ICD-10-CM diagnosis code
M1A.3421 Chronic gout due to renal impairment, left hand, with tophus (tophi)
- Billable
- Yes, a complete code (FY2026)
- Category
- M1A
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Other codes in M1A
242 complete codes in this category.
- M1A.3321Chronic gout due to renal impairment, left wrist, with tophus (tophi)
- M1A.3390Chronic gout due to renal impairment, unspecified wrist, without tophus (tophi)
- M1A.3391Chronic gout due to renal impairment, unspecified wrist, with tophus (tophi)
- M1A.3410Chronic gout due to renal impairment, right hand, without tophus (tophi)
- M1A.3411Chronic gout due to renal impairment, right hand, with tophus (tophi)
- M1A.3420Chronic gout due to renal impairment, left hand, without tophus (tophi)
- M1A.3421Chronic gout due to renal impairment, left hand, with tophus (tophi)
- M1A.3490Chronic gout due to renal impairment, unspecified hand, without tophus (tophi)
- M1A.3491Chronic gout due to renal impairment, unspecified hand, with tophus (tophi)
- M1A.3510Chronic gout due to renal impairment, right hip, without tophus (tophi)
- M1A.3511Chronic gout due to renal impairment, right hip, with tophus (tophi)
- M1A.3520Chronic gout due to renal impairment, left hip, without tophus (tophi)
Documentation tips
- Make sure the note supports every element of the title, “Chronic gout due to renal impairment, left hand, with tophus (tophi)”: each detail in it should be traceable to the history, examination or assessment.
- Code to the highest specificity the documentation supports. If a detail is missing from the note, add it to the note rather than choosing a less specific code by default.
- Check the Tabular List and official guidelines for instructional notes (“code first”, “use additional code”, Excludes1/Excludes2) that apply to M1A.
ICD-10-CM is developed by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, and is based on the WHO ICD-10. Codes and titles are reproduced unchanged from the FY2026 code list (effective 1 October 2025). Their use here does not imply endorsement by CDC, HHS or the U.S. Government. Changes effective on or after 1 October 2026 may not be reflected yet; check the current release at cdc.gov or cms.gov before submitting claims.
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