Gout due to renal impairment, left wrist

This code signifies gout that has developed as a direct consequence of impaired kidney function, specifically affecting the left wrist joint. It indicates a secondary form of gout where the renal dysfunction leads to elevated uric acid levels, precipitating crystal deposition in the joint.

Use this code when documentation clearly links the patient's gout in the left wrist to a diagnosis of renal impairment. This applies to scenarios where the kidney's inability to excrete uric acid is identified as the underlying cause of the gouty arthritis. Supporting documentation should include a diagnosis of gout, renal impairment, and the specific joint involvement.

• Ensure documentation explicitly states the causal link between renal impairment and gout.
• Do not use this code for primary gout or gout due to other secondary causes (e.g., drug-induced).
• Sequence the underlying renal impairment code first, followed by this gout code, to accurately reflect the etiology.