ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M08.929

Billable / Specific HCC v28: 40

Juvenile arthritis, unspecified, unspecified elbow

M08
Block
0
Synonyms
6
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM M08.929

ICD-10-CM code M08.929 represents Juvenile arthritis, unspecified, unspecified elbow. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M08). The 2026 edition of ICD-10-CM M08.929 became effective on October 1, 2025.

Coding Tips for M08.929

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

M08.929 is a CMS-HCC v28 risk-adjustment code (category 40). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 40
ESRD-HCC
Category 40
RxHCC (Part D)
Category 40

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for M08.929

Local Coverage Determinations (LCDs) from CMS MACs that list M08.929 as a covered diagnosis.

6 LCDs

Showing top 6. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Infliximab and biosimilars
Article ID: 52423, Effective: 2024-10-01 00:00:00, 619 covered, 0 non-covered
CPT J1745 →
CMS LCD: Billing and Coding: Infliximab and biosimilars
Article ID: 52423, Effective: 2024-10-01 00:00:00, 619 covered, 0 non-covered
CPT Q5103 →
CMS LCD: Billing and Coding: Infliximab and biosimilars
Article ID: 52423, Effective: 2024-10-01 00:00:00, 619 covered, 0 non-covered
CPT Q5121 →
CMS LCD: Billing and Coding: Infliximab and biosimilars
Article ID: 52423, Effective: 2024-10-01 00:00:00, 619 covered, 0 non-covered
CPT Q5104 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M08.929.

2 policies

2 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Sedimentation Rate, Erythrocyte
Policy ID: ART-57657

CPT Codes Commonly Billed with M08.929

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for M08.929

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert M08.929 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M08.929 71430 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M08.929, Billing FAQ

Is ICD-10 code M08.929 billable? +

Yes, M08.929 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does M08.929 affect Medicare Advantage HCC risk adjustment? +

Yes. M08.929 maps to CMS-HCC v28 category 40. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What ICD-9 codes does M08.929 map to? +

Per CMS GEMs, M08.929 maps to ICD-9 codes: 71430. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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