Rheumatoid myopathy with rheumatoid arthritis of left wrist
ICD-10 M05.432 is a billable code used to indicate a diagnosis of rheumatoid myopathy with rheumatoid arthritis of left wrist.
Rheumatoid myopathy is a condition characterized by muscle weakness and pain associated with rheumatoid arthritis (RA), an autoimmune disorder that primarily affects the joints. In this case, the left wrist is specifically involved, indicating localized joint inflammation and potential muscle involvement. The wrist consists of eight carpal bones, which articulate with the radius and ulna, allowing for a wide range of motion. In RA, synovial inflammation leads to joint damage, which can extend to surrounding muscles, resulting in myopathy. Clinically, patients may present with weakness in wrist flexion and extension, pain during movement, and swelling. The pathophysiology involves immune-mediated damage to both the synovial membrane and muscle fibers, leading to functional impairments and decreased quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on surgical considerations if applicable.
Common scenarios include surgical interventions for joint repair or replacement, as well as conservative management strategies.
Joint-specific considerations include the degree of synovitis, erosive changes, and the impact on surrounding structures.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of systemic involvement.
Scenarios often involve managing systemic symptoms and adjusting DMARD therapy based on disease progression.
Considerations include monitoring for extra-articular manifestations and the impact of comorbidities.
Functional assessments should evaluate mobility, strength, and the need for assistive devices, along with rehabilitation goals.
Rehabilitation scenarios may include physical therapy for strength restoration and pain management.
Mobility limitations and the need for adaptive equipment should be documented to support treatment plans.
Used in rehabilitation to improve strength and range of motion in the affected wrist.
Documentation must include the specific exercises performed and the patient's response.
Physical therapy documentation should reflect the goals of treatment and progress made.
Common symptoms include muscle weakness, pain in the affected areas, fatigue, and difficulty performing daily activities due to joint and muscle involvement.
