Is M10.03 a billable ICD-10-CM code?

No. M10.03 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does M10.03 sit in the tabular list?

Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).

M10.03

M10.03 — Idiopathic gout, wrist

Non-billable headerICD-10-CM

M10.03 is a non-billable header ICD-10-CM code for idiopathic gout, wrist. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

M10.03 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead M10.03

3 child codes. Green means billable.

M10.031Idiopathic gout, right wrist
M10.032Idiopathic gout, left wrist
M10.039Idiopathic gout, unspecified wrist

Related codes at this level

Codes that share M10.0. If M10.03 is not quite right, the correct code is usually one of these.

M10.00Idiopathic gout, unspecified site
M10.01Idiopathic gout, shoulder
M10.02Idiopathic gout, elbow
M10.04Idiopathic gout, hand
M10.05Idiopathic gout, hip
M10.06Idiopathic gout, knee
M10.07Idiopathic gout, ankle and foot
M10.08Idiopathic gout, vertebrae
M10.09Idiopathic gout, multiple sites

Questions about M10.03

Is M10.03 a billable ICD-10-CM code?: No. M10.03 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M10.03 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).