Drug-induced chronic gout, unsp shoulder, without tophus

This code signifies chronic gout that has been medically determined to be caused by a drug, affecting an unspecified shoulder joint. It specifically indicates the absence of tophi, which are deposits of uric acid crystals. The condition is characterized by persistent inflammation and pain in the shoulder due to the drug-induced gout.

Apply this code when documentation clearly states a diagnosis of chronic gout in the shoulder, explicitly linked to a medication. The medical record must also confirm the absence of tophaceous deposits and not specify laterality of the affected shoulder. This code is appropriate when the physician has identified a drug as the causative agent.

• Ensure documentation specifies "drug-induced" and "chronic" gout, as well as the absence of tophi.
• Avoid using this code if laterality (right or left shoulder) is documented; instead, use a more specific code.
• Do not confuse with acute gout or gout due to other etiologies; a causal link to a drug must be established.