Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
ICD-10 M05.552 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of left hip.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA) characterized by peripheral nerve involvement due to systemic inflammation. In this case, the patient has rheumatoid arthritis affecting the left hip joint, leading to pain, swelling, and decreased range of motion. The hip joint, a ball-and-socket joint, is crucial for weight-bearing and mobility. In RA, synovial inflammation can lead to joint destruction and deformities. The polyneuropathy may manifest as numbness, tingling, or weakness in the lower extremities, complicating the clinical picture. Patients may experience difficulty walking and performing daily activities due to joint pain and neurological symptoms. The interplay between joint involvement and nerve damage necessitates a comprehensive treatment approach, including medication, physical therapy, and possibly surgical intervention.
Imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion and strength.
Joint replacement surgery, arthroscopy for joint debridement, management of joint deformities.
Documenting the extent of joint damage and functional limitations is crucial for treatment planning.
Assessment of inflammatory markers (e.g., ESR, CRP), disease activity scores (e.g., DAS28), and patient-reported outcomes.
Management of systemic symptoms, adjustment of DMARDs or biologics, monitoring for disease progression.
Systemic involvement may require coordination with other specialties for comprehensive care.
Functional assessments to determine mobility limitations, rehabilitation goals, and assistive device needs.
Rehabilitation post-surgery, physical therapy for joint and nerve rehabilitation.
Focus on improving mobility and quality of life through tailored rehabilitation programs.
Used for joint injections to manage inflammation in the left hip.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic and rheumatologic perspectives on joint management.
Key documentation includes detailed descriptions of joint involvement, neurological symptoms, inflammatory markers, and treatment plans. Ensure that laterality and severity are clearly indicated.
