Is M10.38 a billable ICD-10-CM code?

Yes. M10.38 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M10.38 sit in the tabular list?

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

M10.38

M10.38 — Gout due to renal impairment, vertebrae

Billable / specific codeICD-10-CM

M10.38 is a billable, specific ICD-10-CM code for gout due to renal impairment, vertebrae. It is valid for submission on a claim.

Excludes2 inherited from the categories above M10.38

Also inherited, and the opposite of Excludes1: these conditions are not part of M10.38, 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 M10.38

These codes carry an Excludes1 note pointing at M10.38. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M10.38 alone.

E72Other disorders of amino-acid metabolism
E79Disorders of purine and pyrimidine metabolism
M1AChronic gout

Risk adjustment

M10.38 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

M10.38 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

How M10.38 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M10.38.

Gout, gouty›in renal impairment›vertebrae

Code history

M10.38 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 M10.3. If M10.38 is not quite right, the correct code is usually one of these.

Questions about M10.38

Is M10.38 a billable ICD-10-CM code?: Yes. M10.38 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M10.38 sit in the tabular list?: Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).