2026 ICD-10-CM Diagnosis Code M1AChronic gout
M1A is a non-billable ICD-10-CM category code for chronic gout, so it cannot be submitted on claims. Use a more specific code from this category instead, such as M1A.00X0, M1A.00X1, M1A.0110, and M1A.0111.
Code Identity
Code Classification
Specific Coding for Chronic goutOverview
Non-specific codes like M1A require more characters. Use one of these billable codes instead:
M1A.0 for Idiopathic chronic gout
M1A.00 for Idiopathic chronic gout, unspecified site
M1A.01 for Idiopathic chronic gout, shoulder
M1A.02 for Idiopathic chronic gout, elbow
M1A.03 for Idiopathic chronic gout, wrist
M1A.04 for Idiopathic chronic gout, hand
M1A.05 for Idiopathic chronic gout, hip
M1A.06 for Idiopathic chronic gout, knee
M1A.07 for Idiopathic chronic gout, ankle and foot
M1A.08 for Idiopathic chronic gout, vertebrae
M1A.09 for Idiopathic chronic gout, multiple sites
M1A.1 for Lead-induced chronic gout
M1A.10 for Lead-induced chronic gout, unspecified site
M1A.11 for Lead-induced chronic gout, shoulder
M1A.12 for Lead-induced chronic gout, elbow
M1A.13 for Lead-induced chronic gout, wrist
M1A.14 for Lead-induced chronic gout, hand
M1A.15 for Lead-induced chronic gout, hip
M1A.16 for Lead-induced chronic gout, knee
M1A.17 for Lead-induced chronic gout, ankle and foot
M1A.18 for Lead-induced chronic gout, vertebrae
M1A.19 for Lead-induced chronic gout, multiple sites
M1A.2 for Drug-induced chronic gout
M1A.20 for Drug-induced chronic gout, unspecified site
M1A.21 for Drug-induced chronic gout, shoulder
M1A.22 for Drug-induced chronic gout, elbow
M1A.23 for Drug-induced chronic gout, wrist
M1A.24 for Drug-induced chronic gout, hand
M1A.25 for Drug-induced chronic gout, hip
M1A.26 for Drug-induced chronic gout, knee
M1A.27 for Drug-induced chronic gout, ankle and foot
M1A.28 for Drug-induced chronic gout, vertebrae
M1A.29 for Drug-induced chronic gout, multiple sites
M1A.3 for Chronic gout due to renal impairment
M1A.30 for Chronic gout due to renal impairment, unspecified site
M1A.31 for Chronic gout due to renal impairment, shoulder
M1A.32 for Chronic gout due to renal impairment, elbow
M1A.33 for Chronic gout due to renal impairment, wrist
M1A.34 for Chronic gout due to renal impairment, hand
M1A.35 for Chronic gout due to renal impairment, hip
M1A.36 for Chronic gout due to renal impairment, knee
M1A.37 for Chronic gout due to renal impairment, ankle and foot
M1A.38 for Chronic gout due to renal impairment, vertebrae
M1A.39 for Chronic gout due to renal impairment, multiple sites
M1A.4 for Other secondary chronic gout
M1A.40 for Other secondary chronic gout, unspecified site
M1A.41 for Other secondary chronic gout, shoulder
M1A.42 for Other secondary chronic gout, elbow
M1A.43 for Other secondary chronic gout, wrist
M1A.44 for Other secondary chronic gout, hand
M1A.45 for Other secondary chronic gout, hip
M1A.46 for Other secondary chronic gout, knee
M1A.47 for Other secondary chronic gout, ankle and foot
M1A.48 for Other secondary chronic gout, vertebrae
M1A.49 for Other secondary chronic gout, multiple sites
M1A.9 for Chronic gout, unspecified
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Use Additional Code
- code to identify:
- Autonomic neuropathy in diseases classified elsewhere G99.0
- Calculus of urinary tract in diseases classified elsewhere N22
- Cardiomyopathy in diseases classified elsewhere I43
- Disorders of external ear in diseases classified elsewhere H61.1 H62.8
- Disorders of iris and ciliary body in diseases classified elsewhere H22
- Glomerular disorders in diseases classified elsewhere N08
Type 1 Excludes
- gout NOS M10
Type 2 Excludes
- acute gout M10
7th Character Note
- The appropriate 7th character is to be added to each code from category M1A
7th Character
- 0 - without tophus (tophi)
- 1 - with tophus (tophi)
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
Gout
Gout is a common type of inflammatory arthritis. It causes pain, swelling, and redness in one or more joints. It usually happens as a flare, which can last for a week or two and then gets better. The flares often begin in your big toe or a lower limb.
The full article covers:
- What is gout?
- What causes gout?
- Who is more likely to develop gout?
- What are the symptoms of gout?
- How is gout diagnosed?
- What are the treatments for gout?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
