Rheumatoid arthritis of left elbow with involvement of other organs and systems
ICD-10 M05.622 is a billable code used to indicate a diagnosis of rheumatoid arthritis of left 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 left elbow, a hinge joint formed by the humerus, radius, and ulna, can be significantly affected by RA, leading to pain, swelling, and reduced range of motion. Involvement of other organs and systems may include the lungs, heart, and skin, indicating a systemic manifestation of the disease. Clinically, patients may present with morning stiffness, joint deformities, and systemic symptoms such as fatigue and malaise. The pathophysiology involves immune-mediated processes that lead to synovitis, cartilage degradation, and bone erosion, which can severely impact joint function and overall quality of life.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate range of motion, and any surgical interventions performed.
Common scenarios include joint replacement surgeries or arthroscopic procedures for severe joint damage.
Documentation must detail the specific joint involvement and any deformities present, as well as the impact on mobility.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP), disease activity scores, and assessments of systemic involvement.
Scenarios may involve managing flares of RA, adjusting DMARD therapy, or addressing complications such as rheumatoid nodules.
Systemic involvement must be clearly documented, including any extra-articular manifestations such as lung or cardiovascular issues.
Functional assessments should evaluate the patient's ability to perform daily activities and any rehabilitation needs, including physical therapy referrals.
Rehabilitation scenarios may focus on restoring function post-surgery or managing chronic pain.
Documentation should address mobility limitations and the need for assistive devices.
Used for joint swelling management in RA patients.
Document the joint involved, reason for the procedure, and any findings.
Orthopedic and rheumatologic considerations for joint management.
Key documentation points include specifying the affected joints, noting any systemic involvement, detailing the severity of the disease, and including results from laboratory tests and imaging studies.
