M08.059
BillableUnspecified juvenile rheumatoid arthritis, unspecified hip
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
A type of arthritis that develops in children affecting the hip joint, but the specific side (left or right) is not documented or specified.
Coding Tips
- •Use this code only when laterality cannot be determined from the medical record
- •Query the provider if documentation is unclear about which hip is affected
Clinical Significance
This diagnosis represents juvenile rheumatoid arthritis affecting the hip, a chronic inflammatory condition that requires ongoing medical management and monitoring for long-term joint damage. The unspecified laterality indicates incomplete documentation that may affect risk stratification accuracy.
Documentation Requirements
- ✓Physician diagnosis of juvenile rheumatoid arthritis documented in medical record
- ✓Evidence of hip joint involvement with inflammatory changes
- ✓Age of onset before 16 years of age clearly stated
- ✓Documentation of chronic, persistent joint inflammation
- ✓Laboratory results supporting inflammatory arthritis when available
- ✓Functional assessment and joint mobility evaluation
- ✓Treatment plan including anti-inflammatory medications or DMARDs
- ✓Follow-up care plans for monitoring disease progression
Commonly Confused Codes
M08051 — Specifies right hip involvement instead of unspecifiedM08052 — Specifies left hip involvement instead of unspecifiedM06.9 — Adult rheumatoid arthritis, unspecified, used for patients over 16M25.559 — Non-inflammatory hip pain without arthritis componentM08.09 — Multiple site involvement rather than hip-specific
Code Hierarchy
└M08Juvenile arthritis└M08.0Unspecified juvenile rheumatoid arthritis└M08.05Unspecified juvenile rheumatoid arthritis, hip└M08.059Unspecified juvenile rheumatoid arthritis, unspecified hip
└M08.059Unspecified juvenile rheumatoid arthritis, unspecified hip