lung disease, pleuritis, or pulmonary nodules. In this condition, the immune system mistakenly attacks the synovial membranes, leading to inflammation and joint damage. The ankle and foot joints are commonly affected in RA, resulting in pain, swelling, and stiffness. Anatomically, the ankle consists of the tibia, fibula, and talus, while the foot comprises multiple bones including the metatarsals and phalanges. Clinically, patients may present with joint deformities, reduced range of motion, and systemic symptoms such as fatigue and respiratory issues due to lung involvement. The interplay between joint and lung pathology complicates management and necessitates a multidisciplinary approach.
Detailed imaging reports (X-rays, MRIs) and functional assessments of the ankle and foot joints.
Surgical interventions for joint deformities or severe pain management.
Documentation of joint-specific severity, including range of motion and functional limitations.
Inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Management of systemic symptoms and coordination of care for lung involvement.
Monitoring for disease progression and potential complications related to lung disease.
Functional assessments focusing on mobility and rehabilitation needs.
Rehabilitation programs aimed at restoring function and managing pain.
Assessment of assistive devices and mobility aids to enhance patient independence.
Used for follow-up visits assessing joint and lung symptoms.
Detailed history, examination findings, and treatment plan.
Requires coordination between rheumatology and pulmonology.
Common symptoms include shortness of breath, cough, and chest pain, often accompanied by joint pain and swelling in the ankles and feet due to rheumatoid arthritis.
