M08.031
BillableUnspecified juvenile rheumatoid arthritis, right wrist
HCC Category Mapping
V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000What This Code Means
Juvenile rheumatoid arthritis affecting the right wrist in a child, where the specific type of juvenile arthritis has not been determined.
Coding Tips
- •The '1' in the sixth position indicates right wrist; confirm laterality in documentation before assigning this code.
- •Wrist involvement in juvenile arthritis may impact hand function and grip strength; document functional limitations if present.
Clinical Significance
Unspecified juvenile rheumatoid arthritis of the right wrist represents chronic inflammatory disease with potential for significant functional impairment and growth disturbances. This diagnosis indicates need for ongoing rheumatologic care, immunosuppressive therapy management, and monitoring for complications in pediatric patients.
Documentation Requirements
- ✓Age at disease onset documented as under 16 years
- ✓Clinical evidence of inflammatory arthritis specifically in right wrist
- ✓Documentation that specific juvenile arthritis subtype cannot be determined
- ✓Physical examination demonstrating joint inflammation
- ✓Supporting imaging studies if performed
- ✓Laboratory markers of systemic inflammation
- ✓Treatment history and current management
- ✓Assessment of hand function and development
Commonly Confused Codes
M08.032 — Left wrist involvement versus right wristM08.039 — Unspecified wrist laterality when right side is documentedM25.531 — Right wrist pain versus documented inflammatory arthritisM08.4 — Pauciarticular juvenile chronic arthritis when pattern fitsM06.031 — Adult rheumatoid arthritis of right wrist
Code Hierarchy
└M08Juvenile arthritis└M08.0Unspecified juvenile rheumatoid arthritis└M08.03Unspecified juvenile rheumatoid arthritis, wrist└M08.031Unspecified juvenile rheumatoid arthritis, right wrist
└M08.031Unspecified juvenile rheumatoid arthritis, right wrist