Rheumatoid arthritis of elbow with involvement of other organs and systems
ICD-10 M05.62 is a billable code used to indicate a diagnosis of rheumatoid arthritis of elbow with involvement of other organs and systems.
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disorder characterized by synovial inflammation and joint destruction. The elbow, a hinge joint formed by the humerus, radius, and ulna, is commonly affected in RA, leading to pain, swelling, and reduced range of motion. Systemic involvement may include extra-articular manifestations such as rheumatoid nodules, lung disease, and cardiovascular complications. Clinically, patients may present with morning stiffness, joint deformities, and fatigue. The pathophysiology involves immune-mediated processes that lead to synovitis, cartilage degradation, and bone erosion. Early diagnosis and management are crucial to prevent joint damage and improve quality of life.
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 severity of deformities and functional limitations.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Scenarios often involve managing flares of RA and adjusting DMARD therapy based on disease progression.
Systemic involvement such as lung or cardiovascular issues must be documented to support the complexity of the condition.
Functional assessments should detail mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may include physical therapy for joint mobility and strength restoration.
Documentation should reflect the impact of RA on daily activities and the need for adaptive strategies.
Used for joint effusion management in RA patients.
Document the joint involved, the reason for the procedure, and any findings.
Orthopedic and rheumatologic considerations for joint management.
Key documentation includes detailed clinical notes on joint involvement, systemic manifestations, laboratory results indicating disease activity, and imaging studies showing joint damage.
