Other secondary chronic gout, left hip, without tophus

This code signifies a chronic form of gout affecting the left hip joint, which is a consequence of another underlying medical condition or medication. It indicates that there are no visible or palpable tophi (deposits of uric acid crystals) associated with this specific gout presentation.

Apply this code when documentation explicitly states chronic gout in the left hip, secondary to another condition (e.g., renal insufficiency, diuretic use), and specifically notes the absence of tophi. This code is appropriate for patients experiencing persistent pain, swelling, or stiffness in the left hip due to this secondary chronic gout.

• Ensure documentation clearly distinguishes between primary and secondary gout.
• Always code the underlying condition causing the secondary gout first.
• Verify the laterality (left hip) and the absence of tophi are explicitly stated in the medical record.