Rheumatoid heart disease with rheumatoid arthritis of left knee
ICD-10 M05.362 is a billable code used to indicate a diagnosis of rheumatoid heart disease with rheumatoid arthritis of left knee.
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 joint destruction. The left knee is commonly affected, presenting with pain, stiffness, and reduced range of motion. Anatomically, the knee joint comprises the femur, tibia, fibula, and patella, surrounded by ligaments, tendons, and synovial fluid. Rheumatoid heart disease can manifest as pericarditis, myocarditis, or valvular heart disease, complicating the clinical picture. Patients may experience symptoms such as chest pain, shortness of breath, and fatigue, which can overlap with musculoskeletal symptoms. The interplay between joint and cardiac involvement necessitates a comprehensive approach to diagnosis and management, including imaging studies and laboratory tests to assess inflammation and cardiac function.
Detailed imaging reports (X-rays, MRIs) and functional assessments (range of motion, strength testing) are essential for orthopedic documentation.
Patients may present with severe knee pain requiring surgical intervention, such as arthroscopy or knee replacement.
Documenting the severity of joint damage and functional limitations is crucial for treatment planning.
Rheumatologic documentation should include lab results for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Patients may experience flares of RA with systemic symptoms, necessitating adjustments in therapy.
Monitoring for systemic involvement, including cardiac assessments, is critical for comprehensive care.
Functional assessments, including mobility evaluations and rehabilitation needs, must be documented.
Patients may require physical therapy for joint rehabilitation and mobility restoration.
Identifying assistive device needs and mobility limitations is essential for effective rehabilitation.
Used for joint effusion management in the left knee.
Document the indication for the procedure, joint involved, and any imaging guidance used.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include chest pain, shortness of breath, fatigue, and palpitations, which may overlap with musculoskeletal symptoms like joint pain and stiffness.
