{"code":"M1A.0191","type":"code","title":"Idiopathic chronic gout, unspecified shoulder, with tophus (tophi)","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["gout NOS (M10.-)"],"excludes2":["acute gout (M10.-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["M1A","M1A.0","M1A.01","M1A.011","M1A.0110","M1A.0111","M1A.012","M1A.0120","M1A.0121","M1A.019","M1A.0190","M1A.02","M1A.021","M1A.0210","M1A.0211","M1A.022","M1A.0220","M1A.0221","M1A.029","M1A.0290","M1A.0291","M1A.03","M1A.031","M1A.0310","M1A.0311","M1A.032","M1A.0320","M1A.0321","M1A.039","M1A.0390","M1A.0391","M1A.04","M1A.041","M1A.0410","M1A.0411","M1A.042","M1A.0420","M1A.0421","M1A.049","M1A.0490","M1A.0491","M1A.05","M1A.051","M1A.0510","M1A.0511","M1A.052","M1A.0520","M1A.0521","M1A.059","M1A.0590","M1A.0591","M1A.06","M1A.061","M1A.0610","M1A.0611","M1A.062","M1A.0620","M1A.0621","M1A.069","M1A.0690","M1A.0691","M1A.07","M1A.071","M1A.0710","M1A.0711","M1A.072","M1A.0720","M1A.0721","M1A.079","M1A.0790","M1A.0791","M1A.08","M1A.09","M1A.1","M1A.10","M1A.11","M1A.111","M1A.1110","M1A.1111","M1A.112","M1A.1120","M1A.1121","M1A.119","M1A.1190","M1A.1191","M1A.12","M1A.121","M1A.1210","M1A.1211","M1A.122","M1A.1220"],"inclusionTerms":[],"sibling_titles":{"code":"M1A.1220","title":"Lead-induced chronic gout, left elbow, without tophus (tophi)","isBillable":true},"useAdditionalCode":["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)"],"clinicalDefinition":"Idiopathic chronic gout, unspecified shoulder, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.0191). Excludes1 (not coded here): gout NOS (M10.-). Excludes2 (not included here): acute gout (M10.-). Use additional code: code to identify:; Autonomic neuropathy in diseases classified elsewhere (G99.","officialDefinition":"Idiopathic chronic gout, unspecified shoulder, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.0191). Excludes1 (not coded here): gout NOS (M10.-). Excludes2 (not included here): 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). 7th character: The appropriate 7th character is to be added to each code from category M1A.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category M1A"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}