Question: Encounter notes indicate that the provider performed a level-two office evaluation and management (E/M) service for a patient with “podagra.” What does this term mean, and which diagnosis codes do I use for patients with podagra? Washington, DC Subscriber Answer: For coding purposes, podagra is a synonym for gout. The diagnosis code for podagra is the same as it is for gout: M10.- (Gout). You’d also use M10.0 to identify acute gout, gout attack, and gout flare. Not so fast: All M10.- diagnoses require a fourth character to further specify the gout type. Make sure you choose from one of the following four-character options for your gout claims: Note: You’ll need to code all M10.- diagnoses down to the 6th character, so don’t just stop at the 4th character. Choose the type of gout (podagra) from the list above, and then choose 5th and 6th characters to pinpoint the gout type and location.