M08.239 Juvenile rheumatoid arthritis with systemic onset, unspecified wrist

Billable ICD-10-CM code, FY2026.

Applies from M08 Juvenile arthritis

Excludes1 (never code together)

• arthropathy in Whipple's disease (M14.8)
• Felty's syndrome (M05.0)
• juvenile dermatomyositis (M33.0-)
• psoriatic juvenile arthropathy (L40.54)

Code also

• any associated underlying condition, such as:
• regional enteritis [Crohn's disease] (K50.-)
• ulcerative colitis (K51.-)

Applies from M08.2 Juvenile rheumatoid arthritis with systemic onset

Applicable to

• Still's disease NOS

Excludes1 (never code together)

• adult-onset Still's disease (M06.1-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 93 — Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders
• CMS-HCC V22: HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
• RxHCC V08: HCC 83 — Rheumatoid Arthritis and Other Inflammatory Polyarthropathy
• ESRD V24: HCC 40

MS-DRG index

Defines the logic of DRG(s) 545-547 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 714.30 Polyarticular juvenile rheumatoid arthritis, chronic or unspecified (approximate)

Code annotations containing back-references to M08.239

Back-references to M08.2

• Type 1 Excludes: M06.1 Adult-onset Still's disease ("Still's disease NOS (M08.2-)")

Back-references to M08

• Type 1 Excludes: M05 Rheumatoid arthritis with rheumatoid factor ("juvenile rheumatoid arthritis (M08.-)")

Nearby codes

• M08.222 Juvenile rheumatoid arthritis with systemic onset, left elbow
• M08.229 Juvenile rheumatoid arthritis with systemic onset, unspecified elbow
• M08.23 Juvenile rheumatoid arthritis with systemic onset, wrist
• M08.231 Juvenile rheumatoid arthritis with systemic onset, right wrist
• M08.232 Juvenile rheumatoid arthritis with systemic onset, left wrist
• M08.239 Juvenile rheumatoid arthritis with systemic onset, unspecified wrist (this code)
• M08.24 Juvenile rheumatoid arthritis with systemic onset, hand
• M08.241 Juvenile rheumatoid arthritis with systemic onset, right hand
• M08.242 Juvenile rheumatoid arthritis with systemic onset, left hand
• M08.249 Juvenile rheumatoid arthritis with systemic onset, unspecified hand
• M08.25 Juvenile rheumatoid arthritis with systemic onset, hip