Other secondary gout, left wrist

This code identifies a form of gout that develops as a consequence of another underlying medical condition, specifically affecting the left wrist joint. It signifies the presence of urate crystal deposition and inflammation in the left wrist, where the hyperuricemia is not primary but rather secondary to another disease process or medication.

Apply this code when documentation clearly states "secondary gout" affecting the left wrist. This is appropriate for patients whose gout is attributable to conditions like chronic kidney disease, myeloproliferative disorders, or certain medications (e.g., diuretics, cyclosporine). Ensure the medical record specifies the laterality and the secondary nature of the gout.

• Always confirm the laterality (left wrist) and the secondary nature of the gout from the provider's documentation.
• Code the underlying cause of the secondary gout first, if known and documented, followed by this code.
• Distinguish carefully from primary gout (M10.0-) and drug-induced gout (M10.2-), which have separate codes.