Effective from
- Code-level rules changed
Chronic gout
Category — select a more specific code
CDC/NCHS · FY20170 — without tophus (tophi)
1 — with tophus (tophi)
gout NOS (M10.-)
acute gout (M10.-)
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2017
Effective from
Chronic gout
Category — select a more specific code
CDC/NCHS · FY2017| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | Code-level rules changed |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
gout NOS (M10.-)
acute gout (M10.-)
The appropriate 7th character is to be added to each code from category M1A
0 — without tophus (tophi)
1 — with tophus (tophi)
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Disorders affecting predominantly peripheral (limb) joints
M1A.0Idiopathic chronic goutCategory · further specificity requiredM1A.1Lead-induced chronic goutCategory · further specificity requiredM1A.2Drug-induced chronic goutCategory · further specificity requiredM1A.3Chronic gout due to renal impairmentCategory · further specificity requiredM1A.4Other secondary chronic goutCategory · further specificity requiredM1A.9Chronic gout, unspecifiedCategory · further specificity requiredOfficial titles and instructions are preserved in their source language. Official sources ↗
Excludes 1 · gout (M1A.-, M10.-)
Excludes 1 · gout (M1A.-, M10.-)
Code first · gout (M1A.-, M10.-)
Code first · gout (M1A.-, M10.-)
Excludes 2 · gouty tophi of ear (M1A.-)
Code first · gout (M1A.-, M10.-)
Excludes 2 · chronic gout (M1A.-)
Code first · gout (M1A.-, M10.-)
Code first · gout (M1A.-, M10.-)