M1A
Non-Billable

Chronic gout

Non-Billable / Non-Specific Code

What is Chronic gout?

ICD-10-CM M1A is the diagnosis code for Chronic gout. This code falls under the section "Inflammatory polyarthropathies" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for M1A

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M1A. They are mutually exclusive:

  • gout NOS (M10.-)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M1A. If the patient has both, code each condition separately:

  • acute gout (M10.-)

ICD-10-CM Code Hierarchy

Understanding where M1A sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
M1A.0Idiopathic chronic goutNon-BillableM1A.00Idiopathic chronic gout, unspecified siteBillableM1A.01Idiopathic chronic gout, shoulderNon-BillableM1A.011Idiopathic chronic gout, right shoulderBillableM1A.012Idiopathic chronic gout, left shoulderBillableM1A.019Idiopathic chronic gout, unspecified shoulderBillableM1A.02Idiopathic chronic gout, elbowNon-BillableM1A.021Idiopathic chronic gout, right elbowBillableM1A.022Idiopathic chronic gout, left elbowBillableM1A.029Idiopathic chronic gout, unspecified elbowBillableM1A.03Idiopathic chronic gout, wristNon-BillableM1A.031Idiopathic chronic gout, right wristBillableM1A.032Idiopathic chronic gout, left wristBillableM1A.039Idiopathic chronic gout, unspecified wristBillableM1A.04Idiopathic chronic gout, handNon-BillableM1A.041Idiopathic chronic gout, right handBillableM1A.042Idiopathic chronic gout, left handBillableM1A.049Idiopathic chronic gout, unspecified handBillableM1A.05Idiopathic chronic gout, hipNon-BillableM1A.051Idiopathic chronic gout, right hipBillableM1A.052Idiopathic chronic gout, left hipBillableM1A.059Idiopathic chronic gout, unspecified hipBillableM1A.06Idiopathic chronic gout, kneeNon-BillableM1A.061Idiopathic chronic gout, right kneeBillableM1A.062Idiopathic chronic gout, left kneeBillableM1A.069Idiopathic chronic gout, unspecified kneeBillableM1A.07Idiopathic chronic gout, ankle and footNon-BillableM1A.071Idiopathic chronic gout, right ankle and footBillableM1A.072Idiopathic chronic gout, left ankle and footBillableM1A.079Idiopathic chronic gout, unspecified ankle and footBillableM1A.08Idiopathic chronic gout, vertebraeBillableM1A.09Idiopathic chronic gout, multiple sitesBillableM1A.1Lead-induced chronic goutNon-BillableM1A.10Lead-induced chronic gout, unspecified siteBillableM1A.11Lead-induced chronic gout, shoulderNon-BillableM1A.111Lead-induced chronic gout, right shoulderBillableM1A.112Lead-induced chronic gout, left shoulderBillableM1A.119Lead-induced chronic gout, unspecified shoulderBillableM1A.12Lead-induced chronic gout, elbowNon-BillableM1A.121Lead-induced chronic gout, right elbowBillableM1A.122Lead-induced chronic gout, left elbowBillableM1A.129Lead-induced chronic gout, unspecified elbowBillableM1A.13Lead-induced chronic gout, wristNon-BillableM1A.131Lead-induced chronic gout, right wristBillableM1A.132Lead-induced chronic gout, left wristBillableM1A.139Lead-induced chronic gout, unspecified wristBillableM1A.14Lead-induced chronic gout, handNon-BillableM1A.141Lead-induced chronic gout, right handBillableM1A.142Lead-induced chronic gout, left handBillableM1A.149Lead-induced chronic gout, unspecified handBillableM1A.15Lead-induced chronic gout, hipNon-BillableM1A.151Lead-induced chronic gout, right hipBillableM1A.152Lead-induced chronic gout, left hipBillableM1A.159Lead-induced chronic gout, unspecified hipBillableM1A.16Lead-induced chronic gout, kneeNon-BillableM1A.161Lead-induced chronic gout, right kneeBillableM1A.162Lead-induced chronic gout, left kneeBillableM1A.169Lead-induced chronic