Gout due to renal impairment, left hand

This code signifies gout that has developed as a direct consequence of impaired kidney function, specifically affecting the left hand. It indicates a secondary form of gout where the body's inability to properly excrete uric acid due to renal issues leads to crystal deposition in the joints.

Apply this code when documentation clearly states a diagnosis of gout in the left hand, and explicitly links its etiology to renal impairment. This typically occurs in patients with chronic kidney disease or other conditions compromising kidney function, leading to hyperuricemia and subsequent gouty arthritis.

• Ensure documentation specifies "left hand" and explicitly states "due to renal impairment" for accurate code assignment.
• Do not confuse with primary gout (M10.0-) or gout due to lead poisoning (M10.1-).
• Always sequence a code for the underlying renal impairment (e.g., N18.- for chronic kidney disease) as a secondary diagnosis.