Gout due to renal impairment, right wrist

This code signifies gout that has developed as a direct consequence of impaired kidney function, specifically affecting the right wrist. The renal impairment leads to an accumulation of uric acid, which then crystallizes in the joint, causing inflammation and pain. This is a secondary form of gout, distinct from primary gout.

Apply this code when documentation clearly states a diagnosis of gout in the right wrist and explicitly links its etiology to renal impairment or chronic kidney disease. Supporting documentation should include laboratory findings indicating elevated uric acid levels and evidence of kidney dysfunction.

• Ensure documentation specifies "right wrist" as the affected joint; laterality is crucial.
• Always code the underlying renal impairment first, as it is the etiology of the gout.
• Differentiate from primary gout (M10.0-) or gout due to other secondary causes (M10.4-).