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Home/Diagnosis/ICD-10 Coding for Gouty Arthropathy

ICD-10 Coding for Gouty Arthropathy

M10.0
M1A.-

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

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

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

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

clinical:
  • • Presence of acute joint inflammation with urate crystals
documentation:
  • • Documentation of synovial fluid analysis or DECT findings

Applicable To

  • • Acute gouty arthritis

Important Notes

  • • Ensure documentation specifies 'acute' and confirms with lab or imaging findings.

Chronic gout

Non-Billable
M1A.-
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of tophi on physical exam
  • • Radiographic evidence of joint erosions

Applicable To

  • • Chronic tophaceous gout

Important Notes

  • • Ensure to document chronicity and presence of tophi if applicable.
Ancillary Codes

Additional codes that may be used with this diagnosis

N22

Calculus of kidney and ureter

Use when nephrolithiasis is present with gout.

N18.3

Chronic kidney disease, stage 3

Use when CKD is present with chronic gout.

Frequently Asked Questions

What is the ICD-10 code for gouty arthropathy?

The ICD-10 code for gouty arthropathy is M10 for acute gout and M1A for chronic gout, with specific subcodes for different manifestations.

How do you code chronic gout with tophi?

Chronic gout with tophi is coded under M1A with a 7th character to specify the presence of tophi, such as M1A.072.

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