Version 2024

2024 ICD-10-CM Diagnosis Code M10

Gout

ICD-10-CM Code:
M10
ICD-10 Code for:
Gout
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the musculoskeletal system and connective tissue
    (M00–M99)
    • Inflammatory polyarthropathies
      (M05-M14)

M10 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of gout. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Gout

Non-specific codes like M10 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for gout:

  • M10.0 for Idiopathic gout - NON-BILLABLE CODE

  • Use M10.00 for Idiopathic gout, unspecified site - BILLABLE CODE

  • M10.01 for Idiopathic gout, shoulder - NON-BILLABLE CODE

  • M10.02 for Idiopathic gout, elbow - NON-BILLABLE CODE

  • M10.03 for Idiopathic gout, wrist - NON-BILLABLE CODE

  • M10.04 for Idiopathic gout, hand - NON-BILLABLE CODE

  • M10.05 for Idiopathic gout, hip - NON-BILLABLE CODE

  • M10.06 for Idiopathic gout, knee - NON-BILLABLE CODE

  • M10.07 for Idiopathic gout, ankle and foot - NON-BILLABLE CODE

  • Use M10.08 for Idiopathic gout, vertebrae - BILLABLE CODE

  • Use M10.09 for Idiopathic gout, multiple sites - BILLABLE CODE

  • M10.1 for Lead-induced gout - NON-BILLABLE CODE

  • Use M10.10 for Lead-induced gout, unspecified site - BILLABLE CODE

  • M10.11 for Lead-induced gout, shoulder - NON-BILLABLE CODE

  • M10.12 for Lead-induced gout, elbow - NON-BILLABLE CODE

  • M10.13 for Lead-induced gout, wrist - NON-BILLABLE CODE

  • M10.14 for Lead-induced gout, hand - NON-BILLABLE CODE

  • M10.15 for Lead-induced gout, hip - NON-BILLABLE CODE

  • M10.16 for Lead-induced gout, knee - NON-BILLABLE CODE

  • M10.17 for Lead-induced gout, ankle and foot - NON-BILLABLE CODE

  • Use M10.18 for Lead-induced gout, vertebrae - BILLABLE CODE

  • Use M10.19 for Lead-induced gout, multiple sites - BILLABLE CODE

  • M10.2 for Drug-induced gout - NON-BILLABLE CODE

  • Use M10.20 for Drug-induced gout, unspecified site - BILLABLE CODE

  • M10.21 for Drug-induced gout, shoulder - NON-BILLABLE CODE

  • M10.22 for Drug-induced gout, elbow - NON-BILLABLE CODE

  • M10.23 for Drug-induced gout, wrist - NON-BILLABLE CODE

  • M10.24 for Drug-induced gout, hand - NON-BILLABLE CODE

  • M10.25 for Drug-induced gout, hip - NON-BILLABLE CODE

  • M10.26 for Drug-induced gout, knee - NON-BILLABLE CODE

  • M10.27 for Drug-induced gout, ankle and foot - NON-BILLABLE CODE

  • Use M10.28 for Drug-induced gout, vertebrae - BILLABLE CODE

  • Use M10.29 for Drug-induced gout, multiple sites - BILLABLE CODE

  • M10.3 for Gout due to renal impairment - NON-BILLABLE CODE

  • Use M10.30 for Gout due to renal impairment, unspecified site - BILLABLE CODE

  • M10.31 for Gout due to renal impairment, shoulder - NON-BILLABLE CODE

  • M10.32 for Gout due to renal impairment, elbow - NON-BILLABLE CODE

  • M10.33 for Gout due to renal impairment, wrist - NON-BILLABLE CODE

  • M10.34 for Gout due to renal impairment, hand - NON-BILLABLE CODE

  • M10.35 for Gout due to renal impairment, hip - NON-BILLABLE CODE

  • M10.36 for Gout due to renal impairment, knee - NON-BILLABLE CODE

  • M10.37 for Gout due to renal impairment, ankle and foot - NON-BILLABLE CODE

  • Use M10.38 for Gout due to renal impairment, vertebrae - BILLABLE CODE

  • Use M10.39 for Gout due to renal impairment, multiple sites - BILLABLE CODE

  • M10.4 for Other secondary gout - NON-BILLABLE CODE

  • Use M10.40 for Other secondary gout, unspecified site - BILLABLE CODE

  • M10.41 for Other secondary gout, shoulder - NON-BILLABLE CODE

  • M10.42 for Other secondary gout, elbow - NON-BILLABLE CODE

  • M10.43 for Other secondary gout, wrist - NON-BILLABLE CODE

  • M10.44 for Other secondary gout, hand - NON-BILLABLE CODE

