M08.441
BillablePauciarticular juvenile rheumatoid arthritis, right hand
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 arthritis in children that affects only a few joints, specifically involving the right hand. It causes inflammation and stiffness in the hand joints.
Coding Tips
- •Ensure the medical record documents right hand involvement in pauciarticular JIA
- •Hand involvement in pauciarticular JIA may include multiple joints within the hand; document which specific joints are affected if possible
Clinical Significance
Pauciarticular juvenile rheumatoid arthritis affecting the right hand requires aggressive treatment to prevent deformity and maintain hand function critical for daily activities and development. The condition often requires occupational therapy and specialized pediatric rheumatology care.
Documentation Requirements
- ✓Specific documentation of right hand involvement
- ✓Age at onset (before 16 years old)
- ✓Joint count of 4 or fewer affected joints
- ✓Duration of symptoms (minimum 6 weeks)
- ✓Evidence of inflammation in right hand joints
- ✓Functional assessment of hand mobility and strength
- ✓Treatment response documentation
- ✓Exclusion of other forms of juvenile arthritis
Commonly Confused Codes
M08.442 — Left hand involvement instead of rightM08.449 — Unspecified hand when laterality is clearly documentedM08.40 — Pauciarticular JRA unspecified site when hand is documentedM06.041 — Adult rheumatoid arthritis of right hand in patients over 16M12.541 — Traumatic arthropathy when no trauma history exists
Code Hierarchy
└M08Juvenile arthritis└M08.4Pauciarticular juvenile rheumatoid arthritis└M08.44Pauciarticular juvenile rheumatoid arthritis, hand└M08.441Pauciarticular juvenile rheumatoid arthritis, right hand
└M08.441Pauciarticular juvenile rheumatoid arthritis, right hand