M10.471 Other secondary gout, right ankle and foot

ICD10CM code

#### Name of the Condition
- Other secondary gout, right ankle and foot
- ICD-10 Code: M10.471

#### Summary
Other secondary gout in the right ankle and foot is a form of arthritis characterized by sudden and painful inflammation. It results from the accumulation of urate crystals in joints, typically associated with elevated levels of uric acid in the blood due to underlying factors separate from primary gout.

#### Causes
- Unlike primary gout, which is typically idiopathic, secondary gout may result from conditions such as kidney disease, medications, or disorders that affect uric acid metabolism.

#### Risk Factors
- Chronic kidney disease
- Use of certain diuretics or medications that affect uric acid levels
- Obesity
- Diets high in purine-rich foods or fructose-sweetened beverages

#### Symptoms
- Intense joint pain, often starting suddenly, particularly in the right ankle and foot
- Redness, swelling, and warmth in the affected area
- Limited range of motion

#### Diagnosis
- Physical examination of the affected joint
- Blood tests to measure uric acid levels
- Joint fluid test to detect urate crystals
- X-ray or ultrasound imaging of the affected joint

#### Treatment Options
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation
- Corticosteroids if NSAIDs are not effective
- Colchicine to decrease gout flares
- Medications to lower uric acid levels, such as allopurinol or febuxostat, in chronic cases

#### Prognosis and Follow-Up
- With proper treatment, symptoms can be managed effectively, reducing the likelihood and frequency of flares.
- Regular monitoring of uric acid levels and joint health by a healthcare provider is important to prevent complications.

#### Complications
- Persistent pain and joint damage if untreated
- Formation of tophi, which are large urate crystal deposits under the skin
- Increased risk of kidney stones

#### Lifestyle & Prevention
- Maintain a healthy weight and balanced diet low in purines
- Stay hydrated to help flush uric acid from the body
- Limit alcohol consumption and avoid smoking

#### When to Seek Professional Help
- Sudden and severe joint pain in the ankle or foot
- Signs of infection such as fever or chills alongside joint inflammation
- Frequent flares despite lifestyle changes and medication

#### Additional Resources
- Arthritis Foundation: [arthritis.org](https://www.arthritis.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases: [niams.nih.gov](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure the correct laterality and specificity when coding (right ankle and foot in this case).
- Double-check that the condition is secondary, not primary gout, which has a different ICD code.
- Verify any underlying conditions that might categorize it as secondary gout.

Similar Codes