M08.211

Billable

Juvenile rheumatoid arthritis with systemic onset, right shoulder

HCC Category Mapping

V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.175

V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.307

ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease

0.000

What This Code Means

A systemic form of childhood arthritis with fever and rash that specifically affects the right shoulder joint.

Coding Tips

•Use this code when systemic onset juvenile rheumatoid arthritis is documented with right shoulder involvement
•Ensure laterality is clearly documented in the medical record before assigning this specific code

Clinical Significance

Systemic onset juvenile rheumatoid arthritis affecting the right shoulder represents a severe form of pediatric inflammatory disease combining systemic manifestations with specific joint involvement. The systemic component increases risk for life-threatening complications including macrophage activation syndrome.

Documentation Requirements

✓Physician diagnosis of systemic onset juvenile rheumatoid arthritis
✓Documentation of right shoulder joint involvement
✓Age of onset documented as under 16 years
✓Evidence of systemic features (fever, rash, organomegaly)
✓Right shoulder range of motion and function assessment
✓Laboratory markers of systemic inflammation
✓Treatment with systemic immunosuppressive agents
✓Monitoring protocol for macrophage activation syndrome

Commonly Confused Codes

M08212 — Left shoulder involvement instead of right M08219 — Unspecified shoulder when laterality documented M08011 — Unspecified JRA right shoulder without systemic features M06.811 — Adult RA right shoulder for patients over 16 M25.511 — Right shoulder pain without inflammatory component

Code Hierarchy

└M08Juvenile arthritis └M08.2Juvenile rheumatoid arthritis with systemic onset └M08.21Juvenile rheumatoid arthritis with systemic onset, shoulder └M08.211Juvenile rheumatoid arthritis with systemic onset, right shoulder

└M08.211Juvenile rheumatoid arthritis with systemic onset, right shoulder