Rheumatoid vasculitis with rheumatoid arthritis of hip
ICD-10 M05.25 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of hip.
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 condition, the hip joint may be affected by both the systemic effects of RA and localized joint inflammation. Anatomically, the hip joint consists of the acetabulum of the pelvis and the femoral head, surrounded by a synovial membrane that can become inflamed in RA. Clinically, patients may present with joint pain, swelling, and reduced range of motion in the hip, alongside systemic symptoms such as fatigue and malaise. The presence of vasculitis can exacerbate these symptoms, leading to complications such as skin ulcers or neuropathy. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to assess inflammation and rule out other conditions.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on any surgical interventions.
Common scenarios include joint replacement surgery due to severe damage from RA or management of acute exacerbations requiring surgical intervention.
Documentation must reflect the severity of joint involvement and any functional limitations experienced by the patient.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and notes on systemic involvement.
Patients may present with flares of RA requiring adjustment of disease-modifying antirheumatic drugs (DMARDs) or biologics.
Systemic involvement must be documented, including any effects on organs or tissues beyond the joints.
Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation goals and progress notes.
Rehabilitation scenarios may include post-surgical recovery or management of chronic pain and mobility limitations.
Documentation should address the need for assistive devices and the impact of the condition on daily activities.
Used for joint effusion management in the hip due to RA.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint management.
Key symptoms include joint pain and swelling, systemic symptoms like fatigue, skin ulcers, and neuropathy. Patients may also experience reduced mobility due to hip involvement.
