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M10.012

Billable

Idiopathic gout, left 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 left shoulder.

Coding Tips

  • Ensure documentation clearly specifies left shoulder involvement to differentiate from right-sided gout
  • Review patient records for uric acid levels and gout history to confirm diagnosis

Code Hierarchy

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