Rheumatoid vasculitis with rheumatoid arthritis of unspecified wrist
ICD-10 M05.239 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of unspecified wrist.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA), characterized by inflammation of blood vessels that can lead to ischemia and tissue damage. In this case, the condition affects the wrist, which is composed of eight carpal bones, the radius, and the ulna. The wrist joint allows for a wide range of motion, including flexion, extension, and radial/ulnar deviation. Patients may present with joint pain, swelling, and stiffness, particularly in the morning or after periods of inactivity. The presence of vasculitis can exacerbate symptoms, leading to skin lesions, neuropathy, or systemic involvement. Clinically, this condition requires careful monitoring and management to prevent complications such as joint deformities or functional impairment.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for joint deformities or severe pain management.
Documentation should specify the severity of joint involvement and any surgical history.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity scores.
Management of systemic symptoms and adjustment of DMARDs or biologics based on disease progression.
Monitoring for systemic involvement and potential complications of vasculitis.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation programs focusing on restoring function and managing pain.
Addressing mobility limitations and developing individualized treatment plans.
Used for joint swelling and pain management in RA patients.
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, skin lesions, neuropathy, and systemic symptoms like fatigue and weight loss. Early recognition and management are crucial to prevent complications.
