Juvenile rheumatoid arthritis w systemic onset, right hand

This code signifies a chronic inflammatory arthropathy affecting the right hand in a pediatric patient, characterized by systemic features such as fever, rash, lymphadenopathy, and hepatosplenomegaly, in addition to arthritis. It represents a specific subtype of juvenile idiopathic arthritis (JIA) with a distinct clinical presentation.

Apply this code for a documented diagnosis of systemic onset juvenile rheumatoid arthritis where the right hand is specifically identified as an affected joint. Documentation should clearly indicate the systemic features alongside the arthritis and specify the laterality of the hand involvement.

• Ensure documentation explicitly states "systemic onset" and specifies the right hand.
• Do not use this code for other JIA subtypes or for arthritis without systemic features.
• Consider additional codes for any associated systemic manifestations or complications.