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M08.449

Billable

Pauciarticular juvenile rheumatoid arthritis, unspecified hand

HCC Category Mapping

V28HCC 93Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175
V24HCC 40Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307
ESRDHCC 40Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000
RxHCCHCC 83Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000

What This Code Means

A type of childhood arthritis affecting only a few joints in the hand, but the specific side (left or right) is not documented or specified.

Coding Tips

  • Use this code only when laterality cannot be determined from documentation
  • Query the provider if possible to obtain specific laterality for more precise coding

Clinical Significance

This unspecified hand code indicates pauciarticular juvenile rheumatoid arthritis affecting hand joints when laterality is not documented. Hand involvement in children requires immediate attention to prevent growth disturbances and joint deformities that can significantly impact lifelong function.

Documentation Requirements

  • Documentation of hand joint involvement without laterality specified
  • Age at onset younger than 16 years
  • Four or fewer joints affected total
  • Minimum 6-week duration of symptoms
  • Evidence of synovial inflammation
  • Exclusion of other juvenile arthritis subtypes
  • Treatment history and response
  • Functional impact assessment

Commonly Confused Codes

Code Hierarchy

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