M08.452
BillablePauciarticular juvenile rheumatoid arthritis, left 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 left hip. This causes inflammation and potential joint damage in the hip area.
Coding Tips
- •Verify left hip is the affected side in the medical documentation
- •Hip involvement may require physical therapy and functional assessment documentation
Clinical Significance
Pauciarticular juvenile rheumatoid arthritis affecting the left hip represents a chronic inflammatory condition requiring comprehensive pediatric rheumatologic care. Early diagnosis and treatment are crucial to prevent joint destruction, growth abnormalities, and functional impairment that can significantly impact the child's development and long-term mobility.
Documentation Requirements
- ✓Physician documentation of juvenile rheumatoid arthritis with pauciarticular pattern
- ✓Clear specification of left hip joint involvement
- ✓Clinical evidence of joint inflammation (pain, swelling, limited range of motion)
- ✓Pediatric onset documentation (before age 16)
- ✓Inflammatory markers and rheumatologic laboratory studies
- ✓Imaging studies showing joint involvement when performed
- ✓Assessment of functional limitations and impact on daily activities
- ✓Multidisciplinary care plan including rheumatology management
Commonly Confused Codes
M08.451 — Right hip involvement versus left hipM08.459 — Unspecified hip versus documented left hip involvementM08.40 — Pauciarticular JRA unspecified site versus specific hip documentationM25.552 — Pain in left hip versus established inflammatory arthritisM16.12 — Osteoarthritis left hip versus juvenile inflammatory disease
Code Hierarchy
└M08Juvenile arthritis└M08.4Pauciarticular juvenile rheumatoid arthritis└M08.45Pauciarticular juvenile rheumatoid arthritis, hip└M08.452Pauciarticular juvenile rheumatoid arthritis, left hip
└M08.452Pauciarticular juvenile rheumatoid arthritis, left hip