Gout due to renal impairment, vertebrae

This code signifies gout that has developed as a secondary complication of impaired kidney function, specifically affecting the vertebral column. It indicates the deposition of uric acid crystals within the joints and surrounding tissues of the spine, leading to inflammation and pain.

Apply this code when documentation clearly links a patient's gout to underlying renal impairment and specifies the involvement of the vertebrae. This typically occurs in patients with chronic kidney disease or other conditions causing reduced uric acid excretion. Documentation should include a diagnosis of gout, evidence of renal dysfunction, and explicit mention of spinal involvement.

• Always sequence the underlying renal impairment code first, as it is the etiology of the gout.
• Do not use this code for primary gout or gout due to other secondary causes; ensure the documentation explicitly states "due to renal impairment."
• Verify that the documentation specifies vertebral involvement; if another site is affected, a different M10.3- subcategory should be used.