ICD-10-CM Code M10

Gout

Version 2020 Non-Billable Code

Not Valid for Submission

M10 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of gout. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M10
Short Description:Gout
Long Description:Gout

Consider the following ICD-10 codes with a higher level of specificity:

  • M10.0 - Idiopathic gout
  • M10.00 - Idiopathic gout, unspecified site
  • M10.01 - Idiopathic gout, shoulder
  • M10.011 - Idiopathic gout, right shoulder
  • M10.012 - Idiopathic gout, left shoulder
  • M10.019 - Idiopathic gout, unspecified shoulder
  • M10.02 - Idiopathic gout, elbow
  • M10.021 - Idiopathic gout, right elbow
  • M10.022 - Idiopathic gout, left elbow
  • M10.029 - Idiopathic gout, unspecified elbow
  • M10.03 - Idiopathic gout, wrist
  • M10.031 - Idiopathic gout, right wrist
  • M10.032 - Idiopathic gout, left wrist
  • M10.039 - Idiopathic gout, unspecified wrist
  • M10.04 - Idiopathic gout, hand
  • M10.041 - Idiopathic gout, right hand
  • M10.042 - Idiopathic gout, left hand
  • M10.049 - Idiopathic gout, unspecified hand
  • M10.05 - Idiopathic gout, hip
  • M10.051 - Idiopathic gout, right hip
  • M10.052 - Idiopathic gout, left hip
  • M10.059 - Idiopathic gout, unspecified hip
  • M10.06 - Idiopathic gout, knee
  • M10.061 - Idiopathic gout, right knee
  • M10.062 - Idiopathic gout, left knee
  • M10.069 - Idiopathic gout, unspecified knee
  • M10.07 - Idiopathic gout, ankle and foot
  • M10.071 - Idiopathic gout, right ankle and foot
  • M10.072 - Idiopathic gout, left ankle and foot
  • M10.079 - Idiopathic gout, unspecified ankle and foot
  • M10.08 - Idiopathic gout, vertebrae
  • M10.09 - Idiopathic gout, multiple sites
  • M10.1 - Lead-induced gout
  • M10.10 - Lead-induced gout, unspecified site
  • M10.11 - Lead-induced gout, shoulder
  • M10.111 - Lead-induced gout, right shoulder
  • M10.112 - Lead-induced gout, left shoulder
  • M10.119 - Lead-induced gout, unspecified shoulder
  • M10.12 - Lead-induced gout, elbow
  • M10.121 - Lead-induced gout, right elbow
  • M10.122 - Lead-induced gout, left elbow
  • M10.129 - Lead-induced gout, unspecified elbow
  • M10.13 - Lead-induced gout, wrist
  • M10.131 - Lead-induced gout, right wrist
  • M10.132 - Lead-induced gout, left wrist
  • M10.139 - Lead-induced gout, unspecified wrist
  • M10.14 - Lead-induced gout, hand
  • M10.141 - Lead-induced gout, right hand
  • M10.142 - Lead-induced gout, left hand
  • M10.149 - Lead-induced gout, unspecified hand
  • M10.15 - Lead-induced gout, hip
  • M10.151 - Lead-induced gout, right hip
  • M10.152 - Lead-induced gout, left hip
  • M10.159 - Lead-induced gout, unspecified hip
  • M10.16 - Lead-induced gout, knee
  • M10.161 - Lead-induced gout, right knee
  • M10.162 - Lead-induced gout, left knee
  • M10.169 - Lead-induced gout, unspecified knee
  • M10.17 - Lead-induced gout, ankle and foot
  • M10.171 - Lead-induced gout, right ankle and foot
  • M10.172 - Lead-induced gout, left ankle and foot
  • M10.179 - Lead-induced gout, unspecified ankle and foot
  • M10.18 - Lead-induced gout, vertebrae
  • M10.19 - Lead-induced gout, multiple sites
  • M10.2 - Drug-induced gout
  • M10.20 - Drug-induced gout, unspecified site
  • M10.21 - Drug-induced gout, shoulder
  • M10.211 - Drug-induced gout, right shoulder
  • M10.212 - Drug-induced gout, left shoulder
  • M10.219 - Drug-induced gout, unspecified shoulder
  • M10.22 - Drug-induced gout, elbow
  • M10.221 - Drug-induced gout, right elbow
  • M10.222 - Drug-induced gout, left elbow
  • M10.229 - Drug-induced gout, unspecified elbow
  • M10.23 - Drug-induced gout, wrist
  • M10.231 - Drug-induced gout, right wrist
  • M10.232 - Drug-induced gout, left wrist
  • M10.239 - Drug-induced gout, unspecified wrist
  • M10.24 - Drug-induced gout, hand
  • M10.241 - Drug-induced gout, right hand
  • M10.242 - Drug-induced gout, left hand
  • M10.249 - Drug-induced gout, unspecified hand
  • M10.25 - Drug-induced gout, hip
  • M10.251 - Drug-induced gout, right hip
  • M10.252 - Drug-induced gout, left hip
  • M10.259 - Drug-induced gout, unspecified hip
  • M10.26 - Drug-induced gout, knee
  • M10.261 - Drug-induced gout, right knee
