Rheumatoid polyneuropathy with rheumatoid arthritis of hand
ICD-10 M05.54 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of hand.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The condition often presents with symptoms such as numbness, tingling, and weakness in the hands, which can significantly impact hand function. Anatomically, the hands consist of multiple joints, including the metacarpophalangeal and interphalangeal joints, which are commonly affected by RA. The pathophysiology involves synovial inflammation leading to joint damage and potential nerve compression. Clinically, patients may exhibit joint swelling, deformities, and reduced grip strength, necessitating a comprehensive assessment of both joint and nerve function. Early diagnosis and management are crucial to prevent irreversible damage and maintain hand functionality.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate hand strength and range of motion.
Common scenarios include surgical interventions for joint deformities or tendon repairs due to RA-related damage.
Documentation should specify the severity of joint involvement and any surgical history.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., rheumatoid factor, anti-CCP antibodies) and assessments of disease activity (e.g., DAS28 score).
Patients may present with exacerbations of RA leading to increased polyneuropathy symptoms.
Systemic involvement and progression of RA should be documented to support the diagnosis.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include therapy for improving hand function and managing pain.
Documentation should address mobility limitations and the impact on daily activities.
Used for follow-up visits to manage RA and polyneuropathy symptoms.
Documentation must include history, examination findings, and treatment plan.
Considerations for rheumatology and physical medicine specialists.
Used for managing pain associated with nerve compression due to RA.
Indication for injection and anatomical site must be documented.
Orthopedic and pain management considerations.
Common symptoms include numbness, tingling, weakness in the hands, and pain that may radiate along the arms. These symptoms arise from nerve compression due to joint swelling and inflammation associated with rheumatoid arthritis.
