ICD 10 CM M1A.4221 | Description & Clinical Information

ICD 10 M1A.4221 describes a specific medical condition characterized by the development of painful, long-lasting, and inflammatory joint inflammation in the left elbow, which is caused by the deposition of urate crystals in the joint due to hyperuricemia, an abnormal increase of uric acid in the blood, and is considered a secondary chronic gout that is associated with tophi or nodules, and is not specifically named under any codes in category M1A.

Official Description Of M1A.4221

The ICD 10 CM book defines ICD 10 code M1A.4221 as:

Clinical Information

The diagnosis describes by the ICD 10 CM M1A.4221 code is secondary chronic gout of the left elbow, a condition that can cause considerable discomfort and pain. This is an inflammatory condition that arises due to the accumulation of urate crystals within the joint. The presence of these crystals often causes joint destruction, nodules, and tophi, which can significantly reduce joint mobility.

Medical providers diagnose this condition by taking a comprehensive medical history of the patient, which includes identifying underlying medical conditions that may predispose an individual to experience joint inflammation. The provider also conducts a physical examination and imaging studies such as X-rays to get a clear picture of the joint in question. Laboratory studies are also conducted to determine the levels of uric acid in the blood, urinalysis to detect the presence of uric acid or uric acid crystals, and synovial fluid analysis, which helps identify urate crystals in the joint.

Treatment options for secondary chronic gout are aimed at reducing pain and inflammation caused by the condition. Nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed as they have been shown to be effective in reducing inflammation and pain. Corticosteroids and colchicine are also administered to enhance the effectiveness of NSAIDs. Xanthine oxidase inhibitors are employed to decrease the level of uric acid in the blood, reducing the likelihood of further crystal accumulation.

Physical therapy, increased water intake, and diet modifications are also important in supporting the healing process. Increasing the intake of water can help promote the excretion of uric acid through the kidneys, while reducing the consumption of purine-rich foods, which can cause hyperuricemia. Physical therapy can help improve joint mobility, while supportive measures such as appropriate footwear and orthotics can help reduce pressure on the joints.

It is important to recognize that any underlying condition, such as hypertension or obesity, that may have contributed to the development of secondary chronic gout must also be addressed in treatment to promote optimal healing. The diagnosis of secondary chronic gout of the left elbow requires a thorough clinical examination and a multidisciplinary approach to ensure the best possible outcome for the patient. Medical professionals should take the time to identify any contributing factors and tailor treatment plans that are specific and effective.