Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
ICD-10 M05.561 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of right knee.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA), characterized by peripheral nerve damage due to systemic inflammation. The right knee is often involved in RA, leading to synovitis, joint effusion, and pain. Anatomically, the knee joint comprises the femur, tibia, fibula, and patella, with surrounding ligaments and tendons that may also be affected. Clinically, patients may present with joint swelling, stiffness, and reduced range of motion, alongside neurological symptoms such as numbness or tingling in the lower extremities due to nerve compression or inflammation. The pathophysiology involves autoimmune mechanisms where the immune system attacks synovial tissues, leading to chronic inflammation and joint destruction, which can also affect peripheral nerves. Early diagnosis and management are crucial to prevent irreversible damage.
Detailed imaging reports (X-rays, MRIs) and functional assessments of the knee joint.
Knee arthroscopy for synovitis, joint replacement due to severe degeneration.
Documenting the extent of joint damage and functional limitations.
Inflammatory markers (e.g., ESR, CRP) and disease activity scores (e.g., DAS28).
Management of RA flares, initiation of DMARD therapy.
Monitoring systemic involvement and adjusting treatment based on disease progression.
Functional assessments, rehabilitation goals, and assistive device evaluations.
Physical therapy for joint mobility and strength restoration.
Addressing mobility limitations and planning for assistive devices.
Used for joint effusion management in RA patients.
Document joint involved, procedure details, and indication.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical notes on joint involvement, neurological symptoms, inflammatory markers, and treatment plans. Ensure that all aspects of the patient's condition are clearly documented to support the diagnosis.
