ICD-10-CM Code M10.4

Other secondary gout

Version 2020 Non-Billable Code

Not Valid for Submission

M10.4 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of other secondary gout. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M10.4
Short Description:Other secondary gout
Long Description:Other secondary gout

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

  • 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

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 M10.4:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • associated condition

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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