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M10.38

Billable

Gout due to renal impairment, vertebrae

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

What This Code Means

Gout affecting the spine and vertebrae caused by kidney disease or impaired kidney function, resulting in uric acid buildup and inflammation in the backbone.

Coding Tips

  • Vertebral gout is less common; ensure documentation clearly indicates spinal involvement before coding
  • Code the underlying renal impairment separately to capture the full clinical picture

Code Hierarchy

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