M08.032
BillableUnspecified juvenile rheumatoid arthritis, left 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 left wrist in a child, where the specific type of juvenile arthritis has not been determined.
Coding Tips
- •The '2' in the sixth position specifically indicates left wrist; ensure documentation clearly supports left-sided involvement.
- •Consider documenting any functional impact on writing, fine motor skills, or activities of daily living for clinical context.
Clinical Significance
Juvenile rheumatoid arthritis affecting the left wrist indicates chronic inflammatory disease requiring specialized pediatric rheumatology care and long-term management. This condition can significantly impact hand function, growth, and development, necessitating ongoing monitoring and immunomodulating therapies.
Documentation Requirements
- ✓Patient age at onset under 16 years documented
- ✓Evidence of inflammatory arthritis specifically in left wrist
- ✓Documentation that specific juvenile arthritis type cannot be classified
- ✓Physical examination findings of joint inflammation
- ✓Laboratory studies supporting inflammatory diagnosis
- ✓Imaging results if available
- ✓Current treatment plan and medication management
- ✓Functional assessment of hand and wrist mobility
Commonly Confused Codes
M08.031 — Right wrist versus left wrist involvementM08.039 — Use when wrist laterality is unspecifiedM25.532 — Left wrist pain versus confirmed inflammatory arthritisM08.2 — Juvenile rheumatoid arthritis with systemic onset when systemic features presentM06.032 — Adult rheumatoid arthritis of left wrist
Code Hierarchy
└M08Juvenile arthritis└M08.0Unspecified juvenile rheumatoid arthritis└M08.03Unspecified juvenile rheumatoid arthritis, wrist└M08.032Unspecified juvenile rheumatoid arthritis, left wrist
└M08.032Unspecified juvenile rheumatoid arthritis, left wrist