M08.2A ICD-10-CM Code: Juvenile rheumatoid arthritis with systemic onset, other specified site
M08.2A maps to CMS-HCC V28 93. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Inflammatory polyarthropathies (M05-M14)
M08.2A
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceJuvenile rheumatoid arthritis with systemic onset, other specified site
A type of childhood arthritis with systemic symptoms affecting a joint site not specifically listed in other JRA codes.
Buddy Insight
Juvenile rheumatoid arthritis with systemic onset affecting other specified sites represents severe childhood arthritis requiring intensive management when uncommon joint locations are involved.
CMS-HCC V28
MappedHCC 93
Coefficient HCC 93: 0.617 (Community Non-Dual Aged (CNA))
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 056
Code-level coefficient reference
ESRD/PACE
MappedHCC 40
Code-level coefficient reference
RXHCC
MappedHCC 83
Code-level coefficient reference
Code Book Path
Inclusion Terms
Official- Still's disease NOSInherited from M08.2
Excludes 2
Official- arthropathic psoriasis (L40.5-)Inherited from M00-M99
- certain conditions originating in the perinatal period (P04-P96)Inherited from M00-M99
- certain infectious and parasitic diseases (A00-B99)Inherited from M00-M99
- compartment syndrome (traumatic) (T79.A-)Inherited from M00-M99
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from M00-M99
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from M00-M99
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from M00-M99
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from M00-M99
- neoplasms (C00-D49)Inherited from M00-M99
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from M00-M99
Related Codes
Includes
OfficialNo Includes notes are included in this display for M08.2A. Check the code and parent instructions in the Code Book.
Excludes 1
Official- arthropathy in Whipple's disease (M14.8)Inherited from M08, M08.2
- Felty's syndrome (M05.0)Inherited from M08, M08.2
- juvenile dermatomyositis (M33.0-)Inherited from M08, M08.2
- psoriatic juvenile arthropathy (L40.54)Inherited from M08, M08.2
- adult-onset Still's disease (M06.1-)Inherited from M08, M08.2
Code First
OfficialNo Code First sequencing instructions are included in this display for M08.2A. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for M08.2A. Check the code and parent instructions in the Code Book.
Code Also
Official- any associated underlying condition, such as:Inherited from M08
- regional enteritis [Crohn's disease] (K50.-)Inherited from M08
- ulcerative colitis (K51.-)Inherited from M08
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is M08.2A an HCC code?
Yes. M08.2A (Juvenile rheumatoid arthritis with systemic onset, other specified site) maps to HCC 93, Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.617. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.
Coder answer: M08.2A is billable and maps to V28 HCC 93, Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- M08.2A
- Description
- Juvenile rheumatoid arthritis with systemic onset, other specified site
- HCC (V28)
- HCC 93 — Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders
- RAF reference coefficient
- 0.617
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work M08.2A in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for M08.2A
For M08.2A, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
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What This Code Means
M08.2A is the ICD-10-CM diagnosis code for juvenile rheumatoid arthritis with systemic onset, other specified site. A type of childhood arthritis with systemic symptoms affecting a joint site not specifically listed in other JRA codes. M08.2A sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering inflammatory polyarthropathies (m05-m14).
Under the CMS-HCC V28 risk adjustment model, M08.2A maps to Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders (HCC 93) with a source-labeled community, non-dual, aged reference coefficient of 0.617. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.
Clearly document the specific joint site affected in the medical record. For M08.2A, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for M08.2A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Clearly document the specific joint site affected in the medical record
- •Use only when the affected site does not fit into other M08.2x categories
Clinical Significance
Juvenile rheumatoid arthritis with systemic onset affecting other specified sites represents severe childhood arthritis requiring intensive management when uncommon joint locations are involved. This diagnosis indicates high healthcare resource utilization and potential for complications in atypical anatomical locations requiring specialized orthopedic and rheumatologic expertise.
Documentation Requirements
- ✓Patient age at onset (must be under 16 years)
- ✓Evidence of systemic symptoms (fever, rash, lymphadenopathy, hepatosplenomegaly)
- ✓Documentation of specific joint involvement not covered by other M08.2x codes
- ✓Clear identification of the anatomical site affected (jaw, sternoclavicular, etc.)
- ✓Laboratory evidence of systemic inflammation (elevated ESR, CRP)
- ✓Duration of symptoms (minimum 6 weeks for JRA diagnosis)
- ✓Physical examination findings specific to the affected site
- ✓Exclusion of other causes of arthritis and systemic illness
Commonly Confused Codes
- •M08.20: Juvenile rheumatoid arthritis with systemic onset, unspecified site (use when site not specified)
- •M08.29: Juvenile rheumatoid arthritis with systemic onset, multiple sites (when multiple joints involved)
- •M08.3: Juvenile rheumatoid polyarthritis seronegative (affects joints without systemic symptoms)
- •M26.69: Other specified disorders of temporomandibular joint (for TMJ involvement without systemic features)
- •M35.9: Systemic connective tissue disorder, unspecified (broader category)