Most Commonly Used Code: M10.9 is frequently used when a provider documents gout but does not specify the joint(s) involved, cause, or laterality.
Gout is a common form of inflammatory arthritis caused by the deposition of urate crystals in joints. The ICD-10 code M10.9 is used by clinicians, hospitals, and medical billing teams when the specific details (joint location, primary vs secondary gout) are not documented.
Helps providers and healthcare facilities record gout in a clear, consistent way even when details are lacking.
Insurance payers require correct ICD-10 codes for reimbursement. M10.9 ensures claims are processed when gout is documented without further specification.
Proper usage of M10.9 supports population-level studies of gout prevalence, treatment patterns, and risk factors.
Gout without a known secondary cause
Gout associated with lead exposure
Gout triggered by certain medications
Secondary gout related to renal dysfunction
Presence of bacteria in urine without symptoms
When subtype, cause, or joint is not documented
Tip:Always aim to code to the most specific diagnosis level supported by medical records and lab findings.
Gout is a type of arthritis resulting from elevated uric acid in the blood that forms crystals in joints, causing acute pain, swelling, redness, and stiffness. Over time, untreated gout can lead to chronic joint damage, tophi (crystal deposits), and increased cardiovascular risks.
Sudden, intense joint pain and inflammation, often in the big toe or other joints
Periods between attacks with no symptoms
Persistent joint involvement, tophi formation, and possible joint destruction
Get answers to common questions about ICD-10 Code for Gout, Unspecified (M10.9)
Accurate ICD-10 coding is critical for faster reimbursements and compliance. Our medical billing and coding experts ensure your claims are correctly submitted the first time.
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Complete ICD10 Coding Gude