Chronic gout due to renal impairment, right elbow, w/o toph

This diagnosis code signifies chronic inflammatory arthritis caused by elevated uric acid levels, specifically resulting from impaired kidney function. The condition affects the right elbow joint and is characterized by the absence of urate crystal deposits (tophi) in or around the joint.

Apply this code when documentation clearly indicates chronic gout where renal impairment is identified as the underlying cause. The affected joint must be the right elbow, and the physician explicitly states the absence of tophi. Supporting documentation includes laboratory results showing hyperuricemia and renal dysfunction, as well as joint examination findings.

• Ensure documentation specifies "chronic" gout and explicitly links it to "renal impairment" as the etiology.
• Verify the affected joint is the "right elbow" and that "without tophus (tophi)" is clearly stated.
• Do not use this code if the gout is acute, due to another cause, or if tophi are present.