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M10.011

Billable

Idiopathic gout, right shoulder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A painful joint condition caused by uric acid crystal buildup occurring in the right shoulder.

Coding Tips

  • Confirm laterality (right vs. left) is documented in the clinical record before assigning this code
  • Distinguish between idiopathic gout and gout secondary to other conditions or medications

Code Hierarchy

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