Other secondary chronic gout, left hand, without tophus

This code signifies a form of chronic gout that is secondary to another underlying condition, affecting the left hand. It indicates that the characteristic urate crystal deposits (tophi) are not present in this specific manifestation. The "other" designation implies that the gout is not due to an enzyme defect, primary renal impairment, or other specific causes listed elsewhere.

Use this code when documentation clearly states chronic gout in the left hand, explicitly links it to a secondary cause (e.g., diuretic use, myeloproliferative disorders), and confirms the absence of tophi. This code is appropriate for ongoing management of chronic gout flares or persistent symptoms in the left hand without visible tophaceous deposits.

• Ensure documentation specifies "chronic" and "secondary" gout, as well as the laterality (left hand) and absence of tophi.
• Always code the underlying secondary condition first, followed by this gout code.
• Distinguish carefully from acute gout (M10.-) and gout with tophi (M1A.0-M1A.3).