M1A.3 — Chronic gout due to renal impairment
Is M1A.3 billable?
No — M1A.3 is a non-billable header code. M1A.3 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.3.
Billable codes under this header
- M1A.30X0Chronic gout due to renal impairment, unspecified site, without tophus (tophi)
- M1A.30X1Chronic gout due to renal impairment, unspecified site, with tophus (tophi)
- M1A.38X0Chronic gout due to renal impairment, vertebrae, without tophus (tophi)
- M1A.38X1Chronic gout due to renal impairment, vertebrae, with tophus (tophi)
- M1A.39X0Chronic gout due to renal impairment, multiple sites, without tophus (tophi)
- M1A.39X1Chronic gout due to renal impairment, multiple sites, with tophus (tophi)
- M1A.3110Chronic gout due to renal impairment, right shoulder, without tophus (tophi)
- M1A.3111Chronic gout due to renal impairment, right shoulder, with tophus (tophi)
- M1A.3120Chronic gout due to renal impairment, left shoulder, without tophus (tophi)
- M1A.3121Chronic gout due to renal impairment, left shoulder, with tophus (tophi)
- M1A.3190Chronic gout due to renal impairment, unspecified shoulder, without tophus (tophi)
- M1A.3191Chronic gout due to renal impairment, unspecified shoulder, with tophus (tophi)
- M1A.3210Chronic gout due to renal impairment, right elbow, without tophus (tophi)
- M1A.3211Chronic gout due to renal impairment, right elbow, with tophus (tophi)
- M1A.3220Chronic gout due to renal impairment, left elbow, without tophus (tophi)
- M1A.3221Chronic gout due to renal impairment, left elbow, with tophus (tophi)
- M1A.3290Chronic gout due to renal impairment, unspecified elbow, without tophus (tophi)
- M1A.3291Chronic gout due to renal impairment, unspecified elbow, with tophus (tophi)
- M1A.3310Chronic gout due to renal impairment, right wrist, without tophus (tophi)
- M1A.3311Chronic gout due to renal impairment, right wrist, with tophus (tophi)
- M1A.3320Chronic gout due to renal impairment, left wrist, without tophus (tophi)
- M1A.3321Chronic gout due to renal impairment, left wrist, with tophus (tophi)
- M1A.3390Chronic gout due to renal impairment, unspecified wrist, without tophus (tophi)
- M1A.3391Chronic gout due to renal impairment, unspecified wrist, with tophus (tophi)
- M1A.3410Chronic gout due to renal impairment, right hand, without tophus (tophi)
- M1A.3411Chronic gout due to renal impairment, right hand, with tophus (tophi)
- M1A.3420Chronic gout due to renal impairment, left hand, without tophus (tophi)
- M1A.3421Chronic gout due to renal impairment, left hand, with tophus (tophi)
- M1A.3490Chronic gout due to renal impairment, unspecified hand, without tophus (tophi)
- M1A.3491Chronic gout due to renal impairment, unspecified hand, with tophus (tophi)
- M1A.3510Chronic gout due to renal impairment, right hip, without tophus (tophi)
- M1A.3511Chronic gout due to renal impairment, right hip, with tophus (tophi)
- M1A.3520Chronic gout due to renal impairment, left hip, without tophus (tophi)
- M1A.3521Chronic gout due to renal impairment, left hip, with tophus (tophi)
- M1A.3590Chronic gout due to renal impairment, unspecified hip, without tophus (tophi)
- M1A.3591Chronic gout due to renal impairment, unspecified hip, with tophus (tophi)
- M1A.3610Chronic gout due to renal impairment, right knee, without tophus (tophi)
- M1A.3611Chronic gout due to renal impairment, right knee, with tophus (tophi)
- M1A.3620Chronic gout due to renal impairment, left knee, without tophus (tophi)
- M1A.3621Chronic gout due to renal impairment, left knee, with tophus (tophi)
- M1A.3690Chronic gout due to renal impairment, unspecified knee, without tophus (tophi)
- M1A.3691Chronic gout due to renal impairment, unspecified knee, with tophus (tophi)
- M1A.3710Chronic gout due to renal impairment, right ankle and foot, without tophus (tophi)
- M1A.3711Chronic gout due to renal impairment, right ankle and foot, with tophus (tophi)
- M1A.3720Chronic gout due to renal impairment, left ankle and foot, without tophus (tophi)
- M1A.3721Chronic gout due to renal impairment, left ankle and foot, with tophus (tophi)
- M1A.3790Chronic gout due to renal impairment, unspecified ankle and foot, without tophus (tophi)
- M1A.3791Chronic gout due to renal impairment, unspecified ankle and foot, with tophus (tophi)
M1A.3 at a glance
| Code | M1A.3 |
|---|---|
| Description | Chronic gout due to renal impairment |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Code first
The underlying condition below must be sequenced before M1A.3. M1A.3 describes a manifestation and cannot be the principal or first-listed diagnosis.
- associated renal disease
Excludes1 — never code together — inherited from M1A
The conditions below can never be reported together with M1A.3 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.3 to fully describe the condition. M1A.3 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.3, but a patient may have both at the same time. When documentation supports it, M1A.3 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.3, but a patient may have both at the same time. When documentation supports it, M1A.3 and the excluded code may both be reported.
- acute gout (M10.-)
What codes fall under M1A.3? (10)
- M1A.30Chronic gout due to renal impairment, unspecified sitenot billable
- M1A.31Chronic gout due to renal impairment, shouldernot billable
- M1A.32Chronic gout due to renal impairment, elbownot billable
- M1A.33Chronic gout due to renal impairment, wristnot billable
- M1A.34Chronic gout due to renal impairment, handnot billable
- M1A.35Chronic gout due to renal impairment, hipnot billable
- M1A.36Chronic gout due to renal impairment, kneenot billable
- M1A.37Chronic gout due to renal impairment, ankle and footnot billable
- M1A.38Chronic gout due to renal impairment, vertebraenot billable
- M1A.39Chronic gout due to renal impairment, multiple sitesnot billable
How long has M1A.3 existed?
M1A.3 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.