Rheumatoid heart disease with rheumatoid arthritis of right shoulder
ICD-10 M05.311 is a billable code used to indicate a diagnosis of rheumatoid heart disease with rheumatoid arthritis of right shoulder.
Rheumatoid heart disease is a complication of rheumatoid arthritis (RA), an autoimmune disorder characterized by chronic inflammation of the joints. In this condition, the immune system mistakenly attacks the synovial membrane, leading to joint damage and systemic manifestations, including cardiovascular complications. The right shoulder joint, a ball-and-socket joint formed by the humerus and the scapula, can become inflamed and painful due to RA. Patients may experience limited range of motion, stiffness, and swelling in the shoulder, impacting daily activities. The heart involvement can manifest as pericarditis, myocarditis, or valvular heart disease, complicating the clinical picture. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to assess inflammation and joint damage. Treatment may include disease-modifying antirheumatic drugs (DMARDs), corticosteroids, and physical therapy to manage symptoms and improve function.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on the severity of symptoms.
Common scenarios include joint injections, arthroscopy for joint debridement, and surgical interventions for severe joint damage.
Joint-specific considerations include documenting the extent of synovitis, erosions, and any functional limitations affecting the patient's quality of life.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of systemic involvement.
Scenarios often involve adjusting DMARD therapy, managing flares, and monitoring for cardiovascular complications.
Considerations include the impact of RA on overall health, potential for comorbidities, and the need for multidisciplinary management.
Functional assessments should evaluate mobility, strength, and endurance, along with rehabilitation goals tailored to the patient's needs.
Rehabilitation scenarios may include physical therapy for shoulder mobility, pain management strategies, and functional restoration programs.
Mobility limitations may necessitate the use of assistive devices, and documentation should reflect the patient's progress and response to therapy.
Used for managing joint effusion in the right shoulder due to RA.
Documentation must include the indication for the procedure, joint involved, and any complications.
Orthopedic considerations include the need for imaging guidance and assessment of joint stability.
Essential documentation includes detailed clinical notes on joint involvement, severity assessments, imaging results, and any systemic manifestations of rheumatoid arthritis, particularly cardiovascular issues.
