Lead-induced gout, unspecified shoulder

This code signifies a form of inflammatory arthritis caused by elevated lead levels in the body, specifically affecting the shoulder joint. It indicates the presence of gout that is directly attributable to lead toxicity, without further specification of laterality.

Apply this code when documentation clearly states a diagnosis of lead-induced gout impacting the shoulder, and the specific shoulder (right or left) is not documented. Supporting documentation should include evidence of elevated lead levels and clinical findings consistent with gout in the shoulder.

• Ensure documentation explicitly links the gout to lead exposure; otherwise, a different gout code may be more appropriate.
• If the laterality of the affected shoulder is specified (e.g., right or left), use the more specific code (M10.111 or M10.112).
• Always code the underlying lead poisoning (e.g., T56.0X1A, T56.0X2A) as a primary or secondary diagnosis, depending on the encounter's focus.