Version 2024

2024 ICD-10-CM Diagnosis Code M10.0

Idiopathic gout

ICD-10-CM Code:
M10.0
ICD-10 Code for:
Idiopathic 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)

M10.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of idiopathic 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 Idiopathic gout

Non-specific codes like M10.0 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 idiopathic gout:

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

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

  • Use M10.011 for Idiopathic gout, right shoulder - BILLABLE CODE

  • Use M10.012 for Idiopathic gout, left shoulder - BILLABLE CODE

  • Use M10.019 for Idiopathic gout, unspecified shoulder - BILLABLE CODE

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

  • Use M10.021 for Idiopathic gout, right elbow - BILLABLE CODE

  • Use M10.022 for Idiopathic gout, left elbow - BILLABLE CODE

  • Use M10.029 for Idiopathic gout, unspecified elbow - BILLABLE CODE

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

  • Use M10.031 for Idiopathic gout, right wrist - BILLABLE CODE

  • Use M10.032 for Idiopathic gout, left wrist - BILLABLE CODE

  • Use M10.039 for Idiopathic gout, unspecified wrist - BILLABLE CODE

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

  • Use M10.041 for Idiopathic gout, right hand - BILLABLE CODE

  • Use M10.042 for Idiopathic gout, left hand - BILLABLE CODE

  • Use M10.049 for Idiopathic gout, unspecified hand - BILLABLE CODE

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

  • Use M10.051 for Idiopathic gout, right hip - BILLABLE CODE

  • Use M10.052 for Idiopathic gout, left hip - BILLABLE CODE

  • Use M10.059 for Idiopathic gout, unspecified hip - BILLABLE CODE

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

  • Use M10.061 for Idiopathic gout, right knee - BILLABLE CODE

  • Use M10.062 for Idiopathic gout, left knee - BILLABLE CODE

  • Use M10.069 for Idiopathic gout, unspecified knee - BILLABLE CODE

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

  • Use M10.071 for Idiopathic gout, right ankle and foot - BILLABLE CODE

  • Use M10.072 for Idiopathic gout, left ankle and foot - BILLABLE CODE

  • Use M10.079 for Idiopathic gout, unspecified ankle and foot - BILLABLE CODE

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

  • Use M10.09 for Idiopathic gout, multiple sites - 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.
  • Gouty bursitis
  • Primary gout

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.