Other secondary chronic gout, right hip, without tophus

This code signifies a chronic form of gout affecting the right hip joint, which is a consequence of another underlying medical condition or medication. It indicates the absence of visible or palpable urate crystal deposits (tophi) in or around the joint. The condition is characterized by recurrent episodes of inflammation and pain in the right hip due to uric acid crystal accumulation.

Use this code when documentation clearly indicates chronic gout in the right hip that is secondary to another disease process (e.g., renal insufficiency, myeloproliferative disorders) or medication (e.g., diuretics). The physician's notes should specify "chronic secondary gout" and explicitly state the involvement of the "right hip" without mention of tophi.

• Always code the underlying secondary condition first, followed by this code.
• Ensure documentation specifies "chronic" and "secondary" gout, as well as the specific joint (right hip).
• Distinguish carefully from acute gout or gout with tophi, which have different code assignments.