Gout due to renal impairment, right shoulder

This code signifies a form of gout specifically caused by impaired kidney function, affecting the right shoulder joint. It indicates the presence of urate crystal deposition and inflammation in the right shoulder, directly attributable to the body's inability to properly excrete uric acid due to renal issues.

Use this code when documentation clearly links the patient's gout in the right shoulder to an underlying renal impairment. This typically involves elevated serum uric acid levels, evidence of kidney disease (e.g., chronic kidney disease stages), and clinical findings consistent with gouty arthritis in the specified joint.

• Always code the underlying renal impairment first, followed by this gout code.
• Ensure documentation specifies "renal impairment" as the cause of gout, not just hyperuricemia.
• Verify the laterality (right shoulder) is explicitly stated in the clinical notes.