M10

Non-Billable
ChapterM00–M99
Rankcategory
Official Description

Gout

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

CH13 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Instructional Notes

Includes
  • Acute gout
  • Gout attack
  • Gout flare
  • Podagra
Excludes2(Not included here. Code separately if applicable.)
  • chronic gout (M1A.-)
Use Additional Code
  • code to identify:
  • Autonomic neuropathy in diseases classified elsewhere (G99.0)
  • Calculus of urinary tract in diseases classified elsewhere (N22)
  • Cardiomyopathy in diseases classified elsewhere (I43)
  • Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-)
  • Disorders of iris and ciliary body in diseases classified elsewhere (H22)
  • Glomerular disorders in diseases classified elsewhere (N08)

Clinical Hierarchy

BillableHas subcodes
CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M05-M14Inflammatory polyarthropathies (M05-M14)
M10GoutNot billable
M10.0Idiopathic goutSubcodes
M10.1Lead-induced goutSubcodes
M10.2Drug-induced goutSubcodes
M10.3Gout due to renal impairmentSubcodes
M10.4Other secondary goutSubcodes
M10.9Gout, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M10:

chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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