Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
ICD-10 M05.532 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of left wrist.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve damage due to systemic inflammation. The left wrist is commonly affected in RA, leading to synovitis, joint erosion, and functional impairment. Anatomically, the wrist consists of eight carpal bones, ligaments, tendons, and surrounding soft tissues that can become inflamed. Clinically, patients may present with pain, swelling, and stiffness in the wrist, along with sensory and motor deficits in the hand due to nerve involvement. The pathophysiology involves immune-mediated inflammation that damages both the synovial lining of joints and peripheral nerves, leading to neuropathic symptoms. Early diagnosis and management are crucial to prevent irreversible damage and maintain function.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and details on any surgical interventions.
Common scenarios include surgical interventions for joint repair or replacement, and management of acute exacerbations of arthritis.
Joint-specific considerations include documenting the degree of joint erosion, deformity, and functional limitations.
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 disease flares, adjusting DMARD therapy, and monitoring for complications.
Considerations include the impact of systemic inflammation on joint health and the potential for extra-articular manifestations.
Functional assessments should evaluate mobility, strength, and the need for assistive devices, along with rehabilitation goals.
Rehabilitation scenarios may include post-surgical recovery, pain management, and improving functional independence.
Mobility limitations due to joint pain and neuropathy must be documented to justify therapy interventions.
Used for follow-up visits to manage RA and assess neurological symptoms.
Documentation must include history, examination findings, and treatment plan.
Rheumatology and neurology considerations for comprehensive care.
Used for joint injections in the left wrist 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 feet, and pain that may be exacerbated by joint inflammation. These symptoms can significantly impact daily activities and require a multidisciplinary approach for management.
