2020 ICD-10-CM Diagnosis Code M1A.0511

Idiopathic chronic gout, right hip, with tophus (tophi)

    2016 2017 2018 2019 2020 Billable/Specific Code
  • M1A.0511 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM M1A.0511 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M1A.0511 - other international versions of ICD-10 M1A.0511 may differ.
The following code(s) above M1A.0511 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M1A.0511:
  • M00-M99
    2020 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • 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)
    Diseases of the musculoskeletal system and connective tissue
  • M1A
    ICD-10-CM Diagnosis Code M1A

    Chronic gout

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    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)
    Chronic gout
  • M1A.0
    ICD-10-CM Diagnosis Code M1A.0

    Idiopathic chronic gout

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic gouty bursitis
    • Primary chronic gout
    Idiopathic chronic gout
Approximate Synonyms
  • Chronic gout of right hip with tophi
  • Chronic primary gout of right hip
  • Idiopathic chronic tophaceous gout of right hip
ICD-10-CM M1A.0511 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 553 Bone diseases and arthropathies with mcc
  • 554 Bone diseases and arthropathies without mcc

Convert M1A.0511 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To M1A.0511
M1A.0411 …… with tophus (tophi)
M1A.042 Idiopathic chronic gout, left hand
M1A.0420 …… without tophus (tophi)
M1A.0421 …… with tophus (tophi)
M1A.049 Idiopathic chronic gout, unspecified hand
M1A.0490 …… without tophus (tophi)
M1A.0491 …… with tophus (tophi)
M1A.05 Idiopathic chronic gout, hip
M1A.051 Idiopathic chronic gout, right hip
M1A.0510 …… without tophus (tophi)
M1A.0511 …… with tophus (tophi)
M1A.052 Idiopathic chronic gout, left hip
M1A.0520 …… without tophus (tophi)
M1A.0521 …… with tophus (tophi)
M1A.059 Idiopathic chronic gout, unspecified hip
M1A.0590 …… without tophus (tophi)
M1A.0591 …… with tophus (tophi)
M1A.06 Idiopathic chronic gout, knee
M1A.061 Idiopathic chronic gout, right knee
M1A.0610 …… without tophus (tophi)
M1A.0611 …… with tophus (tophi)

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.