ICD 10 CM M1A.3520 | Description & Clinical Information

ICD 10 M1A.3520 describes a specific medical condition characterized by chronic gout of the left hip resulting from renal impairment, which is a painful and long-lasting inflammatory joint condition caused by the deposition of urate crystals in the joint due to hyperuricemia, an abnormal increase of uric acid in the blood, and is not associated with tophi or nodules.

Official Description Of M1A.3520

The ICD 10 CM book defines ICD 10 code M1A.3520 as:

Chronic gout due to renal impairment, left hip, without tophus (tophi)
Parent Code Notes: M1A.3

Code first associated renal disease

Parent Code Notes: M1A

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)

When To Use M1A.3520

The diagnosis describes by the ICD-10-CM code M1A.3520 is gout of the left hip due to renal impairment. Gout is a form of arthritis that develops when uric acid crystals accumulate in joints, causing inflammation, swelling, and pain. When gout affects the hip joint, it can be particularly debilitating, making it difficult for individuals to move and perform daily activities.

To diagnose gout of the left hip due to renal impairment, healthcare providers consider several factors. They review the patient’s medical history, with a specific emphasis on any history of kidney disease, as this can increase the risk of gout. A physical examination is also crucial, as it can reveal tenderness and pain in the affected joint, as well as chronic inflammation that can lead to joint destruction.

Medical imaging techniques such as X-rays can be used to identify damage to the hip joint and assess the severity of the condition. Laboratory studies are also essential in the diagnosis of gout of the left hip due to renal impairment. Blood tests are used to determine the levels of uric acid in the blood, while urinalysis can detect the presence of uric acid or uric acid crystals. Synovial fluid analysis can also be performed to identify the presence of urate crystals that are characteristic of gout. Additionally, a synovial biopsy may be needed to confirm the diagnosis definitively.

Treating gout of the left hip due to renal impairment typically involves managing its symptoms and reducing its causes. Nonsteroidal anti-inflammatory drugs and corticosteroids can be prescribed to alleviate inflammation and pain in the joint. Colchicine is another medication that can be used to treat gout attacks. Xanthine oxidase inhibitors can also be prescribed to decrease the level of uric acid in the bloodstream, which can help prevent future gout attacks. Modifications to one’s diet are also recommended, particularly to reduce the intake of purine-rich foods that can cause hyperuricemia. Finally, the underlying condition that causes renal impairment must be treated, to prevent further damage and improve the patient’s overall health.

In summary, gout of the left hip due to renal impairment is a painful and debilitating condition that requires a comprehensive diagnostic process and a multifaceted treatment approach. Early diagnosis and treatment can help prevent further joint damage and alleviate symptoms, improving the patient’s quality of life. Healthcare providers who work with patients who have renal impairment must be aware of the increased risk of gout, and regularly monitor patients for signs and symptoms of this condition.

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