Is M08.40 a billable ICD-10-CM code?

Yes. M08.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M08.40 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).

M08.40

M08.40 — Pauciarticular juvenile rheumatoid arthritis, unspecified site

Billable / specific codeICD-10-CM

M08.40 is a billable, specific ICD-10-CM code for pauciarticular juvenile rheumatoid arthritis, unspecified site. It is valid for submission on a claim.

Risk adjustment

M08.40 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

M08.40 is named in 8 Medicare coverage policies — 2 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered

How M08.40 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M08.40.

Arthritis, arthritic›juvenile›pauciarticular

Related codes at this level

Codes that share M08.4. If M08.40 is not quite right, the correct code is usually one of these.

Questions about M08.40

Is M08.40 a billable ICD-10-CM code?: Yes. M08.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M08.40 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).