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M1A.2191BillableSave

M1A.2191 - Drug-induced chronic gout, unspecified shoulder, with tophus (tophi)

ICD-10-CM Chapter 13: Diseases of the musculoskeletal system and connective tissue · M05-M14 Inflammatory polyarthropathies (M05-M14) · Subcategory of M1A.219 · FY2027

7th character 1: with tophus (tophi)

Coding Guidance

7th character 1: with tophus (tophi).

Includes, Excludes and Coding Notes

Use Additional CodeFrom M1A.2

Add a secondary code to identify the associated condition or cause when it is documented.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes 1 — Not Coded HereFrom M1A

Mutually exclusive: these conditions are never reported together with this code.

  • gout NOS (M10.-)
Excludes 2 — Not Included HereFrom M1A

Not part of this code; report both codes when the patient has both conditions.

  • acute gout (M10.-)
Use Additional CodeFrom M1A

Add a secondary code to identify the associated condition or cause when it is documented.

  • 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)
Excludes 2 — Not Included HereFrom Chapter M00-M99

Not part of this code; report both codes when the patient has both conditions.

  • 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)
NotesFrom Chapter M00-M99

Instructional notes from the ICD-10-CM tabular list.

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M1A.2191.