M1A.12 — Lead-induced chronic gout, elbow
Is M1A.12 billable?
No — M1A.12 is a non-billable header code. M1A.12 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.12.
Billable codes under this header
- M1A.1210Lead-induced chronic gout, right elbow, without tophus (tophi)
- M1A.1211Lead-induced chronic gout, right elbow, with tophus (tophi)
- M1A.1220Lead-induced chronic gout, left elbow, without tophus (tophi)
- M1A.1221Lead-induced chronic gout, left elbow, with tophus (tophi)
- M1A.1290Lead-induced chronic gout, unspecified elbow, without tophus (tophi)
- M1A.1291Lead-induced chronic gout, unspecified elbow, with tophus (tophi)
M1A.12 at a glance
| Code | M1A.12 |
|---|---|
| Description | Lead-induced chronic gout, elbow |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M1A.12 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M1A.12. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Gout, chronic › lead-induced › elbow
Excludes1 — never code together — inherited from M1A
The conditions below can never be reported together with M1A.12 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.-)
Code first — inherited from M1A.1
The underlying condition below must be sequenced before M1A.12. M1A.12 describes a manifestation and cannot be the principal or first-listed diagnosis.
- toxic effects of lead and its compounds (T56.0-)
Use additional code — inherited from M1A
Report an additional code alongside M1A.12 to fully describe the condition. M1A.12 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.12, but a patient may have both at the same time. When documentation supports it, M1A.12 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.12, but a patient may have both at the same time. When documentation supports it, M1A.12 and the excluded code may both be reported.
- acute gout (M10.-)
What codes fall under M1A.12? (3)
How long has M1A.12 existed?
M1A.12 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.12?
What other codes are in the M1A.1 family? (9)
- M1A.10Lead-induced chronic gout, unspecified sitenot billable
- M1A.11Lead-induced chronic gout, shouldernot billable
- M1A.13Lead-induced chronic gout, wristnot billable
- M1A.14Lead-induced chronic gout, handnot billable
- M1A.15Lead-induced chronic gout, hipnot billable
- M1A.16Lead-induced chronic gout, kneenot billable
- M1A.17Lead-induced chronic gout, ankle and footnot billable
- M1A.18Lead-induced chronic gout, vertebraenot billable
- M1A.19Lead-induced chronic gout, multiple sitesnot billable