Psoriatic Arthritis N059
Current RMA Instruments
15 of 2021 | |
16 of 2021 |
Changes from previous Instruments
ICD coding
- ICD-9-CM Codes: 696.0
- ICD-10-AM Codes: M07.0, M07.3
Brief description
Psoriatic arthritis is a chronic inflammatory arthritis resembling rheumatoid arthritis. It occurs in up to 30% of people with psoriasis, but may also occur in the absence of psoriasis. In a person with an inflammatory arthritis and psoriasis the diagnosis of psoriatic arthropathy needs to be considered, but is not automatic.
Confirming the diagnosis
There are no specific diagnostic tests and a range of clinical presentations. Diagnosis typically requires specialist opinion and is normally made on clinical grounds together with appropriate laboratory testing and imaging.
The appropriate medical specialist is a rheumatologist.
Additional diagnoses covered by SOP
- psoriatic arthropathy
Conditions excluded from SOP / differential diagnosis
- Ankylosing spondylitis*
- Arthritis associated with inflammatory bowel disease#
- Gout*
- Osteoarthritis*
- Reactive arthritis*
- Rheumatoid arthritis*
* another SOP applies
# non-SOP condition
Clinical onset
The condition presents with pain and stiffness in the affected joints. There is no particular pattern to the joints affected. A history of psoriasis is present in about 70 percent of patients.
Clinical worsening
The course of the condition is variable but progressive joint damage is likely. Various treatment options are available that can modify the course of the condition and slow progression.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/n-p/psoriatic-arthropathy-n059-m070m073
Rulebase for psoriatic arthropathy
<h5><strong>Current RMA Instruments</strong></h5><table width="100%" border="1" cellspacing="1" cellpadding="0"><tbody><tr><td><p><a href="http://www.rma.gov.au/assets/SOP/2021/5544aec646/015.pdf" target="_blank"><em><u>Reasonable Hypothesis SOP</u></em></a></p></td><td><p>15 of 2021</p></td></tr><tr><td><p><a href="http://www.rma.gov.au/assets/SOP/2021/15604dbcbd/016.pdf" target="_blank"><em><u>Balance of Probabilities SOP</u></em></a></p></td><td><p>16 of 2021</p></td></tr></tbody></table><h5><strong>Changes from previous Instruments</strong></h5><h5><drupal-media data-entity-type="media" data-entity-uuid="c20a66e5-8452-459e-90be-ce42efe29366" data-view-mode="wysiwyg"></drupal-media><br><br><span>ICD coding</span></h5><ul><li>ICD-9-CM Codes: 696.0</li><li>ICD-10-AM Codes: M07.0, M07.3</li></ul><h5><strong>Brief description</strong></h5><p>Psoriatic arthritis is a chronic inflammatory arthritis resembling rheumatoid arthritis. It occurs in up to 30% of people with psoriasis, but may also occur in the absence of psoriasis. In a person with an inflammatory arthritis and psoriasis the diagnosis of psoriatic arthropathy needs to be considered, but is not automatic.</p><h5><strong>Confirming the diagnosis</strong></h5><p>There are no specific diagnostic tests and a range of clinical presentations. Diagnosis typically requires specialist opinion and is normally made on clinical grounds together with appropriate laboratory testing and imaging. </p><p>The appropriate medical specialist is a rheumatologist.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>psoriatic arthropathy</li></ul><h5><strong>Conditions excluded from SOP / differential diagnosis</strong></h5><ul><li>Ankylosing spondylitis*</li><li>Arthritis associated with inflammatory bowel disease<sup>#</sup></li><li>Gout*</li><li>Osteoarthritis*</li><li>Reactive arthritis*</li><li>Rheumatoid arthritis*</li></ul><p>* another SOP applies</p><p><sup>#</sup> non-SOP condition</p><h5><strong>Clinical onset</strong></h5><p>The condition presents with pain and stiffness in the affected joints. There is no particular pattern to the joints affected. A history of psoriasis is present in about 70 percent of patients.</p><h5><strong>Clinical worsening</strong></h5><p>The course of the condition is variable but progressive joint damage is likely. Various treatment options are available that can modify the course of the condition and slow progression.</p><h5> </h5><h5> </h5><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/rulebase-psoriatic-arthropathy
Inability to obtain appropriate clinical management for psoriatic arthropathy
Current RMA Instruments
15 of 2021 | |
16 of 2021 |
Changes from previous Instruments
ICD coding
- ICD-9-CM Codes: 696.0
- ICD-10-AM Codes: M07.0, M07.3
Brief description
Psoriatic arthritis is a chronic inflammatory arthritis resembling rheumatoid arthritis. It occurs in up to 30% of people with psoriasis, but may also occur in the absence of psoriasis. In a person with an inflammatory arthritis and psoriasis the diagnosis of psoriatic arthropathy needs to be considered, but is not automatic.
Confirming the diagnosis
There are no specific diagnostic tests and a range of clinical presentations. Diagnosis typically requires specialist opinion and is normally made on clinical grounds together with appropriate laboratory testing and imaging.
The appropriate medical specialist is a rheumatologist.
Additional diagnoses covered by SOP
- psoriatic arthropathy
Conditions excluded from SOP / differential diagnosis
- Ankylosing spondylitis*
- Arthritis associated with inflammatory bowel disease#
- Gout*
- Osteoarthritis*
- Reactive arthritis*
- Rheumatoid arthritis*
* another SOP applies
# non-SOP condition
Clinical onset
The condition presents with pain and stiffness in the affected joints. There is no particular pattern to the joints affected. A history of psoriasis is present in about 70 percent of patients.
Clinical worsening
The course of the condition is variable but progressive joint damage is likely. Various treatment options are available that can modify the course of the condition and slow progression.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/psoriatic-arthropathy-n059-m070m073/rulebase-psoriatic-arthropathy/inability-obtain-appropriate-clinical-management-psoriatic-arthropathy
Psoriasis
Current RMA Instruments
15 of 2021 | |
16 of 2021 |
Changes from previous Instruments
ICD coding
- ICD-9-CM Codes: 696.0
- ICD-10-AM Codes: M07.0, M07.3
Brief description
Psoriatic arthritis is a chronic inflammatory arthritis resembling rheumatoid arthritis. It occurs in up to 30% of people with psoriasis, but may also occur in the absence of psoriasis. In a person with an inflammatory arthritis and psoriasis the diagnosis of psoriatic arthropathy needs to be considered, but is not automatic.
Confirming the diagnosis
There are no specific diagnostic tests and a range of clinical presentations. Diagnosis typically requires specialist opinion and is normally made on clinical grounds together with appropriate laboratory testing and imaging.
The appropriate medical specialist is a rheumatologist.
Additional diagnoses covered by SOP
- psoriatic arthropathy
Conditions excluded from SOP / differential diagnosis
- Ankylosing spondylitis*
- Arthritis associated with inflammatory bowel disease#
- Gout*
- Osteoarthritis*
- Reactive arthritis*
- Rheumatoid arthritis*
* another SOP applies
# non-SOP condition
Clinical onset
The condition presents with pain and stiffness in the affected joints. There is no particular pattern to the joints affected. A history of psoriasis is present in about 70 percent of patients.
Clinical worsening
The course of the condition is variable but progressive joint damage is likely. Various treatment options are available that can modify the course of the condition and slow progression.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/psoriatic-arthropathy-n059-m070m073/rulebase-psoriatic-arthropathy/psoriasis