ICD-10 · PDGM grouping
M10 Gout
All 121 codes in the M10 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
121
Can lead a claim
81
Cannot lead a claim
40
What CMS assigns to M10
81 of the 121 codes group to Musculoskeletal Rehabilitation; 40 are assigned no clinical group. 1 of the 121 counts toward the Obesity, and Disorders of Metabolism and Fluid Balance comorbidity subgroup; 120 are assigned none. 81 of the 121 can lead a claim. CMS attaches a code-first note to 72 of the 121.
- Obesity, and Disorders of Metabolism and Fluid Balance: counts toward the high comorbidity tier only in an interaction pair.
Code first
CMS grouper convention 12, on M10.30, M10.311, M10.312, M10.319, M10.321, M10.322, M10.329, M10.331, M10.332, M10.339, M10.341, M10.342, M10.349, M10.351, M10.352, M10.359, M10.361, M10.362, M10.369, M10.371, M10.372, M10.379, M10.38, M10.39, M10.40, M10.411, M10.412, M10.419, M10.421, M10.422, M10.429, M10.431, M10.432, M10.439, M10.441, M10.442, M10.449, M10.451, M10.452, M10.459, M10.461, M10.462, M10.469, M10.471, M10.472, M10.479, M10.48, M10.49. Code first:
- underlying disease
CMS grouper convention 115, on M10.10, M10.111, M10.112, M10.119, M10.121, M10.122, M10.129, M10.131, M10.132, M10.139, M10.141, M10.142, M10.149, M10.151, M10.152, M10.159, M10.161, M10.162, M10.169, M10.171, M10.172, M10.179, M10.18, M10.19. Code first:
- toxic effects of lead and its compounds (T56.0-)
Every code in M10
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| M10.0 Idiopathic gout | ||||
| M10.00 | Idiopathic gout, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.01 Idiopathic gout, shoulder | ||||
| M10.011 | Idiopathic gout, right shoulder | Can lead a claim | E | None |
| M10.012 | Idiopathic gout, left shoulder | Can lead a claim | E | None |
| M10.019 | Idiopathic gout, unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.02 Idiopathic gout, elbow | ||||
| M10.021 | Idiopathic gout, right elbow | Can lead a claim | E | None |
| M10.022 | Idiopathic gout, left elbow | Can lead a claim | E | None |
| M10.029 | Idiopathic gout, unspecified elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.03 Idiopathic gout, wrist | ||||
| M10.031 | Idiopathic gout, right wrist | Can lead a claim | E | None |
| M10.032 | Idiopathic gout, left wrist | Can lead a claim | E | None |
| M10.039 | Idiopathic gout, unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.04 Idiopathic gout, hand | ||||
| M10.041 | Idiopathic gout, right hand | Can lead a claim | E | None |
| M10.042 | Idiopathic gout, left hand | Can lead a claim | E | None |
| M10.049 | Idiopathic gout, unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.05 Idiopathic gout, hip | ||||
| M10.051 | Idiopathic gout, right hip | Can lead a claim | E | None |
| M10.052 | Idiopathic gout, left hip | Can lead a claim | E | None |
| M10.059 | Idiopathic gout, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.06 Idiopathic gout, knee | ||||
| M10.061 | Idiopathic gout, right knee | Can lead a claim | E | None |
| M10.062 | Idiopathic gout, left knee | Can lead a claim | E | None |
| M10.069 | Idiopathic gout, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.07 Idiopathic gout, ankle and foot | ||||
| M10.071 | Idiopathic gout, right ankle and foot | Can lead a claim | E | None |
| M10.072 | Idiopathic gout, left ankle and foot | Can lead a claim | E | None |
| M10.079 | Idiopathic gout, unspecified ankle and foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.08 | Idiopathic gout, vertebrae | Can lead a claim | E | None |
| M10.09 | Idiopathic gout, multiple sites | Can lead a claim | E | None |
| M10.1 Lead-induced gout | ||||
| M10.10 | Lead-induced gout, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.11 Lead-induced gout, shoulder | ||||
| M10.111 | Lead-induced gout, right shoulder | Can lead a claim, code first applies | E | None |
| M10.112 | Lead-induced gout, left shoulder | Can lead a claim, code first applies | E | None |
| M10.119 | Lead-induced gout, unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.12 Lead-induced gout, elbow | ||||
| M10.121 | Lead-induced gout, right elbow | Can lead a claim, code first applies | E | None |
| M10.122 | Lead-induced gout, left elbow | Can lead a claim, code first applies | E | None |
| M10.129 | Lead-induced gout, unspecified elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.13 Lead-induced gout, wrist | ||||
| M10.131 | Lead-induced gout, right wrist | Can lead a claim, code first applies | E | None |
| M10.132 | Lead-induced gout, left wrist | Can lead a claim, code first applies | E | None |
| M10.139 | Lead-induced gout, unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.14 Lead-induced gout, hand | ||||
