Other secondary chronic gout, left shoulder, without tophus

This code signifies a chronic inflammatory arthritis affecting the left shoulder, caused by elevated uric acid levels, but not due to a primary metabolic defect. It indicates that the gout is a consequence of another underlying condition, medication, or lifestyle factor, and there are no visible or palpable urate deposits (tophi) in the joint.

Apply this code when documentation specifies chronic gout in the left shoulder that is explicitly identified as secondary, meaning it's attributable to another medical condition (e.g., renal insufficiency, diuretic use) rather than idiopathic. Ensure the absence of tophi is clearly stated or implied.

• Differentiate from primary gout (M10.-) which implies an idiopathic metabolic defect.
• Always sequence the underlying cause of the secondary gout first, if known and documented.
• Confirm laterality (left shoulder) and the absence of tophi are explicitly documented to support this specific code.