Drug-induced chronic gout, left hip, without tophus (tophi)

This code signifies chronic gout affecting the left hip joint, specifically caused by medication, and without the presence of tophaceous deposits. Chronic gout is characterized by recurrent episodes of acute arthritis due to uric acid crystal deposition, leading to persistent inflammation and joint damage. In this drug-induced form, the hyperuricemia is a direct consequence of pharmaceutical agents.

Apply this code when documentation clearly states chronic gout of the left hip, explicitly links it to drug use (e.g., diuretics, aspirin), and confirms the absence of tophi. This code is appropriate for patients experiencing ongoing symptoms or requiring long-term management for drug-induced gout in this specific joint.

• Ensure documentation specifies "chronic" gout and explicitly states "drug-induced" as the etiology.
• Verify the affected joint is the "left hip" and that "without tophus" is clearly documented.
• Consider an additional code for the specific drug causing the gout, if known and relevant for adverse effect reporting.