ICD-10 Coding for Juvenile Rheumatoid Arthritis(M08.0, M08.2, M08.3)
Complete ICD-10-CM coding and documentation guide for Juvenile Rheumatoid Arthritis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Juvenile Rheumatoid Arthritis
M08-M09Primary Range
Juvenile arthritis
This range includes all forms of juvenile arthritis, including systemic, polyarticular, and pauciarticular types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M08.0 | Unspecified juvenile rheumatoid arthritis | Use when the specific type of juvenile rheumatoid arthritis is not yet determined. |
|
| M08.2 | Systemic-onset juvenile rheumatoid arthritis | Use when systemic symptoms such as fever and rash are present. |
|
| M08.3 | Juvenile rheumatoid polyarthritis (seronegative) | Use for polyarticular involvement with negative RF. |
|
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 rheumatoid arthritis
Essential facts and insights about Juvenile Rheumatoid Arthritis
Primary ICD-10-CM Codes for juvenile rheumatoid arthritis
Decision Criteria
clinical Criteria
- Diagnosis of juvenile arthritis without specific subtype identification.
Applicable To
- Juvenile arthritis NOS
Excludes
- Rheumatoid arthritis with organ involvement (M05.6-)
Clinical Validation Requirements
- Persistent arthritis in one or more joints for at least six weeks
- Exclusion of other causes of arthritis
Code-Specific Risks
- Lack of specificity may lead to improper treatment plans.
Coding Notes
- Ensure documentation supports the unspecified nature of the condition.
M08.2 - Systemic-onset juvenile rheumatoid arthritis
Use when systemic symptoms such as fever and rash are present.
Applicable To
- Still's disease
Clinical Validation Requirements
- Quotidian fever pattern
- Evanescent rash
Coding Notes
Document systemic features clearly to support this code.
M08.3 - Juvenile rheumatoid polyarthritis (seronegative)
Use for polyarticular involvement with negative RF.
Applicable To
- Polyarticular juvenile arthritis
Clinical Validation Requirements
- Arthritis in five or more joints
- Negative rheumatoid factor
Coding Notes
RF status must be documented to support seronegative classification.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Juvenile Rheumatoid Arthritis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M08.0.
Impact
Clinical: May lead to inadequate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Review and update diagnosis codes regularly.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure laterality is documented and coded correctly.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure specific diagnosis is documented and coded.
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 Rheumatoid Arthritis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Juvenile Rheumatoid Arthritis
Use these documentation templates to ensure complete and accurate documentation for Juvenile Rheumatoid Arthritis. These templates include all required elements for proper coding and billing.
Initial diagnosis of JRA
Specialty: RheumatologyRequired Elements
- Onset of symptoms
- Joint involvement
- Systemic symptoms
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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