Rheumatoid polyneuropathy with rheumatoid arthritis of hip
ICD-10 M05.55 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of hip.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. The hip joint, a ball-and-socket joint formed by the femur and the acetabulum of the pelvis, can be affected by RA, leading to synovitis, joint erosion, and pain. Clinically, patients may present with joint stiffness, swelling, and reduced range of motion in the hip, alongside symptoms of neuropathy such as numbness, tingling, and weakness in the lower extremities. The pathophysiology involves immune-mediated inflammation that damages both the synovial tissue and peripheral nerves, contributing to functional impairments and mobility limitations. Diagnosis is supported by clinical examination, imaging studies, and laboratory tests for rheumatoid factor and anti-citrullinated protein antibodies.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and detailed notes on joint stability.
Common scenarios include surgical interventions such as hip arthroplasty or joint injections for pain management.
Documentation must reflect the severity of joint involvement and any surgical history.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP), disease activity scores, and notes on systemic involvement.
Scenarios often involve medication management, including DMARDs and biologics, and monitoring for disease progression.
Consideration of comorbidities and their impact on treatment decisions is crucial.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy for joint mobility and strength training.
Documentation should address mobility limitations and the impact on daily activities.
Used for joint pain management in RA patients with hip involvement.
Document the joint accessed, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations for joint health and inflammation management.
Common symptoms include numbness, tingling, and weakness in the extremities, often accompanied by joint pain and stiffness due to rheumatoid arthritis.
