ICD-10-CM Billable Code

M10.311

Gout due to renal impairment, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Gout is a type of arthritis characterized by sudden and severe pain, redness, and swelling in a joint. When gout occurs due to renal impairment, it means that kidney problems are contributing to the buildup of uric acid in the body, which then deposits in the joints. The specific case of gout affecting the right shoulder involves inflammation and pain in that joint. Recognizing this condition involves understanding its causes, symptoms, diagnosis process, and potential treatment options.

Causes & Symptoms

Clinical Causes: Chronic kidney disease or renal impairment resulting in decreased ability to eliminate uric acid from the body. Elevated levels of uric acid (hyperuricemia) due to impaired kidney function. Diet high in purines, which metabolize into uric acid. Medications that reduce uric acid excretion or increase uric acid production. Genetic predispositions affecting uric acid metabolism. Other health conditions such as obesity, hypertension, and metabolic syndrome that can exacerbate renal impairment.

Key Symptoms: Sudden onset of intense pain in the right shoulder joint. Swelling and redness over the affected joint. Warmth and tenderness in the shoulder area. Limited range of motion or stiffness in the shoulder. Possible intermittent flares with periods of remission. Systemic signs such as mild fever or feeling of illness during flare-ups.

Diagnostic & Treatment

Diagnosis Path: Diagnosing gout due to renal impairment involves a combination of clinical evaluation and laboratory tests. Healthcare providers may perform:

Treatment Protocols: Treatment strategies aim to manage pain, reduce inflammation, and address underlying causes related to renal impairment. Common approaches 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 M10.311 a billable ICD-10 code?
Yes, M10.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M10.311?
Clinical documentation must specify the nature of Gout due to renal impairment, right shoulder and any associated comorbidities for accurate reporting.

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