M1A.441 - Other secondary chronic gout, right hand
ICD-10-CM Chapter 13: Diseases of the musculoskeletal system and connective tissue · M05-M14 Inflammatory polyarthropathies (M05-M14) · Subcategory of M1A.44 · FY2027
Coding Guidance
M1A.441 requires a 7th character. Report the code below that matches the documentation, for example 0 for without tophus (tophi), 1 for with tophus (tophi).
The appropriate 7th character is to be added to each code from category M1A
Includes, Excludes and Coding Notes
Sequence the underlying condition before this code.
- associated condition
Mutually exclusive: these conditions are never reported together with this code.
- gout NOS (M10.-)
Not part of this code; report both codes when the patient has both conditions.
- acute gout (M10.-)
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)
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)
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
More Specific Codes (2)
Related condition guides
Documentation requirements, coding pitfalls and FAQs for conditions coded with M1A.441.
More specific codes for M1A.441
Codes at the same level as M1A.441