2019 ICD-10-CM Diagnosis Code M10.9

Gout, unspecified

    2016 2017 2018 2019 Billable/Specific Code
  • M10.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM M10.9 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of M10.9 - other international versions of ICD-10 M10.9 may differ.
Applicable To
  • Gout NOS
The following code(s) above M10.9 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 M10.9:
  • 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
Approximate Synonyms
  • Gout
  • Gouty tophi
  • Gouty tophi of heart
  • Gouty tophi of left ear
  • Gouty tophi of left elbow
  • Gouty tophi of left foot
  • Gouty tophi of left hand
  • Gouty tophi of left olecranon bursa
  • Gouty tophi of right ear
  • Gouty tophi of right elbow
  • Gouty tophi of right foot
  • Gouty tophi of right hand
  • Gouty tophi of right olecranon bursa
  • Gouty tophus
  • Gouty tophus of left ear
  • Gouty tophus of left elbow
  • Gouty tophus of left foot
  • Gouty tophus of left hand
  • Gouty tophus of left olecranon bursa
  • Gouty tophus of right ear
  • Gouty tophus of right elbow
  • Gouty tophus of right foot
  • Gouty tophus of right hand
  • Gouty tophus of right olecranon bursa
Clinical Information
  • A condition marked by increased levels of uric acid in the blood, joints, and tissue. The buildup of uric acid in the joints and tissues causes arthritis and inflammation.
  • Gout is a common, painful form of arthritis. It causes swollen, red, hot and stiff joints. Gout occurs when uric acid builds up in your blood. This happens if your body produces extra acid or does not eliminate enough, or if you eat too many foods with purines, such as liver and dried beans. Pseudogout has similar symptoms and is sometimes confused with gout. However, it is caused by calcium phosphate, not uric acid.often, gout first attacks your big toe. It can also attack ankles, heels, knees, wrists, fingers and elbows. You are more likely to get gout if you
    • are a man
    • have family member with gout
    • drink alcohol
    at first, gout attacks usually get better in days. Eventually, attacks last longer and occur more often. Uric acid buildup can lead to kidney stones. Untreated gout can cause permanent joint and kidney damage. You can treat gout with medicines. nih: national institute of arthritis and musculoskeletal and skin diseases
  • Hereditary 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.
ICD-10-CM M10.9 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 553 Bone diseases and arthropathies with mcc
  • 554 Bone diseases and arthropathies without mcc

Convert M10.9 to ICD-9-CM

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

Diagnosis Index entries containing back-references to M10.9:
  • Gout, gouty (acute) (attack) (flare) M10.9 - see also Gout, chronic
  • Iritis - see also Iridocyclitis
    • gouty M10.9 - see also Gout, by type
  • Neuritis (rheumatoid) M79.2
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • gouty M10.9 - see also Gout, by type
  • Podagra M10.9 - see also Gout

ICD-10-CM Codes Adjacent To M10.9
M10.46 Other secondary gout, knee
M10.461 Other secondary gout, right knee
M10.462 Other secondary gout, left knee
M10.469 Other secondary gout, unspecified knee
M10.47 Other secondary gout, ankle and foot
M10.471 Other secondary gout, right ankle and foot
M10.472 Other secondary gout, left ankle and foot
M10.479 Other secondary gout, unspecified ankle and foot
M10.48 …… vertebrae
M10.49 …… multiple sites
M10.9 Gout, unspecified
M11 Other crystal arthropathies
M11.0 Hydroxyapatite deposition disease
M11.00 …… unspecified site
M11.01 Hydroxyapatite deposition disease, shoulder
M11.011 Hydroxyapatite deposition disease, right shoulder
M11.012 Hydroxyapatite deposition disease, left shoulder
M11.019 Hydroxyapatite deposition disease, unspecified shoulder
M11.02 Hydroxyapatite deposition disease, elbow
M11.021 Hydroxyapatite deposition disease, right elbow
M11.022 Hydroxyapatite deposition disease, left elbow

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