ICD-10-CM Billable Code

M08.419

Pauciarticular juvenile rheumatoid arthritis, unspecified shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Pauciarticular juvenile rheumatoid arthritis (JRA) is a form of arthritis that affects a small number of joints in children, typically fewer than five. When the shoulder is involved, it can cause pain, stiffness, and limited range of motion, impacting a child's daily activities. The ICD-10 code M08.419 specifies cases where this type of arthritis affects the shoulder but is otherwise unspecified, helping healthcare providers classify and manage the condition effectively.

Causes & Symptoms

Clinical Causes: Autoimmune response: The body’s immune system mistakenly targets joint tissues, leading to inflammation. Genetic predisposition: Family history of autoimmune diseases can increase susceptibility. Environmental factors: Infections or other environmental triggers may play a role, though exact causes are not fully understood.

Key Symptoms: Joint pain and tenderness in the shoulder Swelling around the shoulder joint Stiffness, especially in the morning or after periods of inactivity Decreased range of motion and difficulty moving the arm Potential warmth or redness over the affected shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical evaluation and diagnostic tests such as:

Treatment Protocols: While specific treatments are tailored to each individual, options typically include:

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 M08.419 a billable ICD-10 code?
Yes, M08.419 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M08.419?
Clinical documentation must specify the nature of Pauciarticular juvenile rheumatoid arthritis, unspecified shoulder and any associated comorbidities for accurate reporting.

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