M08.4 — Pauciarticular juvenile rheumatoid arthritis
Is M08.4 billable?
No — M08.4 is a non-billable header code. M08.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 24 billable codes beneath M08.4.
Billable codes under this header
- M08.40Pauciarticular juvenile rheumatoid arthritis, unspecified site
- M08.48Pauciarticular juvenile rheumatoid arthritis, vertebrae
- M08.4APauciarticular juvenile rheumatoid arthritis, other specified site
- M08.411Pauciarticular juvenile rheumatoid arthritis, right shoulder
- M08.412Pauciarticular juvenile rheumatoid arthritis, left shoulder
- M08.419Pauciarticular juvenile rheumatoid arthritis, unspecified shoulder
- M08.421Pauciarticular juvenile rheumatoid arthritis, right elbow
- M08.422Pauciarticular juvenile rheumatoid arthritis, left elbow
- M08.429Pauciarticular juvenile rheumatoid arthritis, unspecified elbow
- M08.431Pauciarticular juvenile rheumatoid arthritis, right wrist
- M08.432Pauciarticular juvenile rheumatoid arthritis, left wrist
- M08.439Pauciarticular juvenile rheumatoid arthritis, unspecified wrist
- M08.441Pauciarticular juvenile rheumatoid arthritis, right hand
- M08.442Pauciarticular juvenile rheumatoid arthritis, left hand
- M08.449Pauciarticular juvenile rheumatoid arthritis, unspecified hand
- M08.451Pauciarticular juvenile rheumatoid arthritis, right hip
- M08.452Pauciarticular juvenile rheumatoid arthritis, left hip
- M08.459Pauciarticular juvenile rheumatoid arthritis, unspecified hip
- M08.461Pauciarticular juvenile rheumatoid arthritis, right knee
- M08.462Pauciarticular juvenile rheumatoid arthritis, left knee
- M08.469Pauciarticular juvenile rheumatoid arthritis, unspecified knee
- M08.471Pauciarticular juvenile rheumatoid arthritis, right ankle and foot
- M08.472Pauciarticular juvenile rheumatoid arthritis, left ankle and foot
- M08.479Pauciarticular juvenile rheumatoid arthritis, unspecified ankle and foot
M08.4 at a glance
| Code | M08.4 |
|---|---|
| Description | Pauciarticular juvenile rheumatoid arthritis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from M08
The conditions below can never be reported together with M08.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M08.4, but a patient may have both at the same time. When documentation supports it, M08.4 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Code also — inherited from M08
Two codes may be needed to describe the condition fully. Whether M08.4 is sequenced first depends on the reason for the encounter.
What codes fall under M08.4? (10)
- M08.40Pauciarticular juvenile rheumatoid arthritis, unspecified site
- M08.41Pauciarticular juvenile rheumatoid arthritis, shouldernot billable
- M08.42Pauciarticular juvenile rheumatoid arthritis, elbownot billable
- M08.43Pauciarticular juvenile rheumatoid arthritis, wristnot billable
- M08.44Pauciarticular juvenile rheumatoid arthritis, handnot billable
- M08.45Pauciarticular juvenile rheumatoid arthritis, hipnot billable
- M08.46Pauciarticular juvenile rheumatoid arthritis, kneenot billable
- M08.47Pauciarticular juvenile rheumatoid arthritis, ankle and footnot billable
- M08.48Pauciarticular juvenile rheumatoid arthritis, vertebrae
- M08.4APauciarticular juvenile rheumatoid arthritis, other specified site
How long has M08.4 existed?
M08.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the M08 family? (6)
- M08.0Unspecified juvenile rheumatoid arthritisnot billable
- M08.1Juvenile ankylosing spondylitis
- M08.2Juvenile rheumatoid arthritis with systemic onsetnot billable
- M08.3Juvenile rheumatoid polyarthritis (seronegative)
- M08.8Other juvenile arthritisnot billable
- M08.9Juvenile arthritis, unspecifiednot billable