ICD 10 CM M10.44 | Description & Clinical Information
ICD 10 M10.44 describes a specific type of gout, known as secondary gout, which occurs as a result of other medical conditions and is characterized by inflammation of the lining of a hand joint due to the buildup of crystal deposits from hyperuricemia, a condition marked by abnormally high levels of uric acid in the blood, and this code is used when the provider identifies the type of secondary gout that is not specifically named under any other codes in category M10.
Official Description Of M10.44
The ICD 10 CM book defines ICD 10 code M10.44 as:
Code first associated condition
Excludes2: chronic gout (M1A.-)
Use additional code to identify:
Autonomic neuropathy in diseases classified elsewhere (G99.0)
Calculus of urinary tract in diseases classified elsewhere (N22)
Cardiomyopathy in diseases classified elsewhere (I43)
Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-)
Disorders of iris and ciliary body in diseases classified elsewhere (H22)
Glomerular disorders in diseases classified elsewhere (N08)
When To Use M10.44
The diagnosis describes by the ICD 10 CM code M10.44 pertains to secondary gout of the hand. This condition may manifest as pain, redness, asymmetric swelling, and difficulty in moving the joint. It arises when uric acid crystals build up in the joints and surrounding tissues, leading to inflammation and discomfort.
To diagnose secondary gout of the hand, healthcare providers rely on a combination of patient history, physical examination, and diagnostic tests. During the patient history, the provider may ask about underlying conditions that may contribute to the development of gout, such as high blood pressure or diabetes. They may also inquire about the patient’s diet and lifestyle habits.
During the physical exam, the provider will evaluate the affected joint for swelling, redness, and warmth. They may also test the range of motion in the joint and assess the severity of pain. If necessary, the provider may order diagnostic tests, such as X-rays, ultrasounds, or MRI scans, to further evaluate the joint and surrounding tissues.
Laboratory examination of blood, urine, and synovial fluid samples is also a crucial aspect of the diagnosis. Blood tests may reveal high levels of uric acid, while urine tests may show a deficiency in excreting uric acid. Synovial fluid analysis involves collecting a sample of fluid from the affected joint and examining it under a microscope for the presence of uric acid crystals.
Treatment options for secondary gout of the hand may include a combination of lifestyle modifications and medications. For weight control, physical exercise is recommended. Diet modifications may include avoiding foods that contain purine, a compound that contributes to uric acid build-up. Medications such as xanthine oxidase inhibitors can block uric acid production. Corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), or colchicine may also be prescribed to manage pain and inflammation.
In conclusion, the ICD 10 CM code M10.44 represents a diagnosis of secondary gout of the hand. It is a painful, inflammatory condition that arises when uric acid crystals accumulate in the joints and surrounding tissues. Accurate diagnosis relies on a thorough patient history, physical examination, and diagnostic tests. Management of the condition may involve lifestyle modifications, such as weight control and dietary changes, as well as medications to manage pain and inflammation.
