Drug-induced chronic gout, right shoulder, without tophus

This code signifies chronic inflammatory arthritis of the right shoulder caused by a medication, specifically characterized by the deposition of uric acid crystals without the presence of visible tophi. The condition is persistent and results from an adverse drug reaction leading to hyperuricemia and subsequent gouty attacks.

Use this code when documentation clearly indicates chronic gout in the right shoulder, explicitly attributed to a drug, and confirms the absence of tophaceous deposits. Supporting documentation should include a history of medication use linked to gout onset or exacerbation, and imaging or clinical notes confirming chronic right shoulder involvement without tophi.

• Ensure the documentation specifies "chronic" gout; acute drug-induced gout has a different code.
• Verify the laterality (right shoulder) is clearly documented.
• Confirm the absence of tophi; if tophi are present, a different code is required.