| M10.141 | Lead-induced gout, right hand | Can lead a claim, code first applies | E | None |
| M10.142 | Lead-induced gout, left hand | Can lead a claim, code first applies | E | None |
| M10.149 | Lead-induced gout, unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.15 Lead-induced gout, hip | ||||
| M10.151 | Lead-induced gout, right hip | Can lead a claim, code first applies | E | None |
| M10.152 | Lead-induced gout, left hip | Can lead a claim, code first applies | E | None |
| M10.159 | Lead-induced gout, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.16 Lead-induced gout, knee | ||||
| M10.161 | Lead-induced gout, right knee | Can lead a claim, code first applies | E | None |
| M10.162 | Lead-induced gout, left knee | Can lead a claim, code first applies | E | None |
| M10.169 | Lead-induced gout, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.17 Lead-induced gout, ankle and foot | ||||
| M10.171 | Lead-induced gout, right ankle and foot | Can lead a claim, code first applies | E | None |
| M10.172 | Lead-induced gout, left ankle and foot | Can lead a claim, code first applies | E | None |
| M10.179 | Lead-induced gout, unspecified ankle and foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.18 | Lead-induced gout, vertebrae | Can lead a claim, code first applies | E | None |
| M10.19 | Lead-induced gout, multiple sites | Can lead a claim, code first applies | E | None |
| M10.2 Drug-induced gout | ||||
| M10.20 | Drug-induced gout, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.21 Drug-induced gout, shoulder | ||||
| M10.211 | Drug-induced gout, right shoulder | Can lead a claim | E | None |
| M10.212 | Drug-induced gout, left shoulder | Can lead a claim | E | None |
| M10.219 | Drug-induced gout, unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.22 Drug-induced gout, elbow | ||||
| M10.221 | Drug-induced gout, right elbow | Can lead a claim | E | None |
| M10.222 | Drug-induced gout, left elbow | Can lead a claim | E | None |
| M10.229 | Drug-induced gout, unspecified elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.23 Drug-induced gout, wrist | ||||
| M10.231 | Drug-induced gout, right wrist | Can lead a claim | E | None |
| M10.232 | Drug-induced gout, left wrist | Can lead a claim | E | None |
| M10.239 | Drug-induced gout, unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.24 Drug-induced gout, hand | ||||
| M10.241 | Drug-induced gout, right hand | Can lead a claim | E | None |
| M10.242 | Drug-induced gout, left hand | Can lead a claim | E | None |
| M10.249 | Drug-induced gout, unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.25 Drug-induced gout, hip | ||||
| M10.251 | Drug-induced gout, right hip | Can lead a claim | E | None |
| M10.252 | Drug-induced gout, left hip | Can lead a claim | E | None |
| M10.259 | Drug-induced gout, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.26 Drug-induced gout, knee | ||||
| M10.261 | Drug-induced gout, right knee | Can lead a claim | E | None |
| M10.262 | Drug-induced gout, left knee | Can lead a claim | E | None |
| M10.269 | Drug-induced gout, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.27 Drug-induced gout, ankle and foot | ||||
| M10.271 | Drug-induced gout, right ankle and foot | Can lead a claim | E | None |
| M10.272 | Drug-induced gout, left ankle and foot | Can lead a claim | E | None |
| M10.279 | Drug-induced gout, unspecified ankle and foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.28 | Drug-induced gout, vertebrae | Can lead a claim | E | None |
| M10.29 | Drug-induced gout, multiple sites | Can lead a claim | E | None |
| M10.3 Gout due to renal impairment | ||||
| M10.30 | Gout due to renal impairment, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.31 Gout due to renal impairment, shoulder | ||||
| M10.311 | Gout due to renal impairment, right shoulder | Can lead a claim, code first applies | E | None |
| M10.312 | Gout due to renal impairment, left shoulder | Can lead a claim, code first applies | E | None |
| M10.319 | Gout due to renal impairment, unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.32 Gout due to renal impairment, elbow | ||||
| M10.321 | Gout due to renal impairment, right elbow | Can lead a claim, code first applies | E | None |
| M10.322 | Gout due to renal impairment, left elbow | Can lead a claim, code first applies | E | None |
| M10.329 | Gout due to renal impairment, unspecified elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.33 Gout due to renal impairment, wrist | ||||
| M10.331 | Gout due to renal impairment, right wrist | Can lead a claim, code first applies | E | None |
