M08.4A
BillablePauciarticular juvenile rheumatoid arthritis, other specified site
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 joints or body areas not covered by other specific codes in the pauciarticular category.
Coding Tips
- •Use this code only when the affected site does not fit into other M08.4x categories
- •Document the specific anatomical site affected in the medical record for clarity
Clinical Significance
Pauciarticular juvenile rheumatoid arthritis affecting other specified sites encompasses inflammatory arthritis in pediatric patients involving joints not covered by more specific codes. This diagnosis indicates a chronic inflammatory condition requiring comprehensive rheumatologic management to prevent joint damage and preserve function in affected areas not typically involved in juvenile arthritis.
Documentation Requirements
- ✓Physician diagnosis of juvenile rheumatoid arthritis with pauciarticular pattern
- ✓Specific documentation of joint sites not covered by other M08.4 codes
- ✓Clinical evidence of inflammatory joint involvement
- ✓Age at onset confirming pediatric presentation
- ✓Laboratory studies supporting inflammatory arthritis diagnosis
- ✓Physical examination findings documenting specific joint involvement
- ✓Treatment plan appropriate for affected joint sites
- ✓Assessment of functional impact related to specific joint involvement
Commonly Confused Codes
M08.40 — Unspecified site versus other specified siteM08.89 — Other juvenile arthritis multiple sites versus pauciarticular other specifiedM08.9 — Juvenile arthritis unspecified versus pauciarticular other specifiedM13.89 — Other specified arthritis versus juvenile inflammatory arthritisM08.2 — Systemic juvenile arthritis versus pauciarticular
Code Hierarchy
└M08Juvenile arthritis└M08.4Pauciarticular juvenile rheumatoid arthritis└M08.4APauciarticular juvenile rheumatoid arthritis, other specified site
└M08.4APauciarticular juvenile rheumatoid arthritis, other specified site