ICD 10 CM M05.29 | Description & Clinical Information

ICD 10 M05.29 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 of multiple joints.

Official Description Of M05.29

The ICD 10 CM book defines ICD 10 code M05.29 as:

Rheumatoid vasculitis with rheumatoid arthritis of multiple sites
Parent Code Notes: M05

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

When To Use M05.29

The diagnosis describes by ICD 10 CM M05.29 refers to rheumatoid vasculitis, which is a rare complication of rheumatoid arthritis. This condition is characterized by inflammation of different blood vessels throughout the body. It can affect both the small and large vessels, leading to various symptoms.

One of the most common symptoms of rheumatoid vasculitis is digital ischemia, which is a condition where there is a decreased blood flow to the fingers and toes. This can cause pain, numbness, and tingling in the affected areas. Additionally, patients with this diagnosis may experience inflammation of the white of the eye, known as scleritis.

Skin ulcerations of the lower extremities are also common in patients with rheumatoid vasculitis. These skin lesions can be painful and slow-healing. In some cases, they may even lead to infection or tissue damage.

Rheumatoid vasculitis can also affect the linings surrounding the heart and lungs. This can lead to symptoms such as fever, weight loss, and chest pain. In severe cases, this condition can cause damage to the heart or lungs, leading to life-threatening complications.

The diagnosis of rheumatoid vasculitis is based on a variety of factors. The provider will typically consider the patient’s history of rheumatoid arthritis, physical exam findings, and laboratory test results. Tissue biopsies may also be performed to confirm the diagnosis.

Treatment for rheumatoid vasculitis typically involves a combination of medications and supportive measures. Corticosteroids are often used to reduce inflammation, while anti-inflammatory and antirheumatic medications may also be prescribed. Physical therapy can help to relieve joint pain and restore range of motion.

In addition to medical treatment, patients with rheumatoid vasculitis may benefit from lifestyle changes such as maintaining a healthy weight, getting regular exercise, and avoiding smoking. It is also important to manage any other health conditions that may contribute to the development or progression of this condition.

Overall, rheumatoid vasculitis is a rare but serious complication of rheumatoid arthritis. Early diagnosis and treatment are key to managing symptoms and preventing complications. If you or a loved one experience symptoms of this condition, it is important to seek medical attention right away.

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