Lead-induced chronic gout, unspecified hip, without tophus

This code signifies a persistent form of gout that is specifically attributed to lead exposure, affecting an unspecified hip joint. It indicates the absence of tophi, which are deposits of uric acid crystals, in the affected area. The condition is characterized by recurrent episodes of inflammation and pain in the hip due to elevated uric acid levels caused by lead.

Use this code when documentation clearly links chronic gout in the hip to lead toxicity, and no specific laterality (right or left) of the hip is documented. This code is appropriate when the provider explicitly states "lead-induced gout" and specifies the hip as the affected joint, without mentioning the presence of tophi.

• Always seek documentation of the specific hip (right or left) if available to allow for a more specific code.
• Ensure the medical record explicitly states the chronic nature of the gout and its etiology as lead exposure.
• Do not use this code if tophi are documented; instead, refer to codes for gout with tophi.