M10.139 Lead-induced gout, unspecified wrist

ICD-10-CM Diagnosis Code M10.139: Lead-induced gout, unspecified wrist

ICD-10-CM code M10.139 identifies lead-induced gout involving an unspecified wrist. Public sources list this code alongside distinct classifications for right and left wrist presentations, as well as chronic gout distinctions based on the presence of tophi. The available evidence does not establish detailed clinical criteria, treatment protocols, or payer coverage rules for this specific diagnosis. 4 5 3

Plain-language overview

The diagnosis code M10.139 corresponds to the condition officially labeled by sources as lead-induced gout, unspecified wrist. This code is listed among a broader group of ICD-10-CM codes categorizing lead-induced gout by various anatomical sites. 4 5

What this code represents

The code M10.139 is presented in official coding lists directly adjacent to M10.131 for the right wrist and M10.132 for the left wrist. This structural placement in the source text distinguishes the unspecified wrist code from its right-sided and left-sided counterparts. 5

Public source excerpts list M10.139 as a general diagnosis code for an unspecified wrist, while separate entries classify lead-induced chronic gout of the unspecified wrist by the presence or absence of a tophus. These distinct listings illustrate different coding categories within lead-induced gout. 5 3 6

Documentation considerations

The provided coding lists identify separate ICD-10-CM codes for right wrist and left wrist lead-induced gout. The sources establish these distinct laterality options, but they do not explicitly state the documentation rule dictating when to use the unspecified wrist code. 5

Coverage and utilization context

A Centers for Medicare and Medicaid Services article references M10.139 within a billing and coding context for musculoskeletal injections and applications. The inclusion of this code in the article establishes its administrative relevance, but the source does not confirm that this code guarantees coverage. 4

What the sources add

The Sentinel Initiative source provides a direct list of ICD-10-CM codes for lead-induced gout across multiple anatomical sites, explicitly including M10.139 for the unspecified wrist. This operational list confirms the code's existence and its exact official display label. 5

While the Sentinel Initiative lists M10.139 as a general code, the ExPRSweb and Rheumatology Advisor sources add operational context by detailing chronic gout subclassifications. These subclassifications specify whether the chronic lead-induced gout of an unspecified wrist is documented with or without tophus. 5 3 6

Clinical context

One clinical source notes that untreated or undertreated gout may develop into chronic tophaceous gout over several years, leading to gradual progressive joint destruction. This source discusses gout broadly and does not provide clinical details specific to lead-induced gout of the wrist. 2

Sources

1. Septic Arthritis Complicating a Gout Flare: Report of Two Cases and Review of the Literature — pmc.ncbi.nlm.nih.gov; accessed 2026-07-25.
2. Bookshelf — ncbi.nlm.nih.gov; accessed 2026-07-25.
3. Phecode 274.11 · ExPRSweb — csg.sph.umich.edu; accessed 2026-07-25.
4. Article - Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (A59764) — cms.gov; accessed 2026-07-25.
5. Disclaimer — sentinelinitiative.org; accessed 2026-07-25.
6. Rheumatology ICD 10 Codes - Rheumatology Advisor — rheumatologyadvisor.com; accessed 2026-07-25.