Other secondary chronic gout, left wrist, without tophus

This code signifies a chronic form of gout that is secondary to another underlying condition, affecting the left wrist. It indicates the absence of tophi, which are visible or palpable deposits of uric acid crystals. The condition is persistent and not an acute flare-up.

Use this code when documentation specifies chronic gout in the left wrist, clearly indicating it is secondary to another disease process. The medical record must explicitly state the absence of tophaceous deposits. This code is appropriate for ongoing management of chronic secondary gout in this specific joint.

• Ensure documentation differentiates between primary and secondary gout.
• Verify the affected joint (left wrist) and laterality are clearly stated.
• Confirm the absence of tophi; if tophi are present, a different code is required.