Rheumatoid polyneuropathy with rheumatoid arthritis of elbow
ICD-10 M05.52 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of elbow.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve damage due to systemic inflammation. The elbow joint, commonly affected in RA, can exhibit synovitis, joint erosion, and deformities. Anatomically, the elbow consists of the humerus, radius, and ulna, with surrounding ligaments and tendons that facilitate movement. Clinically, patients may present with pain, swelling, and reduced range of motion in the elbow, alongside symptoms of neuropathy such as numbness or tingling in the hands. The pathophysiology involves immune-mediated inflammation leading to joint destruction and potential nerve compression due to swelling or structural changes. Early diagnosis and management are crucial to prevent irreversible damage and maintain function.
Detailed imaging reports (X-rays, MRIs) showing joint damage, functional assessments of elbow range of motion, and any surgical interventions.
Patients requiring joint injections, arthroscopy, or joint replacement due to severe RA.
Documenting the degree of joint deformity and functional limitations is critical for treatment planning.
Lab results indicating inflammatory markers (e.g., ESR, CRP), disease activity scores, and patient-reported outcomes.
Management of systemic symptoms and medication adjustments based on disease progression.
Monitoring for systemic involvement and comorbidities is essential for comprehensive care.
Functional assessments, rehabilitation goals, and progress notes detailing mobility and strength.
Rehabilitation post-surgery or during flare-ups to improve joint function and reduce pain.
Assessing the need for assistive devices and home modifications to enhance patient mobility.
Used for joint injections to manage inflammation in the elbow.
Document the joint injected, the amount of medication used, and the patient's response.
Orthopedic considerations for joint stability and rheumatologic considerations for disease management.
Key symptoms include numbness, tingling, and weakness in the extremities, often accompanied by joint pain and swelling due to rheumatoid arthritis.
