Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
ICD-10 M05.542 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of left hand.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The left hand is often affected in RA, leading to joint inflammation, pain, and deformity. Anatomically, the hand consists of multiple joints including the metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints, and distal interphalangeal (DIP) joints. In RA, synovial inflammation can lead to joint erosion and deformities such as ulnar deviation. Clinically, patients may present with symptoms of numbness, tingling, and weakness in the hand due to nerve compression or damage. The pathophysiology involves immune-mediated inflammation affecting both joints and peripheral nerves, leading to a complex interplay of musculoskeletal and neurological symptoms.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and any surgical interventions performed.
Common scenarios include surgical interventions for joint deformities, such as arthroplasties or tendon repairs.
Joint-specific considerations include documenting the extent of joint damage and any functional limitations affecting daily activities.
Rheumatologic documentation must include laboratory tests for inflammation 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.
Systemic involvement may necessitate documentation of extra-articular manifestations and their impact on treatment.
Functional assessments should evaluate mobility, strength, and the need for assistive devices, as well as rehabilitation goals.
Rehabilitation scenarios may include therapy for improving hand function and pain management strategies.
Mobility limitations should be documented in detail to support the need for therapy and assistive devices.
Used for joint swelling and pain management in RA patients.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations include the need for imaging to guide the procedure.
Common symptoms include numbness, tingling, weakness in the hands and feet, and pain that may be exacerbated by joint inflammation.
