Unspecified juvenile rheumatoid arthritis, unspecified hand

This code signifies a diagnosis of juvenile rheumatoid arthritis (JRA) where the specific type of JRA is not documented, and the affected joint is an unspecified hand. It indicates chronic inflammatory arthritis with onset before 16 years of age, presenting with symptoms like joint pain, swelling, and stiffness in the hand, without further specification of the disease subtype.

This code is appropriate when the medical record clearly states a diagnosis of juvenile rheumatoid arthritis affecting the hand, but lacks details regarding the specific JRA subtype (e.g., oligoarticular, polyarticular, systemic onset). It should be used when documentation specifies "juvenile rheumatoid arthritis of the hand" without further elaboration on the type or laterality.

• Avoid using this code if the specific type of juvenile idiopathic arthritis (JIA) is documented (e.g., M08.00-M08.9).
• Ensure documentation specifies "hand" as the affected site; otherwise, a more general site code may be appropriate.
• This code represents an unspecified laterality; if left or right hand is documented, a more specific code should be selected.