Drug-induced chronic gout, right hand, without tophus

This code signifies chronic gout that has been induced by medication, specifically affecting the right hand. It indicates the absence of tophaceous deposits, which are characteristic urate crystal aggregations. The condition is persistent and not an acute flare.

This code is appropriate when a patient presents with ongoing gout symptoms in the right hand, and the medical record clearly links the onset or exacerbation of the gout to a specific drug. Documentation should confirm the chronic nature of the condition and explicitly state the absence of tophi.

• Ensure documentation specifies "drug-induced" and "chronic" to differentiate from other forms of gout.
• Laterality (right hand) must be clearly documented; avoid using unspecified laterality codes if known.
• Confirm the absence of tophi; if tophi are present, a different code from the M1A.24 category would be more appropriate.