M08.459
M08.459 — Pauciarticular juvenile rheumatoid arthritis, unspecified hip
Billable / specific codeICD-10-CMunspecified
M08.459 is a billable, specific ICD-10-CM code for pauciarticular juvenile rheumatoid arthritis, unspecified hip. It is valid for submission on a claim.
Risk adjustment
M08.459 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
M08.459 is named in 7 Medicare coverage policies — 1 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
Related codes at this level
Codes that share M08.45. If M08.459 is not quite right, the correct code is usually one of these.
Questions about M08.459
- Is M08.459 a billable ICD-10-CM code?
- Yes. M08.459 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M08.459 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).