Other secondary chronic gout, right elbow, with tophus

This code signifies a chronic form of gout that is secondary to another underlying condition, affecting the right elbow joint. The presence of tophi, which are deposits of uric acid crystals, indicates advanced or long-standing disease. This condition is characterized by persistent inflammation and joint damage.

Use this code when documentation clearly indicates chronic gout in the right elbow, explicitly stated as secondary, and notes the presence of tophaceous deposits. This typically applies to patients with a history of gout and a known secondary cause, such as renal disease or certain medications. Documentation should specify the laterality (right elbow) and the chronic nature of the condition.

• Ensure documentation specifies "secondary" gout; otherwise, consider primary gout codes.
• Verify the presence of tophi is explicitly documented, as separate codes exist for gout without tophi.
• Always code the underlying secondary condition first, followed by this gout code.