2019 ICD-10-CM Diagnosis Code M10.4

Other secondary gout

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • M10.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM M10.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of M10.4 - other international versions of ICD-10 M10.4 may differ.
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, 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. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • associated condition
The following code(s) above M10.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M10.4:
  • M00-M99
    2019 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M10
    ICD-10-CM Diagnosis Code M10

    Gout

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Acute gout
    • Gout attack
    • Gout flare
    • Podagra
    Type 2 Excludes
    Use Additional
    • code to identify:
    • Autonomic neuropathy in diseases classified elsewhere (G99.0)
    • Calculus of urinary tract in diseases classified elsewhere (N22)
    • Cardiomyopathy in diseases classified elsewhere (I43)
    • Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-)
    • Disorders of iris and ciliary body in diseases classified elsewhere (H22)
    • Glomerular disorders in diseases classified elsewhere (N08)
    Gout
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
ICD-10-CM Codes Adjacent To M10.4
M10.36 Gout due to renal impairment, knee
M10.361 Gout due to renal impairment, right knee
M10.362 Gout due to renal impairment, left knee
M10.369 Gout due to renal impairment, unspecified knee
M10.37 Gout due to renal impairment, ankle and foot
M10.371 Gout due to renal impairment, right ankle and foot
M10.372 Gout due to renal impairment, left ankle and foot
M10.379 Gout due to renal impairment, unspecified ankle and foot
M10.38 …… vertebrae
M10.39 …… multiple sites
M10.4 Other secondary gout
M10.40 …… 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

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.