M10 is a non-billable ICD-10-CM category code for gout, so it cannot be submitted on claims. Use a more specific code from this category instead, such as M10.00, M10.011, M10.012, and M10.019.
Code Identity
Code Classification
Specific Coding for GoutOverview
Non-specific codes like M10 require more characters. Use one of these billable codes instead:
M10.0 for Idiopathic gout
Use M10.00 for Idiopathic gout, unspecified site
M10.01 for Idiopathic gout, shoulder
M10.02 for Idiopathic gout, elbow
M10.03 for Idiopathic gout, wrist
M10.04 for Idiopathic gout, hand
M10.05 for Idiopathic gout, hip
M10.06 for Idiopathic gout, knee
M10.07 for Idiopathic gout, ankle and foot
Use M10.08 for Idiopathic gout, vertebrae
Use M10.09 for Idiopathic gout, multiple sites
M10.1 for Lead-induced gout
Use M10.10 for Lead-induced gout, unspecified site
M10.11 for Lead-induced gout, shoulder
M10.12 for Lead-induced gout, elbow
M10.13 for Lead-induced gout, wrist
M10.14 for Lead-induced gout, hand
M10.15 for Lead-induced gout, hip
M10.16 for Lead-induced gout, knee
M10.17 for Lead-induced gout, ankle and foot
Use M10.18 for Lead-induced gout, vertebrae
Use M10.19 for Lead-induced gout, multiple sites
M10.2 for Drug-induced gout
Use M10.20 for Drug-induced gout, unspecified site
M10.21 for Drug-induced gout, shoulder
M10.22 for Drug-induced gout, elbow
M10.23 for Drug-induced gout, wrist
M10.24 for Drug-induced gout, hand
M10.25 for Drug-induced gout, hip
M10.26 for Drug-induced gout, knee
M10.27 for Drug-induced gout, ankle and foot
Use M10.28 for Drug-induced gout, vertebrae
Use M10.29 for Drug-induced gout, multiple sites
M10.3 for Gout due to renal impairment
Use M10.30 for Gout due to renal impairment, unspecified site
M10.31 for Gout due to renal impairment, shoulder
M10.32 for Gout due to renal impairment, elbow
M10.33 for Gout due to renal impairment, wrist
M10.34 for Gout due to renal impairment, hand
M10.35 for Gout due to renal impairment, hip
M10.36 for Gout due to renal impairment, knee
M10.37 for Gout due to renal impairment, ankle and foot
Use M10.38 for Gout due to renal impairment, vertebrae
Use M10.39 for Gout due to renal impairment, multiple sites
M10.4 for Other secondary gout
Use M10.40 for Other secondary gout, unspecified site
M10.41 for Other secondary gout, shoulder
M10.42 for Other secondary gout, elbow
M10.43 for Other secondary gout, wrist
M10.44 for Other secondary gout, hand
M10.45 for Other secondary gout, hip
M10.46 for Other secondary gout, knee
M10.47 for Other secondary gout, ankle and foot
Use M10.48 for Other secondary gout, vertebrae
Use M10.49 for Other secondary gout, multiple sites
Use M10.9 for Gout, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M10: its own notes plus those printed at block M00-M25 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- Disorders affecting predominantly peripheral (limb) joints
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Acute gout
- Gout attack
- Gout flare
- Podagra
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- chronic gout (M1A.-)
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- 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)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name M10, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming M10: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 1
These codes carry an Excludes2 note naming M10: its condition is not part of those codes, and both may be reported when the patient has both.
Code First 5
These codes say to code first a condition named in the note, and M10 is one of the conditions named.
- G99.0 Autonomic neuropathy in diseases classified elsewheregout (M1A.-, M10.-)
- H22 Disorders of iris and ciliary body in diseases classified elsewheregout (M1A.-, M10.-)
- H62.8 Other disorders of external ear in diseases classified elsewheregout (M1A.-, M10.-)
- N08 Glomerular disorders in diseases classified elsewheregout (M1A.-, M10.-)
- N22 Calculus of urinary tract in diseases classified elsewheregout (M1A.-, M10.-)
Clinical InformationClinical
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.
Patient EducationClinical
Gout
Gout is a common type of inflammatory arthritis. It causes pain, swelling, and redness in one or more joints. It usually happens as a flare, which can last for a week or two and then gets better. The flares often begin in your big toe or a lower limb.
The full article covers:
- What is gout?
- What causes gout?
- Who is more likely to develop gout?
- What are the symptoms of gout?
- How is gout diagnosed?
- What are the treatments for gout?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About M10Overview
What is the ICD-10 code for gout?
M10 is the ICD-10-CM category for gout, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is M10 (Gout) a billable code?
No. This is a category header that groups the codes for gout, and headers cannot be submitted on claims. Claims for gout need a more specific code from this category, such as M10.00, M10.011, and M10.012.
Does M10 need an additional code?
When the condition applies, yes. The Use Additional Code note reads: 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); and 1 more listed in the Instructional Notes section. The additional code is reported after M10.
