Lead-induced gout, left shoulder

This code signifies an inflammatory arthropathy affecting the left shoulder joint, specifically caused by elevated lead levels in the body. It represents a form of crystal-induced arthritis where lead exposure contributes to the deposition of monosodium urate crystals, leading to acute or chronic joint pain and inflammation.

Apply this code when documentation clearly indicates gout in the left shoulder and a direct causal link to lead exposure. This typically involves a patient presenting with acute or chronic left shoulder pain, swelling, and tenderness, with laboratory evidence of hyperuricemia and elevated blood lead levels.

• Ensure documentation explicitly states "lead-induced" or "due to lead exposure" for the gout.
• Always sequence a code for the underlying lead poisoning (e.g., T56.0X1-) as a primary or secondary diagnosis.
• Do not use this code for gout due to other etiologies or for lead poisoning without associated gout.