ICD 10 CM M05.21 | Description & Clinical Information

ICD 10 M05.21 describes a medical condition known as rheumatoid vasculitis, which is characterized by the inflammation and reduced blood flow in small and medium-sized blood vessels, and typically occurs in patients who have rheumatoid arthritis, a chronic inflammatory disorder that affects the synovial membrane or lining of the shoulder joint.

Official Description Of M05.21

The ICD 10 CM book defines ICD 10 code M05.21 as:

Rheumatoid vasculitis with rheumatoid arthritis of shoulder
Parent Code Notes: M05

Excludes1: rheumatic fever (I00)
juvenile rheumatoid arthritis (M08.-)
rheumatoid arthritis of spine (M45.-)

When To Use M05.21

The diagnosis described by the ICD 10 CM M05.21 code is rheumatoid vasculitis. This condition is characterized by a variety of symptoms, including digital ischemia, which is a decrease in blood flow to the fingers and toes. Patients also experience scleritis, an inflammation of the white of the eye, and skin ulcerations on the lower extremities. Other symptoms may include fever, weight loss, numbness, tingling, and inflammation of the linings surrounding the heart and lungs.

When diagnosing rheumatoid vasculitis, healthcare providers rely on a combination of patient history, physical examination, tissue biopsies, and laboratory tests. The patient’s history of rheumatoid arthritis is particularly helpful, as the two conditions often occur together. Physical examination may reveal joint inflammation, and tissue biopsies can be used to confirm the presence of inflammation in affected areas. Blood tests can measure levels of inflammation in the body, as well as the presence of rheumatoid factor, an antibody associated with RA.

Treatment for rheumatoid vasculitis often involves the use of corticosteroids, anti-inflammatory and antirheumatic medications. These may be administered via injection or orally. Physical therapy and other supportive measures can also be used to relieve symptoms and restore joint mobility. It is important to work with a healthcare provider to develop an individualized treatment plan, as the severity of symptoms and response to various treatments can vary widely among patients.

Long-term management of rheumatoid vasculitis typically involves close monitoring by healthcare providers. Patients may need regular blood tests to track inflammation levels and monitor the efficacy of treatment. In some cases, changes to medications or treatment plans may be necessary. It is also important to maintain a healthy lifestyle, including regular physical activity, a balanced diet, and stress management techniques.

In conclusion, the ICD 10 CM M05.21 diagnosis code describes rheumatoid vasculitis, a condition characterized by a range of symptoms that can affect multiple parts of the body. Diagnosis typically involves a combination of patient history, physical examination, tissue biopsies, and laboratory tests. Treatment may involve a variety of medications and supportive measures, and long-term management is typically necessary to maintain symptom control and prevent complications. Healthcare providers and patients can work together to develop an individualized treatment plan that addresses the unique needs of each patient.

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