Rheumatoid polyneuropathy with rheumatoid arthritis
ICD-10 M05.5 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA), a chronic autoimmune disorder characterized by inflammation of the synovial joints. The condition can lead to peripheral nerve damage due to systemic inflammation and vasculitis, affecting the nerves that control movement and sensation. Clinically, patients may present with symptoms such as numbness, tingling, and weakness in the extremities, alongside the typical joint pain and swelling associated with RA. Anatomically, the peripheral nervous system is impacted, particularly the sensory and motor nerves, which can lead to significant functional limitations. The pathophysiology involves immune-mediated damage to the nerve fibers, often exacerbated by the inflammatory milieu of RA. Diagnosis typically involves clinical evaluation, nerve conduction studies, and electromyography to assess nerve function and identify the extent of neuropathy.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint involvement and functional assessments to evaluate mobility limitations.
Patients may require joint surgeries or interventions for severe deformities caused by RA.
Documentation must specify which joints are affected and the severity of joint damage.
Rheumatologic documentation should include laboratory tests for inflammation markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Management of RA flares and adjustments in DMARD therapy.
Systemic involvement must be documented, including any extra-articular manifestations.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs.
Rehabilitation programs focusing on improving mobility and strength.
Documentation of assistive devices used and their impact on mobility.
Used to evaluate the extent of polyneuropathy in patients with rheumatoid arthritis.
Documentation must include the specific nerves tested and the results of the studies.
Rheumatology and neurology may collaborate on the interpretation of results.
Common symptoms include numbness, tingling, weakness in the extremities, and pain that may be exacerbated by joint inflammation associated with rheumatoid arthritis.
