Rheumatoid vasculitis with rheumatoid arthritis of left knee
ICD-10 M05.262 is a billable code used to indicate a diagnosis of rheumatoid vasculitis with rheumatoid arthritis of left knee.
Rheumatoid vasculitis is a serious complication of rheumatoid arthritis (RA) characterized by inflammation of blood vessels, leading to ischemia and tissue damage. In this case, the left knee is affected, indicating localized joint involvement. The knee joint comprises the femur, tibia, fibula, and patella, surrounded by synovial tissue, ligaments, and cartilage. RA is an autoimmune disorder that primarily affects synovial joints, causing pain, swelling, and stiffness. The presence of vasculitis can exacerbate these symptoms, leading to further joint damage and systemic complications. Clinically, patients may present with joint pain, swelling, and systemic symptoms such as fatigue and fever. The diagnosis is supported by clinical examination, imaging studies, and laboratory tests showing elevated inflammatory markers and specific autoantibodies. Early recognition and management are crucial to prevent irreversible joint damage and systemic complications.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed descriptions of any surgical interventions.
Common scenarios include joint replacement surgery due to severe RA damage or arthroscopy for synovitis management.
Documentation must reflect the severity of joint involvement and any surgical findings related to vasculitis.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), autoantibody profiles (e.g., RF, anti-CCP), and assessments of disease activity (e.g., DAS28).
Patients may present with exacerbations of RA symptoms or new systemic symptoms indicating vasculitis.
Systemic involvement must be documented, including any organ systems affected by vasculitis.
Functional assessments should evaluate the patient's mobility, pain levels, and ability to perform activities of daily living.
Rehabilitation scenarios may involve physical therapy to improve joint function and mobility post-surgery or during flare-ups.
Documentation should address mobility limitations and the need for assistive devices.
Used for joint effusion management in the left knee.
Document the joint involved, indication for the procedure, and any findings.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical findings related to joint involvement, systemic symptoms indicating vasculitis, imaging results, and laboratory tests showing inflammatory markers and autoantibodies.
