7th Character Required

The appropriate 7th character is to be added to each code from category M1A

0 - without tophus (tophi)

1 - with tophus (tophi)

Coding Guidelines

Excludes1 (Mutually Exclusive)

These codes should never be used together with M1A

  • gout NOS (M10.-)

Excludes2 (Not Included Here)

These conditions are not part of this code but may be reported additionally if documented

  • acute gout (M10.-)

Use Additional Code

  • 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)

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