Rheumatoid arthritis of right shoulder with involvement of other organs and systems
ICD-10 M05.611 is a billable code used to indicate a diagnosis of rheumatoid arthritis of right shoulder with involvement of other organs and systems.
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder characterized by synovial inflammation and joint destruction. The right shoulder joint, comprising the glenohumeral joint, acromioclavicular joint, and scapulothoracic articulation, can be significantly affected by RA. Patients may present with pain, swelling, and stiffness in the shoulder, leading to decreased range of motion and functional impairment. Systemic involvement may include manifestations such as rheumatoid nodules, pulmonary complications, and cardiovascular issues. The pathophysiology involves the immune system mistakenly attacking the synovial membrane, leading to joint erosion and systemic inflammation. Clinically, patients may experience morning stiffness lasting more than an hour, fatigue, and malaise, which can complicate their overall health status.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions such as arthroscopy or joint replacement due to severe joint damage.
Joint-specific considerations include documenting the extent of joint erosion and functional limitations.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Scenarios often involve managing systemic symptoms and adjusting DMARD therapy based on disease progression.
Systemic involvement factors such as lung function tests and cardiovascular assessments should be documented.
Functional assessments should evaluate mobility, strength, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy for restoring shoulder function and pain management strategies.
Documentation should address mobility limitations and the impact on daily activities.
Used for managing joint effusion in RA patients.
Document the joint involved, reason for aspiration, and any therapeutic injections.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical history, evidence of systemic involvement, imaging studies, laboratory results, and treatment plans that reflect the complexity of rheumatoid arthritis.
