Other secondary chronic gout, right wrist, without tophus

This diagnosis code signifies a form of chronic gout that has developed as a consequence of another underlying medical condition, affecting the patient's right wrist. Importantly, there is no evidence of tophi, which are deposits of uric acid crystals, associated with this particular presentation of gout.

This code is appropriate for documenting chronic gout in the right wrist that is secondary to another disease process, such as renal insufficiency, myeloproliferative disorders, or certain medications, and when no tophaceous deposits are observed. Documentation should clearly state "secondary gout," specify the right wrist as the affected joint, and confirm the absence of tophi.

• Ensure documentation explicitly states "secondary gout" and identifies the underlying cause if known, coding the primary condition first.
• Verify the laterality (right wrist) and the absence of tophi are clearly documented to support this specific code.
• Distinguish from primary gout (M10.-) and acute gout (M1A.0-) as well as gout with tophi (M1A.4311).