M10.452
Other secondary gout, left hip
Clinical Classification Guidelines
Medical Intelligence & Overview
ICD-10 code M10.452 refers to a specific form of gout that affects the left hip, known as other secondary gout. Gout is a type of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints. Secondary gout typically occurs as a complication of other health conditions or factors that influence uric acid levels in the body. When gout affects the left hip, it can lead to pain, swelling, and reduced mobility in that joint, impacting daily activities and overall quality of life.
Causes & Symptoms
Clinical Causes: Chronic kidney disease or renal impairment Use of certain medications such as diuretics or low-dose aspirin Metabolic syndrome or conditions associated with obesity High purine diet, including intake of red meat, shellfish, and alcohol Genetic predisposition affecting uric acid metabolism Other health issues that alter uric acid excretion or production
Key Symptoms: Intense joint pain in the affected area (left hip) Swelling and redness around the joint Warmth and tenderness in the hip region Limited range of motion in the left hip Persistent discomfort or discomfort that worsens at night Possible fever if there is secondary infection or severe inflammation
Diagnostic & Treatment
Diagnosis Path: Blood tests to measure serum uric acid levels Joint fluid analysis to identify uric acid crystals Imaging studies such as X-rays or ultrasound to detect joint damage or crystal deposits Evaluation of underlying health conditions that may contribute to gout, like kidney function tests
Treatment Protocols: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation Colchicine or corticosteroids for severe episodes or in cases where NSAIDs are contraindicated Medications to lower uric acid levels, such as allopurinol or febuxostat Lifestyle adjustments including dietary changes to reduce purine intake and alcohol consumption Weight management strategies to decrease joint stress and uric acid production Addressing underlying health issues like kidney disease or metabolic syndrome
Clinical Advice & FAQs
Billing Guidance
Is M10.452 a billable ICD-10 code?
Yes, M10.452 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M10.452?
Clinical documentation must specify the nature of Other secondary gout, left hip and any associated comorbidities for accurate reporting.
Cite this Clinical Reference