Gout due to renal impairment, unspecified shoulder

This code signifies a form of gout directly resulting from impaired kidney function, affecting an unspecified shoulder joint. It indicates the presence of urate crystal deposition and inflammation in the shoulder, where the hyperuricemia is secondary to renal insufficiency.

Apply this code when documentation explicitly links the patient's gout to renal impairment and the affected joint is the shoulder, without further specification of laterality. Supporting documentation should include a diagnosis of gout, evidence of renal dysfunction, and physician notes confirming the shoulder as the site of gouty arthritis.

• Ensure documentation clearly states the causal link between renal impairment and gout.
• If laterality (right or left shoulder) is specified, a more precise code from the M10.31- subcategory should be used.
• Always code the underlying renal impairment separately, following sequencing guidelines.