M10.38 — Gout due to renal impairment, vertebrae
Is M10.38 billable?
Yes — M10.38 is billable for FY2027. M10.38 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M10.38 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M10.38 at a glance
| Code | M10.38 |
|---|---|
| Description | Gout due to renal impairment, vertebrae |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M10.38 group to?
M10.38 sits in MDC 11 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 698Other Kidney and Urinary Tract Diagnoses with MCCmedical
- 699Other Kidney and Urinary Tract Diagnoses with CCmedical
- 700Other Kidney and Urinary Tract Diagnoses without CC/MCCmedical
How is M10.38 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M10.38. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Gout, gouty › inrenal impairment › vertebrae (acute) (attack) (flare)
Code first — inherited from M10.3
The underlying condition below must be sequenced before M10.38. M10.38 describes a manifestation and cannot be the principal or first-listed diagnosis.
- associated renal disease
Use additional code — inherited from M10
Report an additional code alongside M10.38 to fully describe the condition. M10.38 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 M10.38, but a patient may have both at the same time. When documentation supports it, M10.38 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 M10.38, but a patient may have both at the same time. When documentation supports it, M10.38 and the excluded code may both be reported.
- chronic gout (M1A.-)
How long has M10.38 existed?
M10.38 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 M10.38?
What other codes are in the M10.3 family? (9)
- M10.30Gout due to renal impairment, unspecified site
- M10.31Gout due to renal impairment, shouldernot billable
- M10.32Gout due to renal impairment, elbownot billable
- M10.33Gout due to renal impairment, wristnot billable
- M10.34Gout due to renal impairment, handnot billable
- M10.35Gout due to renal impairment, hipnot billable
- M10.36Gout due to renal impairment, kneenot billable
- M10.37Gout due to renal impairment, ankle and footnot billable
- M10.39Gout due to renal impairment, multiple sites