Rheumatoid heart disease with rheumatoid arthritis of left hip
ICD-10 M05.352 is a billable code used to indicate a diagnosis of rheumatoid heart disease with rheumatoid arthritis of left hip.
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 effects, including cardiovascular complications. The left hip joint, a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, can become inflamed and painful due to RA. Patients may experience limited range of motion, stiffness, and functional impairment. The heart involvement may manifest as pericarditis, myocarditis, or valvular heart disease, complicating the clinical picture. Patients often present with joint swelling, tenderness, and systemic symptoms such as fatigue and fever. The interplay between joint and cardiac symptoms necessitates a comprehensive treatment approach, including disease-modifying antirheumatic drugs (DMARDs), nonsteroidal anti-inflammatory drugs (NSAIDs), and possibly surgical interventions for joint repair or replacement.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed notes on joint examination findings.
Common scenarios include surgical interventions such as hip arthroplasty for severe joint damage or joint injections for pain management.
Documentation must specify the degree of joint involvement, any deformities, and the impact on the patient's mobility.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of systemic involvement.
Scenarios may involve adjusting DMARD therapy based on disease progression or managing cardiovascular risks associated with rheumatoid arthritis.
Documenting the systemic effects of rheumatoid arthritis is crucial, especially regarding cardiovascular health.
Functional assessments should evaluate the patient's ability to perform daily activities, mobility limitations, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy to improve joint function and mobility or occupational therapy for adaptive strategies.
Focus on documenting specific mobility limitations and the effectiveness of rehabilitation interventions.
Used for managing joint effusion in the left hip due to rheumatoid arthritis.
Document the indication for the procedure, joint involved, and any complications.
Orthopedic and rheumatologic considerations for joint management.
Key documentation elements include the specific joints affected, the severity of arthritis, any systemic manifestations such as cardiovascular issues, and the treatment plan including medications and procedures.
