M1A.0 — Idiopathic chronic gout
Is M1A.0 billable?
No — M1A.0 is a non-billable header code. M1A.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 48 billable codes beneath M1A.0.
Billable codes under this header
- M1A.00X0Idiopathic chronic gout, unspecified site, without tophus (tophi)
- M1A.00X1Idiopathic chronic gout, unspecified site, with tophus (tophi)
- M1A.08X0Idiopathic chronic gout, vertebrae, without tophus (tophi)
- M1A.08X1Idiopathic chronic gout, vertebrae, with tophus (tophi)
- M1A.09X0Idiopathic chronic gout, multiple sites, without tophus (tophi)
- M1A.09X1Idiopathic chronic gout, multiple sites, with tophus (tophi)
- M1A.0110Idiopathic chronic gout, right shoulder, without tophus (tophi)
- M1A.0111Idiopathic chronic gout, right shoulder, with tophus (tophi)
- M1A.0120Idiopathic chronic gout, left shoulder, without tophus (tophi)
- M1A.0121Idiopathic chronic gout, left shoulder, with tophus (tophi)
- M1A.0190Idiopathic chronic gout, unspecified shoulder, without tophus (tophi)
- M1A.0191Idiopathic chronic gout, unspecified shoulder, with tophus (tophi)
- M1A.0210Idiopathic chronic gout, right elbow, without tophus (tophi)
- M1A.0211Idiopathic chronic gout, right elbow, with tophus (tophi)
- M1A.0220Idiopathic chronic gout, left elbow, without tophus (tophi)
- M1A.0221Idiopathic chronic gout, left elbow, with tophus (tophi)
- M1A.0290Idiopathic chronic gout, unspecified elbow, without tophus (tophi)
- M1A.0291Idiopathic chronic gout, unspecified elbow, with tophus (tophi)
- M1A.0310Idiopathic chronic gout, right wrist, without tophus (tophi)
- M1A.0311Idiopathic chronic gout, right wrist, with tophus (tophi)
- M1A.0320Idiopathic chronic gout, left wrist, without tophus (tophi)
- M1A.0321Idiopathic chronic gout, left wrist, with tophus (tophi)
- M1A.0390Idiopathic chronic gout, unspecified wrist, without tophus (tophi)
- M1A.0391Idiopathic chronic gout, unspecified wrist, with tophus (tophi)
- M1A.0410Idiopathic chronic gout, right hand, without tophus (tophi)
- M1A.0411Idiopathic chronic gout, right hand, with tophus (tophi)
- M1A.0420Idiopathic chronic gout, left hand, without tophus (tophi)
- M1A.0421Idiopathic chronic gout, left hand, with tophus (tophi)
- M1A.0490Idiopathic chronic gout, unspecified hand, without tophus (tophi)
- M1A.0491Idiopathic chronic gout, unspecified hand, with tophus (tophi)
- M1A.0510Idiopathic chronic gout, right hip, without tophus (tophi)
- M1A.0511Idiopathic chronic gout, right hip, with tophus (tophi)
- M1A.0520Idiopathic chronic gout, left hip, without tophus (tophi)
- M1A.0521Idiopathic chronic gout, left hip, with tophus (tophi)
- M1A.0590Idiopathic chronic gout, unspecified hip, without tophus (tophi)
- M1A.0591Idiopathic chronic gout, unspecified hip, with tophus (tophi)
- M1A.0610Idiopathic chronic gout, right knee, without tophus (tophi)
- M1A.0611Idiopathic chronic gout, right knee, with tophus (tophi)
- M1A.0620Idiopathic chronic gout, left knee, without tophus (tophi)
- M1A.0621Idiopathic chronic gout, left knee, with tophus (tophi)
- M1A.0690Idiopathic chronic gout, unspecified knee, without tophus (tophi)
- M1A.0691Idiopathic chronic gout, unspecified knee, with tophus (tophi)
- M1A.0710Idiopathic chronic gout, right ankle and foot, without tophus (tophi)
- M1A.0711Idiopathic chronic gout, right ankle and foot, with tophus (tophi)
- M1A.0720Idiopathic chronic gout, left ankle and foot, without tophus (tophi)
- M1A.0721Idiopathic chronic gout, left ankle and foot, with tophus (tophi)
- M1A.0790Idiopathic chronic gout, unspecified ankle and foot, without tophus (tophi)
- M1A.0791Idiopathic chronic gout, unspecified ankle and foot, with tophus (tophi)
M1A.0 at a glance
| Code | M1A.0 |
|---|---|
| Description | Idiopathic chronic gout |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Inclusion terms
Alternative wording in documentation that is classified to M1A.0.
- Chronic gouty bursitis
- Primary chronic gout
Excludes1 — never code together — inherited from M1A
The conditions below can never be reported together with M1A.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- gout NOS (M10.-)
Use additional code — inherited from M1A
Report an additional code alongside M1A.0 to fully describe the condition. M1A.0 is sequenced first.
- 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)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M1A.0, but a patient may have both at the same time. When documentation supports it, M1A.0 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M1A
The conditions below are not part of M1A.0, but a patient may have both at the same time. When documentation supports it, M1A.0 and the excluded code may both be reported.
- acute gout (M10.-)
What codes fall under M1A.0? (10)
- M1A.00Idiopathic chronic gout, unspecified sitenot billable
- M1A.01Idiopathic chronic gout, shouldernot billable
- M1A.02Idiopathic chronic gout, elbownot billable
- M1A.03Idiopathic chronic gout, wristnot billable
- M1A.04Idiopathic chronic gout, handnot billable
- M1A.05Idiopathic chronic gout, hipnot billable
- M1A.06Idiopathic chronic gout, kneenot billable
- M1A.07Idiopathic chronic gout, ankle and footnot billable
- M1A.08Idiopathic chronic gout, vertebraenot billable
- M1A.09Idiopathic chronic gout, multiple sitesnot billable
How long has M1A.0 existed?
M1A.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.