Drug-induced gout, left shoulder

This code signifies an inflammatory arthritis of the left shoulder joint caused by a medication. It presents with acute pain, swelling, and tenderness, specifically in the glenohumeral joint or surrounding structures, triggered by an adverse drug reaction leading to uric acid crystal deposition.

Apply this code when documentation clearly states gout in the left shoulder is a direct consequence of a prescribed or illicit drug. Supporting documentation should identify the causative drug and confirm the diagnosis of gout affecting the left shoulder.

• Ensure the documentation explicitly links the gout to a drug and specifies the left shoulder as the affected site.
• Do not use this code for primary gout or gout due to other secondary causes; those have different codes.
• Always sequence this code after the code for the adverse effect of the drug (T36-T50 category) if the drug is still being administered or if it's an ongoing adverse effect.