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ICD-10 Diagnosis Code

ICD-10 Code for Gout, Unspecified (M10.9)

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.

Why ICD-10 Codes for Gout Are Important

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.

Accurate diagnosis reporting

Accurate diagnosis reporting

Helps providers and healthcare facilities record gout in a clear, consistent way even when details are lacking.

Medical billing insurance claims

Medical billing & insurance claims

Insurance payers require correct ICD-10 codes for reimbursement. M10.9 ensures claims are processed when gout is documented without further specification.

Research public health tracking

Research & public health tracking

Proper usage of M10.9 supports population-level studies of gout prevalence, treatment patterns, and risk factors.

Common ICD-10 Codes Related to Gout

M10.9

Gout & Related Arthropathies

M10.0 – Idiopathic gout

Gout without a known secondary cause

M10.1 – Lead-induced gou

Gout associated with lead exposure

M10.2 – Drug-induced gout

Gout triggered by certain medications

M10.3 – Gout due to kidney impairment

Secondary gout related to renal dysfunction

M10.4 – Other secondary gout

Presence of bacteria in urine without symptoms

M10.9 – Gout, unspecified

When subtype, cause, or joint is not documented

When to Use These Codes

  • M10.9: Use when gout is documented but lacks specifics on type, location, or cause.
  • M10.0: For idiopathic gout without identified cause.
  • M10.1 / M10.2 / M10.3 / M10.4:Use when the provider states a specific cause or classification.

Tip:Always aim to code to the most specific diagnosis level supported by medical records and lab findings.

Related Codes & Their Definitions

  • M10.0 – Idiopathic gout: Primary gout
  • M10.1 – Lead-induced gout: Gout from lead exposure
  • M10.2 – Drug-induced gout: Medication-related gout
  • M10.3 – Gout due to kidney impairment: Renal-associated gout
  • M10.4 – Other secondary gout: Gout from other known causes

Common Synonyms for ICD-10 Code M10.9 (Gout, Unspecified)

Understanding Gout

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.

Forms / Patterns of Gout

Acute Gout Attack

Sudden, intense joint pain and inflammation, often in the big toe or other joints

Intercritical Gout

Periods between attacks with no symptoms

Chronic / Tophaceous Gout

Persistent joint involvement, tophi formation, and possible joint destruction

Nitrite: -ve WBC/HPF: 2per HPF Protien: -ve Specific gravity: 1.015

Frequently Asked Questions about ICD-10 Code M10.9

Get answers to common questions about ICD-10 Code for Gout, Unspecified (M10.9)

M10.9 is the diagnosis code for gout, unspecified, used when the provider does not record further detail about the type, location, or cause.

Use M10.9 when documentation does not include subtype, trigger, or joint involved. If additional information becomes available (e.g. “drug-induced gout” or “gout of right knee”), the more specific codes should be used.

The approximate ICD-9 equivalent is 274.9 (Gout, unspecified)

No — M10.9 excludes chronic gout. Chronic gout and tophaceous gout are coded under the M1A series.

Correct ICD-10 coding ensures proper reimbursement, supports data collection on gout trends, guides treatment decisions, and helps prevent audit issues in billing.

Need Help with ICD-10 Coding & Billing?

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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