Other secondary chronic gout, right hip, with tophus (tophi)

This code signifies a chronic form of gout affecting the right hip joint, which has developed as a secondary condition to another underlying medical issue. The presence of tophi, which are deposits of uric acid crystals, further characterizes this specific diagnosis.

Use this code when documentation clearly indicates chronic gout in the right hip, secondary to another condition, and explicitly mentions the presence of tophi. This typically applies to patients with long-standing hyperuricemia or other predisposing factors leading to gout.

• Ensure documentation specifies "secondary" gout and identifies the underlying cause for accurate sequencing.
• Verify the laterality (right hip) and the presence of tophi are explicitly stated in the physician's notes.
• Distinguish from acute gout or gout without tophi, as these require different codes.