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    v1.0.28
    OpenPayerBilling CodesInflammatory polyarthropathiesICD-10-CM m10-gout-and-related-arthropathies
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    ICD-10-CM Code For Gout: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M10 includes gout diagnoses, covering acute gout flares, chronic gouty arthropathy, and gout with tophi affecting peripheral joints and axial sites. These ICD-10-CM diagnosis codes are used to document disease acuity, joint involvement, tophi presence, and related clinical complexity relevant to gout management. Accurate coding within the ICD-10-CM M10 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM M10: Gout Overview

    The diagnoses in this group represent gout, an inflammatory arthropathy caused by monosodium urate crystal deposition affecting joints and periarticular tissues. Gout primarily targets the musculoskeletal system, commonly involving the first metatarsophalangeal joint, knees, and ankles, and can present as acute flares or chronic tophaceous disease. Accurate coding matters for reimbursement because it captures episode acuity, joint involvement, and comorbid conditions that affect management and claim adjudication.

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    When to Use

    Use a code from this group when clinical documentation indicates gout as the primary diagnosis, including acute flares, chronic gout with joint destruction, or documented tophi. Select codes that reflect the anatomic site, laterality, and whether tophi or complications are present to accurately represent clinical severity.

    ICD-10-CM Codes

    121 rows

    ICD-10-CM CodeDescription
    M10.00Idiopathic gout, unspecified site
    M10.011Idiopathic gout, right shoulder
    M10.012Idiopathic gout, left shoulder
    M10.019Idiopathic gout, unspecified shoulder
    M10.021Idiopathic gout, right elbow
    M10.022Idiopathic gout, left elbow
    M10.029Idiopathic gout, unspecified elbow
    M10.031Idiopathic gout, right wrist
    M10.032Idiopathic gout, left wrist
    M10.039Idiopathic gout, unspecified wrist
    M10.041Idiopathic gout, right hand
    M10.042Idiopathic gout, left hand
    M10.049Idiopathic gout, unspecified hand
    M10.051Idiopathic gout, right hip
    M10.052Idiopathic gout, left hip
    M10.059Idiopathic gout, unspecified hip
    M10.061Idiopathic gout, right knee
    M10.062Idiopathic gout, left knee
    M10.069Idiopathic gout, unspecified knee
    M10.071Idiopathic gout, right ankle and foot

    Showing 1–20 of 121

    DRG Codes

    5 rows

    DRG CodeDescription
    553Bone Diseases and Arthropathies with MCC
    554Bone Diseases and Arthropathies without MCC
    698Other Kidney and Urinary Tract Diagnoses with MCC
    699Other Kidney and Urinary Tract Diagnoses with CC
    700Other Kidney and Urinary Tract Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • A middle-aged man presents to the emergency department with sudden onset of severe pain, swelling, erythema, and warmth of the first metatarsophalangeal joint (great toe) that began overnight; examination and serum uric acid elevation support an acute gout flare, so an acute gout diagnosis is assigned to capture the active inflammatory episode. Typical codes: M10.071, M10.072
    • An older woman with a long history of hyperuricemia and recurrent gout attacks is seen in clinic for ongoing management of chronic tophaceous gout with persistent joint deformities and subcutaneous tophi affecting multiple locations; the visit documents chronic gouty arthritis without acute flare, so a chronic gout code is used to reflect the longstanding disease state. Typical codes: M10.20, M10.29
    • A hospitalized patient with chronic kidney disease develops an acute gout attack of the knee while receiving diuretics and has sepsis risk concerns; the encounter documents acute gout in a patient with significant comorbidity complicating management, so an acute gout code specifying the affected joint and laterality is assigned to represent the acute event in the setting of comorbidity. Typical codes: M10.231, M10.232

    Related Codes

    M05-RHEUMATOID-ARTHRITIS-WITH-RHEUMATOID-FACTOR

    ICD-10-CM Code For Rheumatoid Arthritis With Rheumatoid Factor: Group Overview

    M06-OTHER-RHEUMATOID-ARTHRITIS

    ICD-10-CM Code For Other Rheumatoid Arthritis: Group Overview

    M07-ENTEROPATHIC-ARTHROPATHIES

    ICD-10-CM Code For Enteropathic Arthropathies: Group Overview

    M08-JUVENILE-ARTHRITIS

    ICD-10-CM Code For Juvenile Arthritis: Group Overview

    M11-OTHER-CRYSTAL-ARTHROPATHIES

    ICD-10-CM Code For Other Crystal Arthropathies: Group Overview

    M12-OTHER-AND-UNSPECIFIED-ARTHROPATHY

    ICD-10-CM Code For Other And Unspecified Arthropathy: Group Overview

    M13-OTHER-ARTHRITIS

    ICD-10-CM Code For Other Arthritis: Group Overview

    M14-ARTHROPATHIES-IN-OTHER-DISEASES

    ICD-10-CM Code For Arthropathies In Other Diseases Classified Elsewhere: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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