2026 ICD-10-CM Diagnosis Code M10.259Drug-induced gout, unspecified hip

ICD-10-CM Codes›M00–M99›M05-M14›M10

ICD-10-CM M10.259
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M10.259 is a billable ICD-10-CM diagnosis code for drug-induced gout, unspecified hip. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 553 through 554. Coders also document this condition as gout of hip caused by drug. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Drug induced or toxic related condition and Gout.

Code Identity

ICD-10-CM Code
M10.259
Billable Status
Yes — Valid for Submission
Code Describes
Drug-induced gout, unspecified hip
Short Description
Drug-induced gout, unspecified hip
Same as the full description in the CMS dataset.
Parent Code
M10.25
Drug-induced gout, hip

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM05-M14Inflammatory polyarthropathies
CategoryM10Gout
This CodeM10.259Drug-induced gout, unspecified hip

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Gout of hip caused by drug

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ030
Drug induced or toxic related condition
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR MUS033
Gout
Default principal diagnosis: inpatient No · outpatient No

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.

Convert M10.259 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
274.00 Gouty arthropathy NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
274.01 Acute gouty arthropathy
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M10.259Overview

Is M10.259 (Drug-induced gout, hip) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report drug-induced gout, unspecified hip on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M10.259 group to?

When drug-induced gout, unspecified hip is the principal diagnosis on an inpatient stay, it groups to MS-DRG 553, 554, with relative weights from 0.8301 to 1.2963 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M10.259?

Under the General Equivalence Mappings, drug-induced gout, unspecified hip converts to ICD-9-CM 274.00 (gouty arthropathy NOS) and 274.01 (acute gouty arthropathy). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.