M10.00 — Idiopathic gout, unspecified site
Is M10.00 billable?
Yes, but M10.00 is an unspecified code. M10.00 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M10.00 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M10.00 — the more specific alternatives are listed below.
More specific alternatives
- M10.01Idiopathic gout, shouldernot billable
- M10.02Idiopathic gout, elbownot billable
- M10.03Idiopathic gout, wristnot billable
- M10.04Idiopathic gout, handnot billable
- M10.05Idiopathic gout, hipnot billable
- M10.06Idiopathic gout, kneenot billable
- M10.07Idiopathic gout, ankle and footnot billable
- M10.08Idiopathic gout, vertebrae
- M10.09Idiopathic gout, multiple sites
M10.00 at a glance
| Code | M10.00 |
|---|---|
| Description | Idiopathic gout, unspecified site |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M10.00 group to?
M10.00 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 553Bone Diseases and Arthropathies with MCCmedical
- 554Bone Diseases and Arthropathies without MCCmedical
How is M10.00 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M10.00. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Gout, gouty › idiopathic (acute) (attack) (flare)
- Neuropathy, neuropathic › peripheral › autonomic › in › gout
Use additional code — inherited from M10
Report an additional code alongside M10.00 to fully describe the condition. M10.00 is sequenced first.
- code to identify:
- Autonomic neuropathy in diseases classified elsewhere (G99.0)
- Calculus of urinary tract in diseases classified elsewhere (N22)
- Cardiomyopathy in diseases classified elsewhere (I43)
- Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-)
- Disorders of iris and ciliary body in diseases classified elsewhere (H22)
- Glomerular disorders in diseases classified elsewhere (N08)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M10.00, but a patient may have both at the same time. When documentation supports it, M10.00 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M10
The conditions below are not part of M10.00, but a patient may have both at the same time. When documentation supports it, M10.00 and the excluded code may both be reported.
- chronic gout (M1A.-)
How long has M10.00 existed?
M10.00 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to M10.00?
What other codes are in the M10.0 family? (9)
- M10.01Idiopathic gout, shouldernot billable
- M10.02Idiopathic gout, elbownot billable
- M10.03Idiopathic gout, wristnot billable
- M10.04Idiopathic gout, handnot billable
- M10.05Idiopathic gout, hipnot billable
- M10.06Idiopathic gout, kneenot billable
- M10.07Idiopathic gout, ankle and footnot billable
- M10.08Idiopathic gout, vertebrae
- M10.09Idiopathic gout, multiple sites