M08.472
BillablePauciarticular juvenile rheumatoid arthritis, left ankle and foot
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 ankle and foot. This causes inflammation and can affect walking and balance.
Coding Tips
- •Confirm left ankle and foot are documented as the affected sites
- •Document functional impact on ambulation and any orthotic or assistive device use
Clinical Significance
Pauciarticular juvenile rheumatoid arthritis of the left ankle and foot is a chronic inflammatory condition that can significantly impact a child's mobility, balance, and participation in normal activities. This diagnosis requires comprehensive management to prevent joint damage, maintain foot function, and address potential growth complications that may affect the developing musculoskeletal system.
Documentation Requirements
- ✓Confirmed diagnosis of juvenile rheumatoid arthritis with pauciarticular pattern
- ✓Clear documentation of left ankle and/or foot joint involvement
- ✓Evidence of joint inflammation including swelling, warmth, or limited motion
- ✓Pediatric age at diagnosis documentation
- ✓Supporting inflammatory markers and laboratory studies
- ✓Assessment of functional impact on walking and mobility
- ✓Comprehensive treatment plan including anti-inflammatory therapies
- ✓Monitoring protocols for joint damage and growth disturbances
Commonly Confused Codes
M08.471 — Right ankle and foot versus left ankle and footM08.479 — Unspecified ankle and foot versus documented left involvementM08.40 — Unspecified site versus specific ankle/foot documentationM25.572 — Pain in left ankle and foot versus inflammatory arthritisM19.072 — Osteoarthritis versus juvenile inflammatory disease
Code Hierarchy
└M08Juvenile arthritis└M08.4Pauciarticular juvenile rheumatoid arthritis└M08.47Pauciarticular juvenile rheumatoid arthritis, ankle and foot└M08.472Pauciarticular juvenile rheumatoid arthritis, left ankle and foot
└M08.472Pauciarticular juvenile rheumatoid arthritis, left ankle and foot