ICD-10-CM Code M10.9

Gout, unspecified

Version 2020 Billable Code

Valid for Submission

M10.9 is a billable code used to specify a medical diagnosis of gout, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M10.9 might also be used to specify conditions or terms like acute gout, articular gout, bursitis of elbow, bursitis of elbow, familial juvenile gout, gout, etc

ICD-10:M10.9
Short Description:Gout, unspecified
Long Description: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 M10.9:

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.
  • Gout NOS

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M10.9 are found in the index:

  • - Iritis - See Also: Iridocyclitis;
    • - gouty - See Also: Gout, by type; - M10.9
  • - Podagra - See Also: Gout; - M10.9

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute gout
  • Articular gout
  • Bursitis of elbow
  • Bursitis of elbow
  • Familial juvenile gout
  • Gout
  • Gout associated problem
  • Gout monitoring status
  • Gout monitoring status
  • Gout monitoring status
  • Gout treatment changed
  • Gouty arthritis of left foot
  • Gouty arthritis of left great toe
  • Gouty arthritis of right foot
  • Gouty arthritis of right great toe
  • Gouty arthritis of temporomandibular joint
  • Gouty arthritis of toe
  • Gouty bursitis
  • Gouty bursitis
  • Gouty bursitis
  • Gouty bursitis of left olecranon
  • Gouty bursitis of right olecranon
  • Gouty iritis
  • Gouty neuritis
  • Gouty proteinuria
  • Intercritical gout
  • Interval gout
  • Joints gout affected
  • Olecranon bursitis
  • Olecranon bursitis
  • Podagra
  • Pre-treatment uric acid level
  • Urate nephropathy

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.

Diagnostic Related Groups

The ICD-10 code M10.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 553 - BONE DISEASES AND ARTHROPATHIES WITH MCC
  • 554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Convert M10.9 to ICD-9

  • 274.9 - Gout NOS (Approximate Flag)

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


[Learn More]

Gout Gout is a type of arthritis, which is a group of related disorders caused by episodes of abnormal inflammation in the joints. People with gout have high levels of a substance called urate in the blood (hyperuricemia). Gout develops when hyperuricemia leads to the formation of urate crystals in joints, triggering an inflammatory response from the immune system.In people with gout, the first episode of inflammation (called a flare) usually affects the big toe or other joints in the foot or ankle. If urate levels remain high, flares can recur, affecting additional joints throughout the body. The time between flares varies among affected individuals; however, most people who experience multiple flares have their second one within a year of their first.Flares usually begin at night and can last several days. It is unclear what causes a flare to stop; the body likely turns off the inflammation response after a certain period of time. During a flare, individuals can experience throbbing or burning pain, swelling, warmth, redness, and difficulty moving the affected joint. Fevers may occur, after which the skin over the affected joint can begin to peel. Without treatment, people with gout can experience frequent flares and joint pain and damage, which can limit mobility and decrease quality of life.In about 15 percent of people with gout, urate accumulates in the kidneys and forms kidney stones. As the condition worsens, urate crystals can also be deposited under the skin or in other soft tissue, forming a nodule called a tophus (plural: tophi). These tophi often form in the hands, elbows, or feet. Tophi do not typically cause pain, but they can become inflamed, infected, or ooze fluid. Depending on their location, tophi can interfere with movements such as walking or gripping objects.Many people with gout also have other health conditions. Most affected individuals have high blood pressure (hypertension), chronic kidney disease, or obesity. Some also have diabetes, heart disease, or a history of stroke. It is unclear whether gout is the cause of a person's increased risk for these conditions, or whether the conditions cause the development of gout, or whether both of these situations occur to influence disease.
[Learn More]