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  6. 2024 ICD-10-CM Code M1A.0
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M1A.0

Idiopathic chronic gout

ICD-10-CM Code:
M1A.0
ICD-10 Code for:
Idiopathic chronic gout
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the musculoskeletal system and connective tissue
    (M00–M99)
    • Inflammatory polyarthropathies
      (M05-M14)
      • Chronic gout
        (M1A)

M1A.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of idiopathic chronic gout. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Idiopathic chronic gout

Non-specific codes like M1A.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for idiopathic chronic gout:

  • M1A.00 for Idiopathic chronic gout, unspecified site - NON-BILLABLE CODE

  • Use M1A.00X0 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.00X1 for with tophus (tophi) - BILLABLE CODE

  • M1A.01 for Idiopathic chronic gout, shoulder - NON-BILLABLE CODE

  • M1A.011 for Idiopathic chronic gout, right shoulder - NON-BILLABLE CODE

  • Use M1A.0110 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0111 for with tophus (tophi) - BILLABLE CODE

  • M1A.012 for Idiopathic chronic gout, left shoulder - NON-BILLABLE CODE

  • Use M1A.0120 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0121 for with tophus (tophi) - BILLABLE CODE

  • M1A.019 for Idiopathic chronic gout, unspecified shoulder - NON-BILLABLE CODE

  • Use M1A.0190 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0191 for with tophus (tophi) - BILLABLE CODE

  • M1A.02 for Idiopathic chronic gout, elbow - NON-BILLABLE CODE

  • M1A.021 for Idiopathic chronic gout, right elbow - NON-BILLABLE CODE

  • Use M1A.0210 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0211 for with tophus (tophi) - BILLABLE CODE

  • M1A.022 for Idiopathic chronic gout, left elbow - NON-BILLABLE CODE

  • Use M1A.0220 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0221 for with tophus (tophi) - BILLABLE CODE

  • M1A.029 for Idiopathic chronic gout, unspecified elbow - NON-BILLABLE CODE

  • Use M1A.0290 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0291 for with tophus (tophi) - BILLABLE CODE

  • M1A.03 for Idiopathic chronic gout, wrist - NON-BILLABLE CODE

  • M1A.031 for Idiopathic chronic gout, right wrist - NON-BILLABLE CODE

  • Use M1A.0310 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0311 for with tophus (tophi) - BILLABLE CODE

  • M1A.032 for Idiopathic chronic gout, left wrist - NON-BILLABLE CODE

  • Use M1A.0320 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0321 for with tophus (tophi) - BILLABLE CODE

  • M1A.039 for Idiopathic chronic gout, unspecified wrist - NON-BILLABLE CODE

  • Use M1A.0390 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0391 for with tophus (tophi) - BILLABLE CODE

  • M1A.04 for Idiopathic chronic gout, hand - NON-BILLABLE CODE

  • M1A.041 for Idiopathic chronic gout, right hand - NON-BILLABLE CODE

  • Use M1A.0410 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0411 for with tophus (tophi) - BILLABLE CODE

  • M1A.042 for Idiopathic chronic gout, left hand - NON-BILLABLE CODE

  • Use M1A.0420 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0421 for with tophus (tophi) - BILLABLE CODE

  • M1A.049 for Idiopathic chronic gout, unspecified hand - NON-BILLABLE CODE

  • Use M1A.0490 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0491 for with tophus (tophi) - BILLABLE CODE

  • M1A.05 for Idiopathic chronic gout, hip - NON-BILLABLE CODE

  • M1A.051 for Idiopathic chronic gout, right hip - NON-BILLABLE CODE

  • Use M1A.0510 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0511 for with tophus (tophi) - BILLABLE CODE

  • M1A.052 for Idiopathic chronic gout, left hip - NON-BILLABLE CODE

  • Use M1A.0520 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0521 for with tophus (tophi) - BILLABLE CODE

  • M1A.059 for Idiopathic chronic gout, unspecified hip - NON-BILLABLE CODE

  • Use M1A.0590 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0591 for with tophus (tophi) - BILLABLE CODE

  • M1A.06 for Idiopathic chronic gout, knee - NON-BILLABLE CODE

  • M1A.061 for Idiopathic chronic gout, right knee - NON-BILLABLE CODE

  • Use M1A.0610 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0611 for with tophus (tophi) - BILLABLE CODE

  • M1A.062 for Idiopathic chronic gout, left knee - NON-BILLABLE CODE

  • Use M1A.0620 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0621 for with tophus (tophi) - BILLABLE CODE

  • M1A.069 for Idiopathic chronic gout, unspecified knee - NON-BILLABLE CODE

  • Use M1A.0690 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0691 for with tophus (tophi) - BILLABLE CODE

  • M1A.07 for Idiopathic chronic gout, ankle and foot - NON-BILLABLE CODE

  • M1A.071 for Idiopathic chronic gout, right ankle and foot - NON-BILLABLE CODE

  • Use M1A.0710 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0711 for with tophus (tophi) - BILLABLE CODE

  • M1A.072 for Idiopathic chronic gout, left ankle and foot - NON-BILLABLE CODE

  • Use M1A.0720 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0721 for with tophus (tophi) - BILLABLE CODE

  • M1A.079 for Idiopathic chronic gout, unspecified ankle and foot - NON-BILLABLE CODE

  • Use M1A.0790 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.0791 for with tophus (tophi) - BILLABLE CODE

  • M1A.08 for Idiopathic chronic gout, vertebrae - NON-BILLABLE CODE

  • Use M1A.08X0 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.08X1 for with tophus (tophi) - BILLABLE CODE

  • M1A.09 for Idiopathic chronic gout, multiple sites - NON-BILLABLE CODE

  • Use M1A.09X0 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.09X1 for with tophus (tophi) - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Chronic gouty bursitis
  • Primary chronic gout

Patient Education


Gout

Gout is a common, painful form of arthritis. It causes swollen, red, hot and stiff joints.

Gout happens when uric acid builds up in your body. Uric acid comes from the breakdown of substances called purines. Purines are in your body's tissues and in foods, such as liver, dried beans and peas, and anchovies. Normally, uric acid dissolves in the blood. It passes through the kidneys and out of the body in urine. But sometimes uric acid can build up and form needle-like crystals. When they form in your joints, it is very painful. The crystals can also cause kidney stones.

Often, gout first attacks your big toe. It can also attack ankles, heels, knees, wrists, fingers, and elbows. At first, gout attacks usually get better in days. Eventually, attacks last longer and happen more often.

You are more likely to get gout if you:

  • Are a man
  • Have family member with gout
  • Are overweight
  • Drink alcohol
  • Eat too many foods rich in purines

Gout can be hard to diagnose. Your doctor may take a sample of fluid from an inflamed joint to look for crystals. You can treat gout with medicines.

Pseudogout has similar symptoms and is sometimes confused with gout. However, it is caused by calcium phosphate, not uric acid.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Gout

Gout is a type of arthritis that causes pain and swelling in your joints, usually as flares that last for a week or two, and then go away.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.