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Gout C001

Document
Last amended 
28 February 2017

In this section

Current RMA Instruments
Reasonable Hypothesis SOP30 of 2010
Balance of Probabilities SOP 31 of 2010
Changes from previous Instruments

SOP Bulletin 147

ICD Coding
  • ICD-9-CM Codes: 274.0,274.10,274.19,274.8,274.9
  • ICD-10-AM Codes: M10
Breif description

Gout is a urate crystal deposition disease that can manifest as a recurrent acute arthritis, usually involving a single joint, with asymptomatic periods between attacks.  It may also manifest as chronic tophaceous gout with arthropathy and deposition of solid urate in connective tissues with associated inflammation and tissue destruction.

Confirming the diagnosis

Diagnosis is based on a combination of clinical, laboratory and imaging findings.  In the case of acute gout this should include analysis of joint fluid for the presence of urate crystals.

The relevant medical specialist is a rheumatologist.

Additional diagnoses covered by SOP
  • Nil
Conditions excluded from SOP
  • Hyperuricaemia without clinical manifestations (N.I.F.)
  • Pseudogout, ICD code 712.1-712.3
Clinical onset

Clinical onset will generally correspond with a first acute arthritis episode, subsequently confirmed to be due to gout.

Clinical worsening

Gout can be successfully managed with medications and lifestyle changes directed at lowering urate levels. Treament can significantly reduce the development of chronic gouty arthritis and tophaceous gout. Progression of disease may indicate non-compliance with treatment.