gout, unspecified kneeBillableM1A.17Lead-induced chronic gout, ankle and footNon-BillableM1A.171Lead-induced chronic gout, right ankle and footBillableM1A.172Lead-induced chronic gout, left ankle and footBillableM1A.179Lead-induced chronic gout, unspecified ankle and footBillableM1A.18Lead-induced chronic gout, vertebraeBillableM1A.19Lead-induced chronic gout, multiple sitesBillableM1A.2Drug-induced chronic goutNon-BillableM1A.20Drug-induced chronic gout, unspecified siteBillableM1A.21Drug-induced chronic gout, shoulderNon-BillableM1A.211Drug-induced chronic gout, right shoulderBillableM1A.212Drug-induced chronic gout, left shoulderBillableM1A.219Drug-induced chronic gout, unspecified shoulderBillableM1A.22Drug-induced chronic gout, elbowNon-BillableM1A.221Drug-induced chronic gout, right elbowBillableM1A.222Drug-induced chronic gout, left elbowBillableM1A.229Drug-induced chronic gout, unspecified elbowBillableM1A.23Drug-induced chronic gout, wristNon-BillableM1A.231Drug-induced chronic gout, right wristBillableM1A.232Drug-induced chronic gout, left wristBillableM1A.239Drug-induced chronic gout, unspecified wristBillableM1A.24Drug-induced chronic gout, handNon-BillableM1A.241Drug-induced chronic gout, right handBillableM1A.242Drug-induced chronic gout, left handBillableM1A.249Drug-induced chronic gout, unspecified handBillableM1A.25Drug-induced chronic gout, hipNon-BillableM1A.251Drug-induced chronic gout, right hipBillableM1A.252Drug-induced chronic gout, left hipBillableM1A.259Drug-induced chronic gout, unspecified hipBillableM1A.26Drug-induced chronic gout, kneeNon-BillableM1A.261Drug-induced chronic gout, right kneeBillableM1A.262Drug-induced chronic gout, left kneeBillableM1A.269Drug-induced chronic gout, unspecified kneeBillableM1A.27Drug-induced chronic gout, ankle and footNon-BillableM1A.271Drug-induced chronic gout, right ankle and footBillableM1A.272Drug-induced chronic gout, left ankle and footBillableM1A.279Drug-induced chronic gout, unspecified ankle and footBillableM1A.28Drug-induced chronic gout, vertebraeBillableM1A.29Drug-induced chronic gout, multiple sitesBillableM1A.3Chronic gout due to renal impairmentNon-BillableM1A.30Chronic gout due to renal impairment, unspecified siteBillableM1A.31Chronic gout due to renal impairment, shoulderNon-BillableM1A.311Chronic gout due to renal impairment, right shoulderBillableM1A.312Chronic gout due to renal impairment, left shoulderBillableM1A.319Chronic gout due to renal impairment, unspecified shoulderBillableM1A.32Chronic gout due to renal impairment, elbowNon-BillableM1A.321Chronic gout due to renal impairment, right elbowBillableM1A.322Chronic gout due to renal impairment, left elbowBillableM1A.329Chronic gout due to renal impairment, unspecified elbowBillableM1A.33Chronic gout due to renal impairment, wristNon-BillableM1A.331Chronic gout due to renal impairment, right wristBillableM1A.332Chronic gout due to renal impairment, left wristBillableM1A.339Chronic gout due to renal impairment, unspecified wristBillableM1A.34Chronic gout due to renal impairment, handNon-BillableM1A.341Chronic gout due to renal impairment, right handBillableM1A.342Chronic gout due to renal impairment, left handBillableM1A.349Chronic gout due to renal impairment, unspecified handBillableM1A.35Chronic gout due to renal impairment, hipNon-BillableM1A.351Chronic gout due to renal impairment, right hipBillableM1A.352Chronic gout due to renal impairment, left hipBillableM1A.359Chronic gout due to renal impairment, unspecified hipBillableM1A.36Chronic gout due to renal impairment, kneeNon-BillableM1A.361Chronic gout due to renal impairment, right kneeBillableM1A.362Chronic