ICD-10 Coding for Uric Acid Disorders(E79.0, M10.00)
Complete ICD-10-CM coding and documentation guide for Uric Acid Disorders. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Uric Acid Disorders
E79.0-E79.9Primary Range
Disorders of purine and pyrimidine metabolism
This range includes codes for hyperuricemia and related metabolic disorders.
Gout
This range includes codes for different types of gout, including idiopathic and drug-induced.
Chronic gout
This range includes codes for chronic gout with tophi and site-specific manifestations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E79.0 | Hyperuricemia without signs of inflammatory arthritis and tophaceous disease | Use when there is elevated uric acid without symptoms of gout. |
|
| M10.00 | Idiopathic gout, unspecified site | Use for acute gout attacks without specifying the site. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hyperuricemia
Essential facts and insights about Uric Acid Disorders
Primary ICD-10-CM Codes for uric acid
Decision Criteria
clinical Criteria
- Elevated uric acid levels without symptoms
Applicable To
- Asymptomatic hyperuricemia
Excludes
- Gout (M10.-)
Clinical Validation Requirements
- Serum uric acid level ≥7 mg/dL in males, ≥6 mg/dL in females
Code-Specific Risks
- Risk of using this code without documented lab results.
Coding Notes
- Ensure lab results are documented to support the use of this code.
M10.00 - Idiopathic gout, unspecified site
Use for acute gout attacks without specifying the site.
Applicable To
- Acute gout attack
Excludes
- Chronic gout (M1A.-)
Clinical Validation Requirements
- Acute joint inflammation with serum uric acid ≥7.5 mg/dL
Coding Notes
Document the acute nature and site of the gout attack.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal finding of blood chemistry, unspecified
R79.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Uric Acid Disorders to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E79.0.
Impact
Clinical: Misclassification of gout type., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Document the number of flares per year., Include imaging results if available.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces specificity and accuracy of clinical data.
Mitigation Strategy
Always use site-specific codes when available.
Impact
High risk of audit when unspecified codes are used despite available documentation.
Mitigation Strategy
Always use the most specific code available.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Uric Acid Disorders, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Uric Acid Disorders
Use these documentation templates to ensure complete and accurate documentation for Uric Acid Disorders. These templates include all required elements for proper coding and billing.
Acute gout attack
Specialty: RheumatologyRequired Elements
- Location of the attack
- Serum uric acid levels
- Presence of tophi
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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