Rheumatoid vasculitis with rheumatoid arthritis of unspecified site
ICD-10 M05.20 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of unspecified site.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA), characterized by inflammation of blood vessels (vasculitis) that can lead to ischemia and damage to various organs. This condition occurs when the immune system mistakenly attacks the body's own tissues, leading to chronic inflammation. Anatomically, it can affect small to medium-sized vessels, potentially impacting the skin, nerves, and internal organs. Clinically, patients may present with systemic symptoms such as fever, malaise, and weight loss, alongside joint symptoms typical of RA, including pain, swelling, and stiffness, particularly in the hands and feet. The presence of vasculitis can exacerbate joint involvement and lead to additional complications, such as peripheral neuropathy or skin ulcers. Diagnosis often involves serological tests for rheumatoid factor and anti-citrullinated protein antibodies, alongside imaging studies to assess joint and vascular involvement.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Patients may require joint surgeries or interventions due to severe joint damage from RA and vasculitis.
Documentation must specify which joints are affected and the extent of damage, as well as any surgical interventions performed.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity scores (e.g., DAS28).
Management of RA with vasculitis may involve immunosuppressive therapies and monitoring for systemic complications.
Systemic involvement must be documented, including any organ-specific symptoms or complications.
Functional assessments should evaluate the patient's mobility, strength, and need for assistive devices.
Rehabilitation may focus on restoring function and managing pain in patients with significant joint involvement.
Documentation should address mobility limitations and any adaptations required for daily living.
Used for follow-up visits to manage RA and assess for vasculitis complications.
Documentation must include history, examination findings, and management plan.
Rheumatology focus on disease activity and systemic involvement.
Common symptoms include joint pain and swelling, skin ulcers, peripheral neuropathy, and systemic symptoms such as fever and malaise. It is essential to monitor for these symptoms in patients with rheumatoid arthritis.
