ICD 10 CM M1A.3110 | Description & Clinical Information
ICD 10 M1A.3110 describes a specific medical condition characterized by chronic gout in the right shoulder, resulting from renal impairment, which is a long-lasting, painful, and inflammatory joint condition that does not involve the presence of tophi or nodules, and is caused by the accumulation of urate crystals in the joint due to hyperuricemia, an abnormal increase of uric acid in the bloodstream.
Official Description Of M1A.3110
The ICD 10 CM book defines ICD 10 code M1A.3110 as:
Code first associated renal disease
Excludes1: gout NOS (M10.-)
Excludes2: acute gout (M10.-)
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)
Clinical Information
The diagnosis describes by the ICD 10 CM M1A.3110 code is gout of the right shoulder due to renal impairment. Although gout can occur in any joint, its involvement in the shoulder is quite rare. This condition arises due to an accumulation of uric acid crystals in the joint, leading to inflammation and pain. In the case of renal impairment, the kidneys fail to eliminate uric acid from the blood, leading to increased levels of uric acid in the joint, leading to gout.
When patients present with gout of the right shoulder due to renal impairment, providers diagnose them based on a thorough evaluation of their medical history, including any history of kidney disease. Physical examination, imaging techniques such as X-rays are also used to assess the affected joint. Providers also order laboratory studies to determine levels of uric acid in the blood, urinalysis for uric acid or uric acid crystals, synovial fluid analysis for urate crystals, and synovial biopsy for confirmation.
Gout of the right shoulder due to renal impairment can lead to tenderness and pain, which can become chronic and lead to joint destruction leading to difficulties for the patient in moving the joint. Thus, it is essential to perform timely diagnosis and institute management strategies to prevent the progression of the disease.
Treatment options for gout of the right shoulder due to renal impairment mainly focus on reducing inflammation and pain, as well as lowering uric acid levels in the blood. Nonsteroidal antiinflammatory drugs, corticosteroids, and colchicine are commonly used to decrease inflammation and pain. To decrease the level of uric acid in the blood, providers prescribe xanthine oxidase inhibitors. In addition, providers suggest diet modifications to reduce the intake of purine rich foods that can cause hyperuricemia, and provide treatment for any underlying condition that causes the loss of kidney function.
In conclusion, gout of the right shoulder due to renal impairment is a rare manifestation of gout. The diagnosis requires a comprehensive evaluation of the patient’s medical history, laboratory studies, and imaging studies. Early diagnosis and treatment are necessary to prevent joint destruction and improve joint function. The management strategies of this condition aim at reducing pain, inflammation, and lowering uric acid levels in the blood, in addition to controlling any underlying condition leading to renal impairment. By instituting these strategies, providers can help to minimize the impact of gout of the right shoulder due to renal impairment on the patient’s quality of life.