gout due to renal impairment, left kneeBillableM1A.369Chronic gout due to renal impairment, unspecified kneeBillableM1A.37Chronic gout due to renal impairment, ankle and footNon-BillableM1A.371Chronic gout due to renal impairment, right ankle and footBillableM1A.372Chronic gout due to renal impairment, left ankle and footBillableM1A.379Chronic gout due to renal impairment, unspecified ankle and footBillableM1A.38Chronic gout due to renal impairment, vertebraeBillableM1A.39Chronic gout due to renal impairment, multiple sitesBillableM1A.4Other secondary chronic goutNon-BillableM1A.40Other secondary chronic gout, unspecified siteBillableM1A.41Other secondary chronic gout, shoulderNon-BillableM1A.411Other secondary chronic gout, right shoulderBillableM1A.412Other secondary chronic gout, left shoulderBillableM1A.419Other secondary chronic gout, unspecified shoulderBillableM1A.42Other secondary chronic gout, elbowNon-BillableM1A.421Other secondary chronic gout, right elbowBillableM1A.422Other secondary chronic gout, left elbowBillableM1A.429Other secondary chronic gout, unspecified elbowBillableM1A.43Other secondary chronic gout, wristNon-BillableM1A.431Other secondary chronic gout, right wristBillableM1A.432Other secondary chronic gout, left wristBillableM1A.439Other secondary chronic gout, unspecified wristBillableM1A.44Other secondary chronic gout, handNon-BillableM1A.441Other secondary chronic gout, right handBillableM1A.442Other secondary chronic gout, left handBillableM1A.449Other secondary chronic gout, unspecified handBillableM1A.45Other secondary chronic gout, hipNon-BillableM1A.451Other secondary chronic gout, right hipBillableM1A.452Other secondary chronic gout, left hipBillableM1A.459Other secondary chronic gout, unspecified hipBillableM1A.46Other secondary chronic gout, kneeNon-BillableM1A.461Other secondary chronic gout, right kneeBillableM1A.462Other secondary chronic gout, left kneeBillableM1A.469Other secondary chronic gout, unspecified kneeBillableM1A.47Other secondary chronic gout, ankle and footNon-BillableM1A.471Other secondary chronic gout, right ankle and footBillableM1A.472Other secondary chronic gout, left ankle and footBillableM1A.479Other secondary chronic gout, unspecified ankle and footBillableM1A.48Other secondary chronic gout, vertebraeBillableM1A.49Other secondary chronic gout, multiple sitesBillableM1A.9Chronic gout, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is M1A a billable ICD-10-CM code?

No, M1A is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M1A mean?

M1A is the ICD-10-CM diagnosis code for "Chronic gout". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is M1A in?

M1A is located in Section M05-M14 — "Inflammatory polyarthropathies" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M1A?

M1A has 6 sub-code(s) that provide more specific detail: M1A.0, M1A.1, M1A.2, M1A.3, M1A.4 and more.

When should I use M1A?

Use M1A when the patients documented diagnosis matches "Chronic gout" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Chronic gout?

The ICD-10-CM code for Chronic gout is M1A.

Can M1A be used for primary diagnosis?

No, M1A is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M1A in?

M1A is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M1A?

Type 1 Excludes for M1A include: gout NOS (M10.-).

Is M1A valid for 2026?

Yes, M1A is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM19.93Secondary osteoarthritis, unspecified siteNext →M1A.0Idiopathic chronic gout
Code Details
M1A
Chronic gout
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M05-M14 — Inflammatory polyarthropathies
2026 ICD-10-CM