Other secondary chronic gout, unspecified hip, with tophus

This code signifies a chronic form of gout that has developed as a secondary condition, affecting an unspecified hip joint. A key feature is the presence of tophi, which are deposits of uric acid crystals that form under the skin or in joints, indicating advanced or long-standing disease. The "unspecified hip" indicates that the laterality (left or right) of the affected hip is not documented.

Apply this code when documentation confirms chronic gout that is secondary to another underlying condition, with evidence of tophaceous deposits in the hip, but without specification of which hip. Supporting documentation would include physician notes detailing chronic gout, the presence of tophi, involvement of the hip joint, and the secondary nature of the condition.

• Ensure documentation clearly states "chronic" and "secondary" gout, as well as the presence of tophi.
• Avoid using this code if the laterality of the hip is specified (e.g., left or right hip); instead, use a more specific code.
• Always sequence the underlying cause of the secondary gout first, if known and applicable.