Drug-induced chronic gout, unspecified wrist, with tophus

This diagnosis code signifies chronic gout that has been induced by medication, specifically affecting an unspecified wrist joint. The presence of tophi, which are deposits of uric acid crystals, further characterizes this condition.

Apply this code when documentation clearly states drug-induced chronic gout involving the wrist and explicitly mentions the presence of tophi. This code is appropriate when the specific drug causing the gout is not identified, or the laterality of the wrist is not specified.

• Ensure documentation specifies "drug-induced" and "chronic" gout, not acute or unspecified.
• Confirm the presence of "tophi" in the medical record; otherwise, a different code without tophi may be more appropriate.
• Avoid using this code if the specific wrist (right or left) is documented; instead, use the more specific laterality code.