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  6. 2024 ICD-10-CM Code M1A.4
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M1A.4

Other secondary chronic gout

ICD-10-CM Code:
M1A.4
ICD-10 Code for:
Other secondary 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.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other secondary 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 Other secondary chronic gout

Non-specific codes like M1A.4 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 other secondary chronic gout:

  • M1A.40 for Other secondary chronic gout, unspecified site - NON-BILLABLE CODE

  • Use M1A.40X0 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.40X1 for with tophus (tophi) - BILLABLE CODE

  • M1A.41 for Other secondary chronic gout, shoulder - NON-BILLABLE CODE

  • M1A.411 for Other secondary chronic gout, right shoulder - NON-BILLABLE CODE

  • Use M1A.4110 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4111 for with tophus (tophi) - BILLABLE CODE

  • M1A.412 for Other secondary chronic gout, left shoulder - NON-BILLABLE CODE

  • Use M1A.4120 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4121 for with tophus (tophi) - BILLABLE CODE

  • M1A.419 for Other secondary chronic gout, unspecified shoulder - NON-BILLABLE CODE

  • Use M1A.4190 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4191 for with tophus (tophi) - BILLABLE CODE

  • M1A.42 for Other secondary chronic gout, elbow - NON-BILLABLE CODE

  • M1A.421 for Other secondary chronic gout, right elbow - NON-BILLABLE CODE

  • Use M1A.4210 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4211 for with tophus (tophi) - BILLABLE CODE

  • M1A.422 for Other secondary chronic gout, left elbow - NON-BILLABLE CODE

  • Use M1A.4220 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4221 for with tophus (tophi) - BILLABLE CODE

  • M1A.429 for Other secondary chronic gout, unspecified elbow - NON-BILLABLE CODE

  • Use M1A.4290 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4291 for with tophus (tophi) - BILLABLE CODE

  • M1A.43 for Other secondary chronic gout, wrist - NON-BILLABLE CODE

  • M1A.431 for Other secondary chronic gout, right wrist - NON-BILLABLE CODE

  • Use M1A.4310 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4311 for with tophus (tophi) - BILLABLE CODE

  • M1A.432 for Other secondary chronic gout, left wrist - NON-BILLABLE CODE

  • Use M1A.4320 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4321 for with tophus (tophi) - BILLABLE CODE

  • M1A.439 for Other secondary chronic gout, unspecified wrist - NON-BILLABLE CODE

  • Use M1A.4390 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4391 for with tophus (tophi) - BILLABLE CODE

  • M1A.44 for Other secondary chronic gout, hand - NON-BILLABLE CODE

  • M1A.441 for Other secondary chronic gout, right hand - NON-BILLABLE CODE

  • Use M1A.4410 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4411 for with tophus (tophi) - BILLABLE CODE

  • M1A.442 for Other secondary chronic gout, left hand - NON-BILLABLE CODE

  • Use M1A.4420 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4421 for with tophus (tophi) - BILLABLE CODE

  • M1A.449 for Other secondary chronic gout, unspecified hand - NON-BILLABLE CODE

  • Use M1A.4490 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4491 for with tophus (tophi) - BILLABLE CODE

  • M1A.45 for Other secondary chronic gout, hip - NON-BILLABLE CODE

  • M1A.451 for Other secondary chronic gout, right hip - NON-BILLABLE CODE

  • Use M1A.4510 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4511 for with tophus (tophi) - BILLABLE CODE

  • M1A.452 for Other secondary chronic gout, left hip - NON-BILLABLE CODE

  • Use M1A.4520 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4521 for with tophus (tophi) - BILLABLE CODE

  • M1A.459 for Other secondary chronic gout, unspecified hip - NON-BILLABLE CODE

  • Use M1A.4590 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4591 for with tophus (tophi) - BILLABLE CODE

  • M1A.46 for Other secondary chronic gout, knee - NON-BILLABLE CODE

  • M1A.461 for Other secondary chronic gout, right knee - NON-BILLABLE CODE

  • Use M1A.4610 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4611 for with tophus (tophi) - BILLABLE CODE

  • M1A.462 for Other secondary chronic gout, left knee - NON-BILLABLE CODE

  • Use M1A.4620 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4621 for with tophus (tophi) - BILLABLE CODE

  • M1A.469 for Other secondary chronic gout, unspecified knee - NON-BILLABLE CODE

  • Use M1A.4690 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4691 for with tophus (tophi) - BILLABLE CODE

  • M1A.47 for Other secondary chronic gout, ankle and foot - NON-BILLABLE CODE

  • M1A.471 for Other secondary chronic gout, right ankle and foot - NON-BILLABLE CODE

  • Use M1A.4710 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4711 for with tophus (tophi) - BILLABLE CODE

  • M1A.472 for Other secondary chronic gout, left ankle and foot - NON-BILLABLE CODE

  • Use M1A.4720 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4721 for with tophus (tophi) - BILLABLE CODE

  • M1A.479 for Other secondary chronic gout, unspecified ankle and foot - NON-BILLABLE CODE

  • Use M1A.4790 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.4791 for with tophus (tophi) - BILLABLE CODE

  • M1A.48 for Other secondary chronic gout, vertebrae - NON-BILLABLE CODE

  • Use M1A.48X0 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.48X1 for with tophus (tophi) - BILLABLE CODE

  • M1A.49 for Other secondary chronic gout, multiple sites - NON-BILLABLE CODE

  • Use M1A.49X0 for without tophus (tophi) - BILLABLE CODE

  • Use M1A.49X1 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.


Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • associated condition

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.