Rheumatoid vasculitis with rheumatoid arthritis of unspecified shoulder
ICD-10 M05.219 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of unspecified 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 vasculitis is associated with rheumatoid arthritis affecting the shoulder region, although the specific shoulder joint is not identified. The shoulder comprises the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, all of which can be affected by RA. Clinically, patients may present with joint pain, swelling, and reduced range of motion in the 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 necrosis and potential complications such as peripheral neuropathy or organ involvement. Diagnosis typically involves clinical evaluation, serological tests for rheumatoid factor and anti-CCP antibodies, and imaging studies to assess joint involvement.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint repair or replacement due to severe damage from RA.
Documentation must reflect the severity of joint involvement and any surgical history.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP), disease activity scores, and assessments of systemic involvement.
Management of RA with vasculitis may involve immunosuppressive therapy and monitoring for organ involvement.
Systemic involvement must be documented, including any skin or neurological manifestations.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain through physical therapy.
Mobility limitations due to joint involvement and systemic symptoms must be documented.
Used for joint pain management in patients with RA and vasculitis.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, systemic symptoms like fever and malaise, and skin manifestations such as rashes or ulcers. Neurological symptoms may also occur due to vascular involvement.
