Gout due to renal impairment, left hip

This code signifies gout that has developed as a direct consequence of impaired kidney function, specifically affecting the left hip joint. Renal impairment leads to decreased uric acid excretion, causing hyperuricemia and subsequent urate crystal deposition in the joints.

Apply this code when documentation clearly links the patient's gout in the left hip to an underlying renal impairment. This typically involves a diagnosis of gout, evidence of kidney disease (e.g., chronic kidney disease stages), and a physician's statement confirming the causal relationship.

• Always code the underlying renal impairment first, as it is the etiology of the gout.
• Ensure the documentation specifies "left hip" for laterality; otherwise, an unspecified hip code or bilateral code may be more appropriate.
• Distinguish from primary gout or gout due to other secondary causes (e.g., drug-induced) by reviewing physician notes for the specific etiology.