Unspecified juvenile rheumatoid arthritis, right hand

This code signifies a diagnosis of juvenile rheumatoid arthritis (JRA) where the specific type of JRA is not documented, and the condition primarily affects the patient's right hand. JRA is a chronic autoimmune inflammatory disease affecting joints in children under 16 years of age.

This code is appropriate when a pediatric patient presents with symptoms and signs of JRA, and the physician's documentation confirms involvement of the right hand but does not specify a subtype of JRA (e.g., oligoarticular, polyarticular, systemic). It should be used when the provider explicitly states "unspecified juvenile rheumatoid arthritis" or similar language, localized to the right hand.

• Ensure documentation clearly specifies "right hand" involvement; otherwise, a more general site code may be necessary.
• Avoid using this code if the physician has documented a specific subtype of juvenile idiopathic arthritis (JIA), as more precise codes exist.
• Always review the medical record for laterality and the specific joint(s) affected to ensure the most accurate code is selected.