2024 ICD-10-CM Diagnosis Code M08.90

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Acute arthritis
• Acute arthropathy
• Arthritis
• Arthritis of finger of right hand
• Arthritis of left sacroiliac joint
• Arthritis of right sacroiliac joint
• Arthritis of right sternoclavicular joint
• Arthritis of temporomandibular joint as part of polyarthritis
• Arthritis/arthrosis
• Arthropathy
• Asymmetrical arthritis
• Bilateral arthritis of sacroiliac joint
• Bilateral arthropathy of sacroiliac joints
• Bilateral sacroiliitis
• Chronic arthritis
• Chronic arthritis of juvenile onset
• Cricoarytenoid joint arthritis
• Disorder of left sacroiliac joint
• Disorder of left sacroiliac joint
• Disorder of right sacroiliac joint
• Disorder of right sacroiliac joint
• Exacerbation of osteoarthritis
• Generalized arthritis
• Human leukocyte antigen B27 negative arthropathy
• Immune dysregulation, inflammatory bowel disease, arthritis, recurrent infection syndrome
• Inflamed joint
• Juvenile arthritis in Crohn disease
• Juvenile arthritis in ulcerative colitis
• Juvenile arthritis of inflammatory bowel disease
• Large joint arthritis
• Lower limb joint arthritis
• Mechanical joint disorder
• Pain due to arthritis
• Small joint arthritis
• Subacute arthritis
• Subacute arthropathy
• Subacute arthropathy
• Symmetrical arthritis
• Thoracic arthritis

Clinical Information

• Arthritis

  acute or chronic inflammation of joints.

• Arthritis, Experimental

  arthritis that is induced in experimental animals. immunological methods and infectious agents can be used to develop experimental arthritis models. these methods include injections of stimulators of the immune response, such as an adjuvant (adjuvants, immunologic) or collagen.

• Arthritis, Gouty

  arthritis, especially of the great toe, as a result of gout. acute gouty arthritis often is precipitated by trauma, infection, surgery, etc. the initial attacks are usually monoarticular but later attacks are often polyarticular. acute and chronic gouty arthritis are associated with accumulation of monosodium urate in and around affected joints.

• Arthritis, Infectious

  arthritis caused by bacteria; rickettsia; mycoplasma; viruses; fungi; or parasites.

• Arthritis, Juvenile

  arthritis in children, with onset before 16 years of age. the terms juvenile rheumatoid arthritis (jra) and juvenile idiopathic arthritis (jia) refer to classification systems for chronic arthritis in children. only one subtype of juvenile arthritis (polyarticular-onset, rheumatoid factor-positive) clinically resembles adult rheumatoid arthritis and is considered its childhood equivalent.

• Arthritis, Psoriatic

  a type of inflammatory arthritis associated with psoriasis, often involving the axial joints and the peripheral terminal interphalangeal joints. it is characterized by the presence of hla-b27-associated spondylarthropathy, and the absence of rheumatoid factor.

• Arthritis, Reactive

  an aseptic, inflammatory arthritis developing secondary to a primary extra-articular infection, most typically of the gastrointestinal tract or urogenital system. the initiating trigger pathogens are usually shigella; salmonella; yersinia; campylobacter; or chlamydia trachomatis. reactive arthritis is strongly associated with hla-b27 antigen.

• Arthritis, Rheumatoid

  a chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. etiology is unknown, but autoimmune mechanisms have been implicated.

• Arthritis-Encephalitis Virus, Caprine

  a species of lentivirus, subgenus ovine-caprine lentiviruses (lentiviruses, ovine-caprine), closely related to visna-maedi virus and causing acute encephalomyelitis; chronic arthritis; pneumonia; mastitis; and glomerulonephritis in goats. it is transmitted mainly in the colostrum and milk.

• Crystal Arthropathies

  joint disorders that are characterized by accumulation of microcrystals in and around the joint including in the synovial fluid. they are classified according to the chemical nature of the crystals such as calcium pyrophosphate; basic calcium phosphates; and monosodium urate (see uric acid).

• Lyme Disease

  an infectious disease caused by a spirochete, borrelia burgdorferi, which is transmitted chiefly by ixodes dammini (see ixodes) and pacificus ticks in the united states and ixodes ricinis (see ixodes) in europe. it is a disease with early and late cutaneous manifestations plus involvement of the nervous system, heart, eye, and joints in variable combinations. the disease was formerly known as lyme arthritis and first discovered at old lyme, connecticut.

• Osteoarthritis

  a progressive, degenerative joint disease, the most common form of arthritis, especially in older persons. the disease is thought to result not from the aging process but from biochemical changes and biomechanical stresses affecting articular cartilage. in the foreign literature it is often called osteoarthrosis deformans.

