Rheumatoid vasculitis with rheumatoid arthritis of wrist
ICD-10 M05.23 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of wrist.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, leading to ischemia and tissue damage. In this condition, the wrist joint is affected by RA, which is an autoimmune disorder that primarily targets synovial joints. The wrist consists of eight carpal bones, the radius and ulna, and is surrounded by ligaments and tendons that facilitate movement. Patients may present with joint pain, swelling, and stiffness, particularly in the morning. Vasculitis can lead to systemic symptoms such as fever, malaise, and skin manifestations. The presence of rheumatoid factor and anti-citrullinated protein antibodies can aid in diagnosis. Clinically, patients may experience limited range of motion in the wrist due to pain and swelling, impacting daily activities and overall quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for joint repair or replacement due to severe damage from RA.
Documentation must detail the specific joints involved, the extent of damage, and any surgical procedures performed.
Rheumatologic documentation should include lab results for inflammatory markers (ESR, CRP), rheumatoid factor, and anti-CCP antibodies, as well as assessments of disease activity.
Scenarios may involve managing systemic symptoms of vasculitis alongside joint symptoms.
Consideration of systemic involvement is crucial, as it can affect treatment decisions and prognosis.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to support rehabilitation.
Rehabilitation scenarios may include post-surgical recovery or management of chronic pain and mobility limitations.
Focus on the impact of joint involvement on daily activities and the need for adaptive strategies.
Used for joint swelling and pain management in RA patients.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical notes on joint involvement, lab results indicating inflammatory markers, imaging studies showing joint damage, and any systemic symptoms related to vasculitis.
