M1A.2211

Drug-induced chronic gout, right elbow, with tophus (tophi)

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from M1A.2Drug-induced chronic gout
Use additional

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Inherited from M1AChronic gout
Excludes 1

gout NOS (M10.-)

Excludes 2

acute gout (M10.-)

Use additional

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)

7th character

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

Valid 7th characters and their meanings
CharacterMeaning
0without tophus (tophi)
1with tophus (tophi)
Inherited from chapter 13Diseases of the musculoskeletal system and connective tissue
Excludes 2

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)

Note

Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition (M00-M25) Arthropathies (M00-M25) Includes: Disorders affecting predominantly peripheral (limb) joints (M40-M54) Dorsopathies (M40-M54) (M60-M79) Soft tissue disorders (M60-M79) (M80-M94) Osteopathies and chondropathies (M80-M94)

Official Guidelines for M1A.2211

FY 2026 ›