  • M10.262 - Drug-induced gout, left knee
  • M10.269 - Drug-induced gout, unspecified knee
  • M10.27 - Drug-induced gout, ankle and foot
  • M10.271 - Drug-induced gout, right ankle and foot
  • M10.272 - Drug-induced gout, left ankle and foot
  • M10.279 - Drug-induced gout, unspecified ankle and foot
  • M10.28 - Drug-induced gout, vertebrae
  • M10.29 - Drug-induced gout, multiple sites
  • M10.3 - Gout due to renal impairment
  • M10.30 - Gout due to renal impairment, unspecified site
  • M10.31 - Gout due to renal impairment, shoulder
  • M10.311 - Gout due to renal impairment, right shoulder
  • M10.312 - Gout due to renal impairment, left shoulder
  • M10.319 - Gout due to renal impairment, unspecified shoulder
  • M10.32 - Gout due to renal impairment, elbow
  • M10.321 - Gout due to renal impairment, right elbow
  • M10.322 - Gout due to renal impairment, left elbow
  • M10.329 - Gout due to renal impairment, unspecified elbow
  • M10.33 - Gout due to renal impairment, wrist
  • M10.331 - Gout due to renal impairment, right wrist
  • M10.332 - Gout due to renal impairment, left wrist
  • M10.339 - Gout due to renal impairment, unspecified wrist
  • M10.34 - Gout due to renal impairment, hand
  • M10.341 - Gout due to renal impairment, right hand
  • M10.342 - Gout due to renal impairment, left hand
  • M10.349 - Gout due to renal impairment, unspecified hand
  • M10.35 - Gout due to renal impairment, hip
  • M10.351 - Gout due to renal impairment, right hip
  • M10.352 - Gout due to renal impairment, left hip
  • M10.359 - Gout due to renal impairment, unspecified hip
  • M10.36 - Gout due to renal impairment, knee
  • M10.361 - Gout due to renal impairment, right knee
  • M10.362 - Gout due to renal impairment, left knee
  • M10.369 - Gout due to renal impairment, unspecified knee
  • M10.37 - Gout due to renal impairment, ankle and foot
  • M10.371 - Gout due to renal impairment, right ankle and foot
  • M10.372 - Gout due to renal impairment, left ankle and foot
  • M10.379 - Gout due to renal impairment, unspecified ankle and foot
  • M10.38 - Gout due to renal impairment, vertebrae
  • M10.39 - Gout due to renal impairment, multiple sites
  • M10.4 - Other secondary gout
  • M10.40 - Other secondary gout, unspecified site
  • M10.41 - Other secondary gout, shoulder
  • M10.411 - Other secondary gout, right shoulder
  • M10.412 - Other secondary gout, left shoulder
  • M10.419 - Other secondary gout, unspecified shoulder
  • M10.42 - Other secondary gout, elbow
  • M10.421 - Other secondary gout, right elbow
  • M10.422 - Other secondary gout, left elbow
  • M10.429 - Other secondary gout, unspecified elbow
  • M10.43 - Other secondary gout, wrist
  • M10.431 - Other secondary gout, right wrist
  • M10.432 - Other secondary gout, left wrist
  • M10.439 - Other secondary gout, unspecified wrist
  • M10.44 - Other secondary gout, hand
  • M10.441 - Other secondary gout, right hand
  • M10.442 - Other secondary gout, left hand
  • M10.449 - Other secondary gout, unspecified hand
  • M10.45 - Other secondary gout, hip
  • M10.451 - Other secondary gout, right hip
  • M10.452 - Other secondary gout, left hip
  • M10.459 - Other secondary gout, unspecified hip
  • M10.46 - Other secondary gout, knee
  • M10.461 - Other secondary gout, right knee
  • M10.462 - Other secondary gout, left knee
  • M10.469 - Other secondary gout, unspecified knee
  • M10.47 - Other secondary gout, ankle and foot
  • M10.471 - Other secondary gout, right ankle and foot
  • M10.472 - Other secondary gout, left ankle and foot
  • M10.479 - Other secondary gout, unspecified ankle and foot
  • M10.48 - Other secondary gout, vertebrae
  • M10.49 - Other secondary gout, multiple sites
  • M10.9 - Gout, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M10:

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

Clinical Information

  • 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.
  • 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.

Code Classification

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

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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


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