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Home/Diagnosis/ICD-10 Coding for Gouty Arthritis

ICD-10 Coding for Gouty Arthritis

M10.0
M1A.0

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

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

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

Use ICD-10 code M10.0 for idiopathic gout, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Idiopathic gout

Non-Billable
M10.0
Non-Billable

Diagnostic Criteria

  • • Acute presentation with synovial fluid analysis confirming MSU crystals.

Applicable To

  • • Acute idiopathic gout

Important Notes

  • • Ensure acute vs. chronic status is clearly documented.

Chronic gout

Non-Billable
M1A.0
Non-Billable

Diagnostic Criteria

  • • Chronic symptoms with evidence of tophi or frequent flares
  • • Serum urate level >6.8 mg/dL

Applicable To

  • • Chronic idiopathic gout

Important Notes

  • • Document presence of tophi and chronicity.
Ancillary Codes

Additional codes that may be used with this diagnosis

R26.89

Painful gait

Use if mobility is impaired due to gout.

Z79.01

Long-term anticoagulant use

Use if gout is drug-induced.

Frequently Asked Questions

What is the ICD-10 code for gouty arthritis?

The ICD-10 code for acute idiopathic gout is M10.0, while chronic gout is coded as M1A.0. Specificity in site and etiology is crucial.

Can acute and chronic gout be coded together?

No, due to Excludes1 notes, acute (M10.-) and chronic (M1A.-) gout codes cannot be used together in the same encounter.

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