M08.262

Billable

Juvenile rheumatoid arthritis with systemic onset, left knee

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 with systemic symptoms (affecting the whole body) that primarily involves the left knee joint.

Coding Tips

•Verify documentation specifies 'systemic onset' and confirms left knee involvement to distinguish from other JRA subtypes
•This code requires laterality specification; do not use if the knee side is unspecified

Clinical Significance

Juvenile rheumatoid arthritis with systemic onset represents a severe form of childhood arthritis with significant systemic inflammation requiring intensive management. Knee involvement is common in JRA and can lead to significant functional limitations, growth disturbances, and the need for ongoing physical therapy and disease-modifying treatments.

Documentation Requirements

✓Patient age at onset (must be under 16 years)
✓Evidence of systemic symptoms (fever, rash, lymphadenopathy, hepatosplenomegaly)
✓Documentation of left knee 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 knee joint swelling, warmth, or effusion
✓Assessment of functional impact including mobility and ambulation

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)M25.562 — Pain in left knee (symptom code, not diagnostic)M23.92 — Other internal derangement of left knee (mechanical problems, not inflammatory)M17.12 — Unilateral primary osteoarthritis, left knee (degenerative, not inflammatory)

Code Hierarchy

└M08Juvenile arthritis └M08.2Juvenile rheumatoid arthritis with systemic onset └M08.26Juvenile rheumatoid arthritis with systemic onset, knee └M08.262Juvenile rheumatoid arthritis with systemic onset, left knee

└M08.262Juvenile rheumatoid arthritis with systemic onset, left knee