Rheumatoid vasculitis with rheumatoid arthritis of left shoulder
ICD-10 M05.212 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of left shoulder.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, which can lead to ischemia and tissue damage. In this case, the condition is localized to the left shoulder, where the joint is affected by RA. The shoulder joint comprises the humerus, scapula, and clavicle, with a complex arrangement of ligaments, tendons, and muscles that facilitate a wide range of motion. Patients may present with pain, swelling, and limited mobility in the left shoulder, alongside systemic symptoms of vasculitis such as fever, malaise, and skin manifestations. The pathophysiology involves immune-mediated damage to the vascular endothelium, leading to compromised blood flow and potential joint destruction. Clinically, this condition requires careful monitoring and management to prevent further complications, including joint deformity and systemic involvement.
Orthopedic documentation should include imaging studies (e.g., X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical intervention for joint repair or replacement due to severe damage from RA and vasculitis.
Joint-specific considerations include the assessment of rotator cuff integrity and potential for surgical intervention based on the extent of damage.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity scores to monitor progression.
Scenarios often involve the management of systemic symptoms and the adjustment of DMARDs or biologics to control disease activity.
Systemic involvement may necessitate collaboration with other specialties, particularly if there are complications affecting other organs.
Functional assessments should evaluate the patient's ability to perform activities of daily living and the need for rehabilitation services.
Rehabilitation scenarios may include physical therapy to improve shoulder function and mobility post-treatment.
Mobility limitations may require the use of assistive devices, which should be documented to support the need for therapy.
Used for joint aspiration in cases of swelling due to RA or vasculitis.
Document the joint involved, indication for the procedure, and any findings.
Orthopedic and rheumatologic considerations for joint health and management.
Common symptoms include joint pain and swelling, skin rashes, fever, and fatigue. Patients may also experience ischemic symptoms in affected areas due to compromised blood flow.
