Rheumatoid heart disease with rheumatoid arthritis of unspecified hand
ICD-10 M05.349 is a billable code used to indicate a diagnosis of rheumatoid heart disease with rheumatoid arthritis of unspecified hand.
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 swelling, pain, and potential destruction of cartilage and bone. The heart involvement can manifest as pericarditis, myocarditis, or valvular heart disease due to systemic inflammation. Anatomically, the heart's structure may be affected, leading to functional impairments. Clinically, patients may present with joint pain, stiffness, particularly in the morning, and systemic symptoms such as fatigue and fever. The unspecified hand involvement indicates that the specific hand affected is not documented, which can complicate treatment and rehabilitation planning.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate mobility and pain levels.
Common scenarios include joint replacement surgeries or arthroscopic procedures for severe joint damage.
Documentation must specify which joints are affected and the degree of functional impairment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve medication management, including DMARDs and biologics, and monitoring for systemic involvement.
Systemic involvement must be documented, including any cardiovascular symptoms or complications.
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.
Mobility limitations should be clearly documented, along with any adaptations made for daily living.
Used for follow-up visits to manage RA and assess heart involvement.
Documentation must include history, examination findings, and treatment plan.
Rheumatology and cardiology considerations for comprehensive care.
Key documentation includes clear identification of joint involvement, severity of heart disease, inflammatory markers, and treatment response. Ensure that the unspecified hand is documented to avoid ambiguity.
