Not Valid for Submission
M1A.149 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of lead-induced chronic gout, unspecified hand. The code is NOT valid for the year 2021 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.
Unspecified diagnosis codes like M1A.149 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Specific Coding for Lead-induced chronic gout, unspecified hand
Header codes like M1A.149 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for lead-induced chronic gout, unspecified hand:
Information for Patients
Also called: Gouty arthritis
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
- Calcium pyrophosphate arthritis (Medical Encyclopedia)
- Gout (Medical Encyclopedia)
- Uric acid - blood (Medical Encyclopedia)
- Uric acid - urine (Medical Encyclopedia)
[Learn More in MedlinePlus]
Also called: Plumbism
Lead is a metal that occurs naturally in the earth's crust. Lead can be found in all parts of our environment. Much of it comes from human activities such as mining and manufacturing. Lead used to be in paint; older houses may still have lead paint. You could be exposed to lead by
- Eating food or drinking water that contains lead. Water pipes in older homes may contain lead.
- Working in a job where lead is used
- Using lead in a hobby, such as making stained glass or lead-glazed pottery
- Using folk remedies such as herbs or foods that contain lead
Breathing air, drinking water, eating food, or swallowing or touching dirt that contains lead can cause many health problems. Lead can affect almost every organ and system in your body. In adults, lead can increase blood pressure and cause infertility, nerve disorders, and muscle and joint pain. It can also make you irritable and affect your ability to concentrate and remember.
Lead is especially dangerous for children. A child who swallows large amounts of lead may develop anemia, severe stomachache, muscle weakness, and brain damage. Even at low levels, lead can affect a child's mental and physical growth.
Agency for Toxic Substances Disease Registry
- Lead - nutritional considerations (Medical Encyclopedia)
- Lead levels - blood (Medical Encyclopedia)
- Lead poisoning (Medical Encyclopedia)
- Lead Toxicity (Agency for Toxic Substances and Disease Registry)
[Learn More in MedlinePlus]