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M10.9

Billable

Gout, unspecified

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

What This Code Means

Gout of unknown type or cause, characterized by sudden joint pain, swelling, and inflammation typically in the feet and hands.

Coding Tips

  • •Use this code only when the type of gout (primary vs. secondary) cannot be determined from documentation
  • •Query the provider if additional information about gout classification is available to assign a more specific code

Code Hierarchy

└M10Gout└M10.9Gout, unspecified
└M10.9Gout, unspecified

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