| M10.332 | Gout due to renal impairment, left wrist | Can lead a claim, code first applies | E | None |
| M10.339 | Gout due to renal impairment, unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.34 Gout due to renal impairment, hand | ||||
| M10.341 | Gout due to renal impairment, right hand | Can lead a claim, code first applies | E | None |
| M10.342 | Gout due to renal impairment, left hand | Can lead a claim, code first applies | E | None |
| M10.349 | Gout due to renal impairment, unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.35 Gout due to renal impairment, hip | ||||
| M10.351 | Gout due to renal impairment, right hip | Can lead a claim, code first applies | E | None |
| M10.352 | Gout due to renal impairment, left hip | Can lead a claim, code first applies | E | None |
| M10.359 | Gout due to renal impairment, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.36 Gout due to renal impairment, knee | ||||
| M10.361 | Gout due to renal impairment, right knee | Can lead a claim, code first applies | E | None |
| M10.362 | Gout due to renal impairment, left knee | Can lead a claim, code first applies | E | None |
| M10.369 | Gout due to renal impairment, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.37 Gout due to renal impairment, ankle and foot | ||||
| M10.371 | Gout due to renal impairment, right ankle and foot | Can lead a claim, code first applies | E | None |
| M10.372 | Gout due to renal impairment, left ankle and foot | Can lead a claim, code first applies | E | None |
| M10.379 | Gout due to renal impairment, unspecified ankle and foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.38 | Gout due to renal impairment, vertebrae | Can lead a claim, code first applies | E | None |
| M10.39 | Gout due to renal impairment, multiple sites | Can lead a claim, code first applies | E | None |
| M10.4 Other secondary gout | ||||
| M10.40 | Other secondary gout, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.41 Other secondary gout, shoulder | ||||
| M10.411 | Other secondary gout, right shoulder | Can lead a claim, code first applies | E | None |
| M10.412 | Other secondary gout, left shoulder | Can lead a claim, code first applies | E | None |
| M10.419 | Other secondary gout, unspecified shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.42 Other secondary gout, elbow | ||||
| M10.421 | Other secondary gout, right elbow | Can lead a claim, code first applies | E | None |
| M10.422 | Other secondary gout, left elbow | Can lead a claim, code first applies | E | None |
| M10.429 | Other secondary gout, unspecified elbow | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.43 Other secondary gout, wrist | ||||
| M10.431 | Other secondary gout, right wrist | Can lead a claim, code first applies | E | None |
| M10.432 | Other secondary gout, left wrist | Can lead a claim, code first applies | E | None |
| M10.439 | Other secondary gout, unspecified wrist | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.44 Other secondary gout, hand | ||||
| M10.441 | Other secondary gout, right hand | Can lead a claim, code first applies | E | None |
| M10.442 | Other secondary gout, left hand | Can lead a claim, code first applies | E | None |
| M10.449 | Other secondary gout, unspecified hand | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.45 Other secondary gout, hip | ||||
| M10.451 | Other secondary gout, right hip | Can lead a claim, code first applies | E | None |
| M10.452 | Other secondary gout, left hip | Can lead a claim, code first applies | E | None |
| M10.459 | Other secondary gout, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.46 Other secondary gout, knee | ||||
| M10.461 | Other secondary gout, right knee | Can lead a claim, code first applies | E | None |
| M10.462 | Other secondary gout, left knee | Can lead a claim, code first applies | E | None |
| M10.469 | Other secondary gout, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.47 Other secondary gout, ankle and foot | ||||
| M10.471 | Other secondary gout, right ankle and foot | Can lead a claim, code first applies | E | None |
| M10.472 | Other secondary gout, left ankle and foot | Can lead a claim, code first applies | E | None |
| M10.479 | Other secondary gout, unspecified ankle and foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M10.48 | Other secondary gout, vertebrae | Can lead a claim, code first applies | E | None |
| M10.49 | Other secondary gout, multiple sites | Can lead a claim, code first applies | E | None |
| M10.9 | Gout, unspecified | Can lead a claim | E | Obesity, and Disorders of Metabolism and Fluid Balance |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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