Chronic gout due to renal impairment, right hand, w/o tophus

This code signifies a chronic inflammatory arthritis caused by the accumulation of uric acid crystals, specifically in the right hand, and directly attributable to impaired kidney function. It indicates the absence of visible or palpable tophi, which are deposits of uric acid crystals.

Use this code when documentation clearly states chronic gout affecting the right hand, with a definitive link to renal impairment as the underlying cause. The patient's medical record should confirm the absence of tophaceous deposits. This code is appropriate when the physician explicitly diagnoses "chronic gout due to renal impairment, right hand, without tophus."

• Always confirm the laterality (right hand) and the absence of tophi from the physician's documentation.
• Ensure the documentation explicitly links the gout to renal impairment; do not assume the connection.
• Code also the underlying chronic kidney disease (CKD) to fully capture the patient's condition.