M08.232
BillableJuvenile rheumatoid arthritis with systemic onset, 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
A type of childhood arthritis that affects the left wrist and causes inflammation throughout the body, including fever and rash.
Coding Tips
- •Confirm left wrist involvement is documented in the clinical notes
- •Document any systemic manifestations such as fever, rash, or hepatosplenomegaly for complete clinical picture
Clinical Significance
This diagnosis represents systemic onset juvenile rheumatoid arthritis with left wrist involvement, combining severe systemic inflammatory disease with focal joint destruction that impacts hand function. The systemic component significantly increases morbidity risk and requires aggressive treatment to prevent complications.
Documentation Requirements
- ✓Physician diagnosis of systemic onset juvenile rheumatoid arthritis
- ✓Specific documentation of left wrist joint involvement
- ✓Age of onset documented as under 16 years
- ✓Evidence of systemic manifestations (fever, rash, hepatosplenomegaly)
- ✓Left wrist functional assessment and range of motion
- ✓Systemic inflammatory markers and organ evaluation
- ✓Treatment plan with immunosuppressive therapy
- ✓Regular monitoring for systemic complications
Commonly Confused Codes
Code Hierarchy
└M08Juvenile arthritis└M08.2Juvenile rheumatoid arthritis with systemic onset└M08.23Juvenile rheumatoid arthritis with systemic onset, wrist└M08.232Juvenile rheumatoid arthritis with systemic onset, left wrist
└M08.232Juvenile rheumatoid arthritis with systemic onset, left wrist