  • M10.45 for Other secondary gout, hip - NON-BILLABLE CODE

  • M10.46 for Other secondary gout, knee - NON-BILLABLE CODE

  • M10.47 for Other secondary gout, ankle and foot - NON-BILLABLE CODE

  • Use M10.48 for Other secondary gout, vertebrae - BILLABLE CODE

  • Use M10.49 for Other secondary gout, multiple sites - BILLABLE CODE

  • Use M10.9 for Gout, unspecified - BILLABLE CODE

Clinical Information

  • Arthritis, Gouty

    arthritis, especially of the great toe, as a result of gout. acute gouty arthritis often is precipitated by trauma, infection, surgery, etc. the initial attacks are usually monoarticular but later attacks are often polyarticular. acute and chronic gouty arthritis are associated with accumulation of monosodium urate in and around affected joints.
  • Gout

    metabolic disorder characterized by recurrent acute arthritis, hyperuricemia and deposition of sodium urate in and around the joints, sometimes with formation of uric acid calculi.
  • Gout Suppressants

    agents that increase uric acid excretion by the kidney (uricosuric agents), decrease uric acid production (antihyperuricemics), or alleviate the pain and inflammation of acute attacks of gout.
  • Uric Acid

    an oxidation product, via xanthine oxidase, of oxypurines such as xanthine and hypoxanthine. it is the final oxidation product of purine catabolism in humans and primates, whereas in most other mammals urate oxidase further oxidizes it to allantoin.
  • Uricosuric Agents

    gout suppressants that act directly on the renal tubule to increase the excretion of uric acid, thus reducing its concentrations in plasma.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Acute gout
  • Gout attack
  • Gout flare
  • Podagra

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify:
  • Autonomic neuropathy in diseases classified elsewhere G99.0
  • Calculus of urinary tract in diseases classified elsewhere N22
  • Cardiomyopathy in diseases classified elsewhere I43
  • Disorders of external ear in diseases classified elsewhere H61.1 H62.8
  • Disorders of iris and ciliary body in diseases classified elsewhere H22
  • Glomerular disorders in diseases classified elsewhere N08

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • chronic gout M1A

Patient Education


Gout

Gout is a common, painful form of arthritis. It causes swollen, red, hot and stiff joints.

Gout happens when uric acid builds up in your body. Uric acid comes from the breakdown of substances called purines. Purines are in your body's tissues and in foods, such as liver, dried beans and peas, and anchovies. Normally, uric acid dissolves in the blood. It passes through the kidneys and out of the body in urine. But sometimes uric acid can build up and form needle-like crystals. When they form in your joints, it is very painful. The crystals can also cause kidney stones.

Often, gout first attacks your big toe. It can also attack ankles, heels, knees, wrists, fingers, and elbows. At first, gout attacks usually get better in days. Eventually, attacks last longer and happen more often.

You are more likely to get gout if you:

  • Are a man
  • Have family member with gout
  • Are overweight
  • Drink alcohol
  • Eat too many foods rich in purines

Gout can be hard to diagnose. Your doctor may take a sample of fluid from an inflamed joint to look for crystals. You can treat gout with medicines.

Pseudogout has similar symptoms and is sometimes confused with gout. However, it is caused by calcium phosphate, not uric acid.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Gout

Gout is a type of arthritis that causes pain and swelling in your joints, usually as flares that last for a week or two, and then go away.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.