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M1A.052

Idiopathic chronic gout, left hip

Not billable — category only FY2026 2025-10-01 → 2026-09-30
Exclusions 12 never code together
M1Acode
Excludes1
Excludes2
M00-M99chapter
Excludes2
  • arthropathic psoriasis (L40.5-)L40.5-
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • compartment syndrome (traumatic) (T79.A-)T79.A-
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

7th character 2
0 without tophus (tophi)
1 with tophus (tophi)
Instructional notes 11
M1Acode
Use additional code
  • code to identify:
  • Autonomic neuropathy in diseases classified elsewhere (G99.0)G99.0
  • Calculus of urinary tract in diseases classified elsewhere (N22)N22
  • Cardiomyopathy in diseases classified elsewhere (I43)I43
  • Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-)H61.1-H62.8-
  • Disorders of iris and ciliary body in diseases classified elsewhere (H22)H22
  • Glomerular disorders in diseases classified elsewhere (N08)N08
M1A.0code
Inclusion terms
  • Chronic gouty bursitis
  • Primary chronic gout
M00-M25block
Includes
  • Disorders affecting predominantly peripheral (limb) joints
M00-M99chapter
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Index entries leading here 1
Alongside this code 2 same parent — M1A.05
Subordinate codes 2
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
no
Code set
FY2026
Parent
M1A.05
Block
M00-M25
Siblings
2
Subordinate
2

Present FY2024–FY2027.