M08.239
BillableJuvenile rheumatoid arthritis with systemic onset, unspecified 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 affecting the wrist with systemic symptoms when the specific side (left or right) is not documented or both sides are involved.
Coding Tips
- •Use this code only when laterality cannot be determined from documentation
- •Query provider if laterality is unclear to assign more specific right or left code when possible
Clinical Significance
Systemic onset juvenile rheumatoid arthritis with unspecified wrist involvement represents severe pediatric inflammatory disease affecting wrist joints with systemic manifestations. The unspecified laterality may indicate bilateral involvement or documentation gaps requiring clarification for optimal treatment planning.
Documentation Requirements
- ✓Physician diagnosis of systemic onset juvenile rheumatoid arthritis
- ✓Documentation of wrist joint involvement
- ✓Age of onset documented as under 16 years
- ✓Evidence of systemic features (fever, rash, organomegaly)
- ✓Bilateral wrist assessment when laterality unspecified
- ✓Laboratory evidence of systemic inflammation
- ✓Treatment with systemic immunosuppressive agents
- ✓Clarification of unilateral versus bilateral wrist involvement
Commonly Confused Codes
Code Hierarchy
└M08Juvenile arthritis└M08.2Juvenile rheumatoid arthritis with systemic onset└M08.23Juvenile rheumatoid arthritis with systemic onset, wrist└M08.239Juvenile rheumatoid arthritis with systemic onset, unspecified wrist
└M08.239Juvenile rheumatoid arthritis with systemic onset, unspecified wrist