• Rheumatic Fever

  a febrile disease occurring as a delayed sequela of infections with streptococcus pyogenes. it is characterized by multiple focal inflammatory lesions of the connective tissue structures, such as the heart, blood vessels, and joints (polyarthritis) and brain, and by the presence of aschoff bodies in the myocardium and skin.

• Spondylarthritis

  inflammation of the joints of the spine, the intervertebral articulations.

• Joints

  also known as articulations, these are points of connection between the ends of certain separate bones, or where the borders of other bones are juxtaposed.

• Spine

  the spinal or vertebral column.

M08.90 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
545	CONNECTIVE TISSUE DISORDERS WITH MCC	08	2.4932
546	CONNECTIVE TISSUE DISORDERS WITH CC	08	1.1993
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	08	0.8134

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert M08.90 to ICD-9-CM

• ICD-9-CM Code: 714.30 - Juv rheum arthritis NOS
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Arthritis

If you feel pain and stiffness in your body or have trouble moving around, you might have arthritis. Most kinds of arthritis cause pain and swelling in your joints. Joints are places where two bones meet, such as your elbow or knee. Over time, a swollen joint can become severely damaged. Some kinds of arthritis can also cause problems in your organs, such as your eyes or skin.

Types of arthritis include:

• Osteoarthritis is the most common type of arthritis. It's often related to aging or to an injury.
• Autoimmune arthritis happens when your body's immune system attacks healthy cells in your body by mistake. Rheumatoid arthritis is the most common form of this kind of arthritis.
• Juvenile arthritis is a type of arthritis that happens in children.
• Infectious arthritis is an infection that has spread from another part of the body to the joint.
• Psoriatic arthritis affects people with psoriasis.
• Gout is a painful type of arthritis that happens when too much uric acid builds up in the body. It often starts in the big toe.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

[Learn More in MedlinePlus]

Juvenile idiopathic arthritis

Juvenile idiopathic arthritis refers to a group of conditions involving joint inflammation (arthritis) that first appears before the age of 16. This condition is an autoimmune disorder, which means that the immune system malfunctions and attacks the body's organs and tissues, in this case the joints.

Researchers have described seven types of juvenile idiopathic arthritis. The types are distinguished by their signs and symptoms, the number of joints affected, the results of laboratory tests, and the family history.

Systemic juvenile idiopathic arthritis causes inflammation in one or more joints. A high daily fever that lasts at least 2 weeks either precedes or accompanies the arthritis. Individuals with systemic arthritis may also have a skin rash or enlargement of the lymph nodes (lymphadenopathy), liver (hepatomegaly), or spleen (splenomegaly).

Oligoarticular juvenile idiopathic arthritis (also known as oligoarthritis) is marked by the occurrence of arthritis in four or fewer joints in the first 6 months of the disease. It is divided into two subtypes depending on the course of disease. If the arthritis is confined to four or fewer joints after 6 months, then the condition is classified as persistent oligoarthritis. If more than four joints are affected after 6 months, this condition is classified as extended oligoarthritis. Individuals with oligoarthritis are at increased risk of developing inflammation of the eye (uveitis).

Rheumatoid factor positive polyarticular juvenile idiopathic arthritis (also known as polyarthritis, rheumatoid factor positive) causes inflammation in five or more joints within the first 6 months of the disease. Individuals with this condition also have a positive blood test for proteins called rheumatoid factors. This type of arthritis closely resembles rheumatoid arthritis as seen in adults.

Rheumatoid factor negative polyarticular juvenile idiopathic arthritis (also known as polyarthritis, rheumatoid factor negative) is also characterized by arthritis in five or more joints within the first 6 months of the disease. Individuals with this type, however, test negative for rheumatoid factor in the blood.

Psoriatic juvenile idiopathic arthritis involves arthritis that usually occurs in combination with a skin disorder called psoriasis. Psoriasis is a condition characterized by patches of red, irritated skin that are often covered by flaky white scales. Some affected individuals develop psoriasis before arthritis while others first develop arthritis. Other features of psoriatic arthritis include abnormalities of the fingers and nails or eye problems.

Enthesitis-related juvenile idiopathic arthritis is characterized by tenderness where the bone meets a tendon, ligament, or other connective tissue. The most commonly affected places are the hips, knees, and feet. This tenderness, known as enthesitis, accompanies the joint inflammation of arthritis. Enthesitis-related arthritis may also involve inflammation in parts of the body other than the joints.

The last type of juvenile idiopathic arthritis is called undifferentiated arthritis. This classification is given to affected individuals who do not fit into any of the above types or who fulfill the criteria for more than one type of juvenile idiopathic arthritis.

[Learn More in MedlinePlus]

Juvenile Idiopathic Arthritis (JIA)

Juvenile idiopathic arthritis is a type of arthritis that affects children. It causes joint pain, swelling, warmth, stiffness, and loss of motion.
[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.