Rheumatoid polyneuropathy with rheumatoid arthritis of wrist
ICD-10 M05.53 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of wrist.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The wrist, a complex joint formed by the radius, ulna, and carpal bones, is commonly affected in RA, leading to synovitis, joint deformities, and functional impairment. Clinically, patients may present with symptoms such as pain, swelling, and stiffness in the wrist, along with neurological symptoms like numbness, tingling, or weakness in the hands due to nerve compression or inflammation. The pathophysiology involves autoimmune-mediated inflammation that damages both the synovial tissue and peripheral nerves, leading to a combination of musculoskeletal and neurological symptoms. Diagnosis typically involves clinical evaluation, imaging studies, and laboratory tests to assess inflammatory markers and joint involvement.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions for joint deformities or tendon repairs due to RA.
Documentation must reflect the severity of joint involvement and any surgical history.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., rheumatoid factor, anti-CCP antibodies) and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve managing systemic symptoms and adjusting DMARD therapy.
Consideration of systemic involvement and monitoring for disease progression is crucial.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include therapy for improving wrist function and managing pain.
Documentation should address mobility limitations and the impact on daily activities.
Used for follow-up visits to manage RA and associated polyneuropathy.
Documentation must include assessment of joint function and neurological symptoms.
Rheumatology and primary care considerations for comprehensive management.
Used for therapeutic injection in the wrist joint to manage inflammation.
Indicate the joint involved and the reason for the procedure.
Orthopedic considerations for joint management.
Common symptoms include numbness, tingling, weakness in the hands, and pain in the wrist due to inflammation affecting both the joints and peripheral nerves.
