M08.251

Billable

Juvenile rheumatoid arthritis with systemic onset, right hip

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 type of childhood arthritis that affects the right hip and causes inflammation throughout the body, including fever and rash.

Coding Tips

•Verify right hip is specifically documented; hip involvement in systemic JRA is clinically significant
•Note any functional limitations or mobility restrictions related to hip involvement

Clinical Significance

Juvenile rheumatoid arthritis with systemic onset represents a severe form of childhood arthritis with significant systemic inflammation requiring intensive management. Hip involvement in JRA is particularly concerning due to potential for growth disturbances and significant functional impairment requiring aggressive treatment.

Documentation Requirements

✓Patient age at onset (must be under 16 years)
✓Evidence of systemic symptoms (fever, rash, lymphadenopathy, hepatosplenomegaly)
✓Documentation of right hip joint involvement with inflammation
✓Laboratory evidence of systemic inflammation (elevated ESR, CRP)
✓Exclusion of other causes of arthritis and systemic illness
✓Duration of symptoms (minimum 6 weeks for JRA diagnosis)
✓Physical examination findings of hip joint limitation, pain, or swelling
✓Assessment of functional impact including gait abnormalities

Commonly Confused Codes

M08.20 — Juvenile rheumatoid arthritis with systemic onset, unspecified site (use when specific joint not documented)M08.3 — Juvenile rheumatoid polyarthritis seronegative (affects multiple joints without systemic symptoms)M25.551 — Pain in right hip (symptom code, not diagnostic)M24.751 — Osteophyte, right hip (degenerative changes, not inflammatory)K59.4 — Anal spasm (anatomical confusion with hip region)

Code Hierarchy

└M08Juvenile arthritis └M08.2Juvenile rheumatoid arthritis with systemic onset └M08.25Juvenile rheumatoid arthritis with systemic onset, hip └M08.251Juvenile rheumatoid arthritis with systemic onset, right hip

└M08.251Juvenile rheumatoid arthritis with systemic onset, right hip