Chronic gout due to renal impairment, vertebrae, with tophus

This code signifies a chronic form of gout that has developed as a direct consequence of impaired kidney function. The gout specifically affects the vertebrae, and is characterized by the presence of tophi, which are deposits of uric acid crystals. This indicates a long-standing and severe manifestation of the disease.

Use this code when documentation clearly links chronic gout to renal impairment, specifying vertebral involvement and the presence of tophaceous deposits. This typically occurs in patients with advanced kidney disease where uric acid excretion is significantly compromised. Supporting documentation would include physician notes detailing the etiology, location, and specific characteristics of the gout.

• Ensure documentation explicitly states "due to renal impairment" to differentiate from other causes of chronic gout.
• Verify the anatomical site is specifically documented as "vertebrae" and not a general spinal or multiple sites.
• Confirm the presence of "tophus" or "tophi" is clearly noted in the patient's record.