ICD-10 Coding for Juvenile Idiopathic Arthritis(M08.00, M08.20)
Complete ICD-10-CM coding and documentation guide for Juvenile Idiopathic Arthritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Juvenile Idiopathic Arthritis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M08.00 | Unspecified juvenile rheumatoid arthritis | Use when the specific type of JIA is not documented. |
|
| M08.20 | Systemic juvenile rheumatoid arthritis | Use when systemic symptoms are present along with arthritis. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for juvenile idiopathic arthritis
Essential facts and insights about Juvenile Idiopathic Arthritis
Primary ICD-10-CM Codes for juvenile idiopathic arthritis
Decision Criteria
clinical Criteria
- Arthritis lasting more than six weeks in a child under 16.
Applicable To
- Juvenile arthritis NOS
Excludes
- Rheumatoid arthritis with rheumatoid factor (M05.-)
Clinical Validation Requirements
- Persistent arthritis in one or more joints for at least six weeks
- Age of onset less than 16 years
Code-Specific Risks
- Risk of undercoding if specific type is known but not documented.
Coding Notes
- Ensure documentation specifies the type of JIA if known.
M08.20 - Systemic juvenile rheumatoid arthritis
Use when systemic symptoms are present along with arthritis.
Applicable To
- Still's disease
Excludes
- Rheumatoid arthritis with rheumatoid factor (M05.-)
Clinical Validation Requirements
- Fever, rash, and systemic involvement in addition to arthritis
Coding Notes
Document systemic features such as fever and rash.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified uveitis
H20.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Juvenile Idiopathic Arthritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M08.00.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use structured templates for documentation., Regular training on documentation standards.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Specify the type of JIA if known, such as systemic or pauciarticular.
Impact
Risk of audits due to non-specific coding of JIA cases.
Mitigation Strategy
Implement regular coding audits and training.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Juvenile Idiopathic Arthritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Juvenile Idiopathic Arthritis
Use these documentation templates to ensure complete and accurate documentation for Juvenile Idiopathic Arthritis. These templates include all required elements for proper coding and billing.
Rheumatology follow-up for JIA
Specialty: RheumatologyRequired Elements
- Joint count
- Duration of symptoms
- Systemic involvement
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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