Rheumatoid vasculitis with rheumatoid arthritis of hand
ICD-10 M05.24 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of hand.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA), characterized by inflammation of blood vessels that can lead to ischemia and tissue damage. The hands, often affected by RA, may exhibit joint swelling, pain, and deformities due to synovial inflammation. Anatomically, the hands consist of multiple joints including the metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints, and distal interphalangeal (DIP) joints, all of which can be involved in the inflammatory process. Clinically, patients may present with symptoms such as skin ulcers, digital ischemia, and neuropathic pain due to vascular compromise. The pathophysiology involves immune-mediated damage to the vascular endothelium, leading to vasculitis, which can exacerbate the joint symptoms of RA, complicating treatment and management strategies.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility limitations.
Common scenarios include surgical interventions for joint deformities or severe pain management.
Documentation must detail the specific joints involved and the extent of damage to guide treatment options.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Scenarios often involve managing systemic symptoms and adjusting DMARD therapy.
Systemic involvement must be documented, including any neurological or dermatological manifestations.
Functional assessments should evaluate the patient's ability to perform daily activities and any need for assistive devices.
Rehabilitation scenarios may include physical therapy for joint mobility and strength training.
Documentation should address mobility limitations and the impact on quality of life.
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 health and management.
Key symptoms include skin ulcers, joint pain, swelling, and signs of ischemia in the hands, such as discoloration or numbness.
