ICD-10-CM Billable Code

M08.811

Other juvenile arthritis, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Juvenile arthritis, also known as juvenile idiopathic arthritis (JIA), is a term used to describe a range of inflammatory joint conditions that affect children and teenagers. When this condition involves the right shoulder specifically, it can lead to pain, swelling, and limited movement in that joint. The ICD-10 code M08.811 refers to a specific subtype of juvenile arthritis affecting the right shoulder, helping healthcare professionals categorize and diagnose the condition accurately. Recognizing and understanding this condition is important for managing symptoms and improving quality of life for affected young individuals.

Causes & Symptoms

Clinical Causes: Immune system malfunction where the body's immune system mistakenly attacks joint tissues. Genetic factors that may increase susceptibility to juvenile arthritis. Environmental triggers such as infections that could potentially initiate immune responses. Other unknown factors that contribute to the development of juvenile arthritis.

Key Symptoms: Persistent pain in the right shoulder, especially with movement or activity. Swelling and warmth around the shoulder joint. Stiffness, often worse in the mornings or after periods of inactivity. Decreased range of motion and difficulty moving the shoulder fully. Redness or tenderness over the affected area. Possible development of other joints affected, indicating a more widespread type of juvenile arthritis.

Diagnostic & Treatment

Diagnosis Path: Diagnosing juvenile arthritis involves a combination of clinical evaluation and laboratory tests. Healthcare providers typically perform a physical examination to assess joint swelling, warmth, and mobility. Imaging studies such as X-rays or MRIs can help identify joint damage or inflammation. Blood tests may be conducted to detect inflammation markers, antibodies, or other indicators supporting the diagnosis. Since juvenile arthritis can resemble other conditions, a thorough medical history and symptom assessment are essential to establish the correct diagnosis.

Treatment Protocols: Nonsteroidal anti-inflammatory drugs (NSAIDs) to control pain and inflammation. Physical therapy designed to improve movements and strengthen shoulder muscles. Disease-modifying antirheumatic drugs (DMARDs) or biologic agents for cases that do not respond to initial treatments. Regular monitoring to Track disease progression and adjust treatments accordingly. Supportive measures such as heat or cold therapy, and activity modifications to minimize joint stress. In some cases, corticosteroid injections may be used for quick relief of severe inflammation.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M08.811 a billable ICD-10 code?
Yes, M08.811 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M08.811?
Clinical documentation must specify the nature of Other juvenile arthritis, right shoulder and any associated comorbidities for accurate reporting.

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