M10.49
M10.49: Other secondary gout, multiple sites
Billable / specific codeICD-10-CM
M10.49 is a billable, specific ICD-10-CM code for other secondary gout, multiple sites. It is valid for submission on a claim.
Check M10.49 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M10.49
Not part of this code, but both may be coded when both are present.
Written on M10: Gout
- chronic gout (M1A.-)
Other codes that can never be billed with M10.49
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M10.49 is named in 10 Medicare coverage policies: 3 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Gout, gouty›secondary NEC›multiple site
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M10.4
- M10.40Other secondary gout, unspecified site
- M10.41Other secondary gout, shoulder
- M10.42Other secondary gout, elbow
- M10.43Other secondary gout, wrist
- M10.44Other secondary gout, hand
- M10.45Other secondary gout, hip
- M10.46Other secondary gout, knee
- M10.47Other secondary gout, ankle and foot
- M10.48Other secondary gout, vertebrae