M08.042
BillableUnspecified juvenile rheumatoid arthritis, left 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 left hand 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 hand; confirm left-sided involvement is documented.
- •Hand arthritis in children can significantly impact school performance and daily activities; consider documenting functional impact.
Clinical Significance
Juvenile rheumatoid arthritis affecting the left hand indicates chronic inflammatory disease requiring specialized management and monitoring for functional impairment. This condition necessitates ongoing pediatric rheumatology care, immunosuppressive therapy, and assessment of hand development and fine motor skills.
Documentation Requirements
- ✓Age at disease onset under 16 years documented
- ✓Evidence of inflammatory arthritis specifically in left hand
- ✓Documentation that specific juvenile arthritis type cannot be classified
- ✓Physical examination demonstrating joint inflammation in hand
- ✓Laboratory studies consistent with inflammatory arthritis
- ✓Assessment of hand function and grip strength
- ✓Treatment plan including disease-modifying therapies
- ✓Documentation of impact on school or daily activities
Commonly Confused Codes
Code Hierarchy
└M08Juvenile arthritis└M08.0Unspecified juvenile rheumatoid arthritis└M08.04Unspecified juvenile rheumatoid arthritis, hand└M08.042Unspecified juvenile rheumatoid arthritis, left hand
└M08.042Unspecified juvenile rheumatoid arthritis, left hand