M04.8
Other autoinflammatory syndromes
HCC risk adjustment mapping
CMS-HCC V28
Systemic Lupus Erythematosus and Other Specified Systemic Connective Tissue Disorders
CMS-HCC ESRD V24
Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
RxHCC V08
Rheumatoid Arthritis and Other Inflammatory Polyarthropathy
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
Blau syndrome Deficiency of interleukin 1 receptor antagonist [DIRA] Majeed syndrome Periodic fever, aphthous stomatitis, pharyngitis, and adenopathy syndrome [PFAPA] Pyogenic arthritis, pyoderma gangrenosum, and acne syndrome [PAPA]
Crohn's disease (K50.-)
arthropathic psoriasis (L40.5-) certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) compartment syndrome (traumatic) (T79.A-) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition (M00-M25) Arthropathies (M00-M25) Includes: Disorders affecting predominantly peripheral (limb) joints (M40-M54) Dorsopathies (M40-M54) (M60-M79) Soft tissue disorders (M60-M79) (M80-M94) Osteopathies and chondropathies (M80-M94)
Official Guidelines for M04.8
FY 2026 ›Find M04.8 in the alphabetic index
12 index paths lead to this code
- DIRA
- PAPA
- PFAPA
- Deficiency, deficient › of interleukin 1 receptor antagonist [DIRA]
- Syndrome › Blau
- Syndrome › Majeed
- Syndrome › periodic fever, aphthous stomatitis, pharyngitis, and adenopathy [PFAPA]
- Syndrome › pyogenic arthritis, pyoderma gangrenosum, and acne [PAPA]
- Syndrome › Yao
- Disease, diseased › autoinflammatory › NOD2-associated
- Disease, diseased › autoinflammatory › specified type NEC
- Syndrome › autoinflammatory › specified type NEC