Rheumatoid arthritis of left wrist with involvement of other organs and systems
ICD-10 M05.632 is a billable code used to indicate a diagnosis of rheumatoid arthritis of left wrist 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 wrist, comprising the distal radius, ulna, and carpal bones, is commonly affected in RA, leading to pain, swelling, and reduced range of motion. The disease can also involve systemic manifestations, affecting organs such as the lungs, heart, and eyes. Clinically, patients may present with morning stiffness, joint deformities, and systemic symptoms like fatigue and malaise. The pathophysiology involves immune-mediated synovitis, leading to the production of inflammatory cytokines and autoantibodies, which contribute to joint damage and systemic 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 and functional assessments to evaluate range of motion and strength.
Common scenarios include surgical interventions such as synovectomy or joint replacement due to severe joint destruction.
Joint-specific considerations include documenting the extent of deformity and functional limitations.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and disease activity scores (e.g., DAS28).
Scenarios often involve managing flares of RA and adjusting DMARD therapy based on disease activity.
Systemic involvement should 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 RA patients.
Document the joint involved, the procedure performed, and the indication for the procedure.
Orthopedic and rheumatologic considerations include the need for imaging guidance.
Key documentation includes specifying the affected joints, laterality, any systemic involvement, and the severity of the disease. Laboratory results and imaging studies should also be included to support the diagnosis.
