Other secondary chronic gout, right shoulder, without tophus

This code signifies a chronic inflammatory arthritis affecting the right shoulder joint, caused by elevated uric acid levels, but not due to a primary gout diagnosis. It indicates the absence of visible or palpable urate crystal deposits (tophi) in the affected joint. This condition typically results from another underlying medical issue.

Apply this code when documentation specifies chronic gout in the right shoulder that is secondary to another condition, such as renal insufficiency, certain medications, or myeloproliferative disorders. Ensure the physician explicitly states "secondary gout" and confirms the absence of tophi.

• Differentiate from primary gout (M10.-) which is not caused by another underlying condition.
• Confirm the laterality (right shoulder) and the absence of tophi are clearly documented.
• Always code the underlying condition causing the secondary gout first, followed by this code.