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M08.959

Billable

Juvenile arthritis, unspecified, unspecified hip

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 arthritis that develops in children affecting the hip, but the specific hip (left or right) is not documented or is bilateral.

Coding Tips

  • Use this code only when laterality cannot be determined from the medical record
  • If both hips are affected, code both M08.951 and M08.952 instead of using the unspecified code

Clinical Significance

Juvenile arthritis affecting the hip represents a significant chronic inflammatory condition that can impact mobility, growth, and quality of life in pediatric patients. This diagnosis requires ongoing monitoring and specialized care to prevent joint damage and functional impairment.

Documentation Requirements

  • Patient age at onset (must be under 16 years old)
  • Evidence of chronic arthritis lasting at least 6 weeks
  • Hip joint involvement with inflammatory signs
  • Exclusion of other causes of arthritis
  • Functional assessment and mobility evaluation
  • Current treatment regimen and response
  • Joint imaging studies (X-ray, MRI, or ultrasound)
  • Laboratory results if available (ESR, CRP, ANA)

Commonly Confused Codes

Code Hierarchy

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