M08.42
M08.42 — Pauciarticular juvenile rheumatoid arthritis, elbow
Non-billable headerICD-10-CM
M08.42 is a non-billable header ICD-10-CM code for pauciarticular juvenile rheumatoid arthritis, elbow. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M08.42 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M08.42
3 child codes. Green means billable.
Related codes at this level
Codes that share M08.4. If M08.42 is not quite right, the correct code is usually one of these.
- M08.40Pauciarticular juvenile rheumatoid arthritis, unspecified site
- M08.41Pauciarticular juvenile rheumatoid arthritis, shoulder
- M08.43Pauciarticular juvenile rheumatoid arthritis, wrist
- M08.44Pauciarticular juvenile rheumatoid arthritis, hand
- M08.45Pauciarticular juvenile rheumatoid arthritis, hip
- M08.46Pauciarticular juvenile rheumatoid arthritis, knee
- M08.47Pauciarticular juvenile rheumatoid arthritis, ankle and foot
- M08.48Pauciarticular juvenile rheumatoid arthritis, vertebrae
- M08.4APauciarticular juvenile rheumatoid arthritis, other specified site
Questions about M08.42
- Is M08.42 a billable ICD-10-CM code?
- No. M08.42 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M08.42 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).