M08.041
BillableUnspecified juvenile rheumatoid arthritis, right hand
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 hand in a child, where the specific type of juvenile arthritis has not been determined.
Coding Tips
- •The '1' in the sixth position indicates right hand; verify documentation specifies right-sided involvement before coding.
- •Hand involvement in juvenile arthritis is significant for functional assessment; document any limitations in grip, dexterity, or self-care activities.
Clinical Significance
Unspecified juvenile rheumatoid arthritis of the right hand represents chronic inflammatory disease with significant potential for functional impairment and developmental concerns. This diagnosis indicates need for specialized pediatric rheumatology care, immunosuppressive management, and ongoing monitoring for hand function and growth.
Documentation Requirements
- ✓Patient age at onset documented as under 16 years
- ✓Clinical evidence of inflammatory arthritis in right hand joints
- ✓Documentation that specific juvenile arthritis subtype cannot be determined
- ✓Physical examination showing signs of joint inflammation
- ✓Laboratory evidence of systemic inflammatory process
- ✓Functional assessment of hand use and dexterity
- ✓Current or planned therapeutic interventions
- ✓Assessment of impact on activities of daily living
Commonly Confused Codes
Code Hierarchy
└M08Juvenile arthritis└M08.0Unspecified juvenile rheumatoid arthritis└M08.04Unspecified juvenile rheumatoid arthritis, hand└M08.041Unspecified juvenile rheumatoid arthritis, right hand
└M08.041Unspecified juvenile rheumatoid arthritis, right hand