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Home/Diagnosis/ICD-10 Coding for Gout Arthritis

ICD-10 Coding for Gout Arthritis

M10.00
M1A.0721

Complete ICD-10-CM coding and documentation guide for icd-10 coding for gout arthritis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gouty Arthritis
Podagra
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Key Information: ICD-10 Coding for Gout Arthritis

Essential facts and insights about ICD-10 Coding for Gout Arthritis

Use ICD-10 code M10.00 for idiopathic gout, unspecified site, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Idiopathic gout, unspecified site

Billable Code
M10.00
Billable

Diagnostic Criteria

  • • Presence of acute joint pain and urate crystals in synovial fluid.

Applicable To

  • • Acute gouty arthritis

Important Notes

  • • Ensure documentation specifies acute nature and confirms urate crystals.

Chronic tophaceous gout, left ankle

Billable Code
M1A.0721
Billable

Diagnostic Criteria

  • • Chronic joint damage
  • • Visible tophi on exam or imaging

Applicable To

  • • Chronic gout with tophi

Important Notes

  • • Document tophi presence and location accurately.
Ancillary Codes

Additional codes that may be used with this diagnosis

N22

Urinary calculus

Use when there is concurrent kidney stone formation due to hyperuricemia.

Frequently Asked Questions

What is the ICD-10 code for gout arthritis?

The ICD-10 code for gout arthritis varies based on type and site, such as M10.00 for idiopathic gout, unspecified site.

How do you code chronic gout with tophi?

Chronic gout with tophi is coded as M1A.0721 when affecting the left ankle, requiring documentation of tophi presence.

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