Other secondary gout, multiple sites

This code signifies a form of gout that develops as a consequence of another underlying medical condition or medication, affecting multiple joints throughout the body. Unlike primary gout, which is idiopathic, secondary gout is attributable to an identifiable cause leading to hyperuricemia.

Apply this code when documentation clearly indicates gout occurring secondary to another disease (e.g., renal insufficiency, myeloproliferative disorders) or drug therapy (e.g., diuretics, aspirin), and symptoms are present in more than one joint. Ensure the medical record specifies the secondary nature and the involvement of multiple sites.

• Always code the underlying condition causing the secondary gout first, followed by this code.
• Distinguish carefully from primary gout (M10.0-) and gout due to renal impairment (M1A.0-).
• Ensure the documentation explicitly states "multiple sites" or lists several affected joints to support this specific code.