M1A.03 — Idiopathic chronic gout, wrist
Is M1A.03 billable?
No — M1A.03 is a non-billable header code. M1A.03 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 6 billable codes beneath M1A.03.
Billable codes under this header
- 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.03 at a glance
| Code | M1A.03 |
|---|---|
| Description | Idiopathic chronic gout, wrist |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M1A.03 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M1A.03. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Gout, chronic › idiopathic › wrist
Excludes1 — never code together — inherited from M1A
The conditions below can never be reported together with M1A.03 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.03 to fully describe the condition. M1A.03 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.03, but a patient may have both at the same time. When documentation supports it, M1A.03 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.03, but a patient may have both at the same time. When documentation supports it, M1A.03 and the excluded code may both be reported.
- acute gout (M10.-)
What codes fall under M1A.03? (3)
How long has M1A.03 existed?
M1A.03 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.
Which conditions are coded to M1A.03?
What other codes are in the M1A.0 family? (9)
- M1A.00Idiopathic chronic gout, unspecified sitenot billable
- M1A.01Idiopathic chronic gout, shouldernot billable
- M1A.02Idiopathic chronic gout, elbownot 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