Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
ICD-10 M05.562 is a billable code used to indicate a diagnosis of rheumatoid polyneuropathy with rheumatoid arthritis of left knee.
Rheumatoid polyneuropathy is a complication of rheumatoid arthritis (RA), characterized by peripheral nerve damage due to systemic inflammation. In this condition, the immune system mistakenly attacks the synovial joints, leading to chronic inflammation, pain, and eventual joint destruction. The left knee, being a major weight-bearing joint, is often affected, resulting in significant mobility limitations. Anatomically, the knee joint comprises the femur, tibia, fibula, and patella, surrounded by ligaments, tendons, and synovial fluid. The inflammation can lead to synovitis, joint effusion, and erosion of bone structures. Clinically, patients may present with symptoms such as joint pain, swelling, stiffness, and neurological symptoms like numbness or tingling in the lower extremities due to nerve involvement. Early diagnosis and management are crucial to prevent irreversible joint damage and improve quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and details of any surgical interventions.
Common scenarios include joint replacement surgery or arthroscopy for severe joint damage.
Documentation must reflect the severity of joint involvement and any associated deformities.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and patient-reported outcomes.
Scenarios may involve adjusting DMARD therapy or biologics based on disease progression.
Systemic involvement must be documented, including any extra-articular manifestations.
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 effusion management in the left knee.
Document the indication for the procedure, joint involved, and any fluid analysis performed.
Orthopedic considerations for joint management and rheumatologic implications for inflammation control.
Key documentation includes a clear diagnosis of rheumatoid arthritis, specific mention of polyneuropathy symptoms, laterality of the knee involved, and any relevant imaging or lab results that support the diagnosis.
