M10.212 — Drug-induced gout, left shoulder
M10.212 is a billable, specific ICD-10-CM code for drug-induced gout, left shoulder. It is valid for submission on a claim.
Excludes2 inherited from the categories above M10.212
Also inherited, and the opposite of Excludes1: these conditions are not part of M10.212, but a patient can have both, so you may code both.
Written on M10 — Gout
- chronic gout (M1A.-)
Other codes that can never be billed with M10.212
These codes carry an Excludes1 note pointing at M10.212. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M10.212 alone.
Risk adjustment
M10.212 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.
Medicare coverage
M10.212 is named in 7 Medicare coverage policies — 0 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
M10.212 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share M10.21. If M10.212 is not quite right, the correct code is usually one of these.
Questions about M10.212
- Is M10.212 a billable ICD-10-CM code?
- Yes. M10.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M10.212 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).