M08.451
BillablePauciarticular juvenile rheumatoid arthritis, right hip
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 childhood arthritis affecting only a few joints, specifically involving the right hip. This causes inflammation and potential joint damage in the hip area.
Coding Tips
- •Confirm right hip involvement is documented in the clinical record
- •Note that hip involvement in pauciarticular JRA may affect mobility and gait
Clinical Significance
Pauciarticular juvenile rheumatoid arthritis represents a significant chronic inflammatory condition affecting the right hip in pediatric patients. This diagnosis indicates a systemic autoimmune disease that requires ongoing medical management and monitoring to prevent joint damage, growth disturbances, and potential long-term disability affecting mobility and quality of life.
Documentation Requirements
- ✓Physician documentation of juvenile rheumatoid arthritis diagnosis with pauciarticular presentation
- ✓Specific identification of right hip joint involvement
- ✓Evidence of joint inflammation (swelling, warmth, pain, stiffness)
- ✓Age at onset documentation (typically before 16 years)
- ✓Laboratory results supporting inflammatory arthritis (ESR, CRP, RF status)
- ✓Rheumatology consultation notes when available
- ✓Documentation of functional impact on mobility or activities
- ✓Treatment plan including medications and therapeutic interventions
Commonly Confused Codes
M08.452 — Left hip involvement versus right hipM08.459 — Unspecified hip versus specifically documented right hipM08.40 — Pauciarticular JRA unspecified site versus specifically documented hip involvementM25.551 — Pain in right hip versus inflammatory arthritis diagnosisM16.11 — Osteoarthritis versus juvenile inflammatory arthritis
Code Hierarchy
└M08Juvenile arthritis└M08.4Pauciarticular juvenile rheumatoid arthritis└M08.45Pauciarticular juvenile rheumatoid arthritis, hip└M08.451Pauciarticular juvenile rheumatoid arthritis, right hip
└M08.451Pauciarticular juvenile rheumatoid arthritis, right hip