2025 ICD-10-CM code L40.5
(Active) Effective Date: N/A Revision Date: N/A Skin and Subcutaneous Tissue Diseases - Papulosquamous disorders Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Arthropathic psoriasis is a type of inflammatory arthritis associated with psoriasis, affecting joints.
Modifiers may be applicable depending on the specific circumstances of service, such as the place of service or the nature of the visit (e.g., established patient versus new patient).Consult current modifier guidelines for details.
Medical necessity for the diagnosis and treatment of arthropathic psoriasis is established when the patient presents with clinically significant symptoms of both psoriasis and joint involvement.The diagnosis must be confirmed through clinical examination and appropriate laboratory and imaging investigations.Treatment is medically necessary to manage symptoms (pain, inflammation, joint damage), improve functionality, and prevent disease progression.
Diagnosis and management of arthropathic psoriasis involves dermatological and rheumatological expertise.The dermatologist assesses and manages the skin manifestations while the rheumatologist focuses on the joint involvement, potentially coordinating treatment plans to address both aspects of the condition.
In simple words: Arthropathic psoriasis is a type of arthritis that often happens along with psoriasis (a skin condition).It causes joint pain and swelling, most commonly in the fingers, toes, and spine. It's a long-term condition, but treatments can help manage symptoms.
Arthropathic psoriasis is a form of inflammatory arthritis that frequently co-occurs with psoriasis.It's characterized by inflammation of the joints, often in the axial skeleton (spine) and peripheral joints, particularly the distal interphalangeal joints (the joints closest to the fingertips and toenails).The condition is associated with HLA-B27 and typically lacks rheumatoid factor.It can manifest with joint inflammation even before skin lesions appear, and may persist throughout life.Exacerbations can be triggered by stress or certain medications.
Example 1: A 45-year-old patient presents with a history of psoriasis and new onset of pain and swelling in the hands and feet, particularly affecting the distal interphalangeal joints.Physical examination reveals characteristic psoriatic skin lesions and signs of arthritis.Laboratory tests are ordered, including rheumatoid factor (negative), HLA-B27 (positive), and inflammatory markers.Diagnosis of arthropathic psoriasis is made, and a multidisciplinary management plan is initiated., A 60-year-old patient with long-standing psoriasis experiences worsening low back pain and stiffness.Imaging studies (X-rays, MRI) reveal sacroiliitis and other signs of axial spondyloarthritis consistent with arthropathic psoriasis.The patient's treatment plan includes disease-modifying antirheumatic drugs (DMARDs) and physical therapy to manage joint inflammation and pain., A 30-year-old patient with a family history of psoriasis and arthropathic psoriasis develops characteristic skin lesions and mild joint pain in the knees.Early intervention with topical corticosteroids and disease-modifying antirheumatic drugs is implemented to prevent disease progression and potentially minimize long-term joint damage.
Detailed history of psoriasis and joint symptoms, including onset, duration, location, and severity.Physical examination findings documenting skin lesions (characteristic psoriasis plaques) and joint findings (swelling, tenderness, range of motion limitations). Relevant laboratory test results (rheumatoid factor, HLA-B27, inflammatory markers, imaging studies).Treatment plan details and response to therapy.
** Arthropathic psoriasis can manifest in a variety of ways, ranging from mild to severe.The severity of joint involvement varies, and some individuals may experience significant disability.Early diagnosis and treatment are crucial to minimize long-term complications.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Rheumatology, Dermatology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Clinic