ICD-10-CM Billable Code

M10.012

Idiopathic gout, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Idiopathic gout is a type of arthritis characterized by sudden, severe attacks of pain, swelling, and redness in the joints. When it occurs in the left shoulder, it can cause discomfort and limit movement. Gout results from the buildup of uric acid in the blood, leading to the formation of urate crystals in the joint. Although the specific cause of idiopathic gout is unknown, it often affects middle-aged and older adults and can significantly impact daily activities if not managed properly.

Causes & Symptoms

Clinical Causes: High levels of uric acid in the blood due to hereditary factors Diet rich in purines, including red meats, shellfish, and alcohol Obesity or excess weight Certain medical conditions such as hypertension and kidney disease Use of specific medications like diuretics Rapid changes in uric acid levels

Key Symptoms: Sudden, intense joint pain, often at night Swelling and warmth in the affected joint Redness and tenderness over the joint Limited range of motion in the affected shoulder Possible fever during acute attacks

Diagnostic & Treatment

Diagnosis Path: Diagnosing gout involves a combination of medical history, physical examination, and laboratory tests. Key steps include:

Treatment Protocols: Managing idiopathic gout typically includes medications and lifestyle modifications:

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 M10.012 a billable ICD-10 code?
Yes, M10.012 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M10.012?
Clinical documentation must specify the nature of Idiopathic gout, left shoulder and any associated comorbidities for accurate reporting.

Cite this Clinical Reference