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M10.019

Billable

Idiopathic gout, unspecified 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 in the shoulder area, but the specific side (left or right) is not documented.

Coding Tips

  • Use this code only when laterality cannot be determined from available documentation
  • Query the provider if possible to obtain specific laterality information for more accurate coding

Code Hierarchy

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