ICD-10-CM Billable Code

M1A.312

Chronic gout due to renal impairment, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic gout caused by renal impairment affecting the left shoulder is a medical condition where uric acid crystals build up in the joints, leading to ongoing joint inflammation and damage. This condition is linked to kidney problems that hinder the body's ability to eliminate uric acid efficiently. Recognizing the symptoms and understanding the causes can help manage the condition effectively.

Causes & Symptoms

Clinical Causes: Chronic kidney disease or renal impairment that reduces uric acid excretion Genetic predisposition to elevated uric acid levels Diet high in purines such as red meats, seafood, and alcohol Obesity, which increases uric acid production and decreases elimination Use of certain medications like diuretics or low-dose aspirin

Key Symptoms: Persistent pain and swelling in the left shoulder joint Joint redness and warmth over the affected area Limited range of motion in the shoulder Recurrent gout attacks that increase in severity over time Possible presence of tophi (urate crystal deposits) under the skin around the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of medical history, physical examination, and laboratory tests. A healthcare provider may perform:

Treatment Protocols: Managing chronic gout due to renal impairment generally involves a comprehensive approach aimed at reducing uric acid levels, alleviating symptoms, and protecting joint health. Typical treatments include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M1A.312 a billable ICD-10 code?
Yes, M1A.312 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M1A.312?
Clinical documentation must specify the nature of Chronic gout due to renal impairment, left shoulder and any associated comorbidities for accurate reporting.

Cite this Clinical Reference