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Compare/E79 vs M1A

E79 vs M1A

E79 (Disorders of purine and pyrimidine metabolism) compared with M1A (Chronic gout), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E79 carries an Excludes1 note covering M1A: “gout (M1A.-, M10.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E79Disorders of purine and pyrimidine metabolismM1AChronic gout
Billing statusNon-billable header

Report instead: E79.0, E79.1, E79.2, E79.81, E79.82

Non-billable header

Report instead: M1A.00X0, M1A.00X1, M1A.0110, M1A.0111, M1A.0120

ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionDisorders of purine and pyrimidine metabolism is a non-billable ICD-10-CM category code (E79).Chronic gout is a non-billable ICD-10-CM category code (M1A).
7th characterThe appropriate 7th character is to be added to each code from category M1A
Use additional code
code to identify:
Autonomic neuropathy in diseases classified elsewhere (G99.0)
Calculus of urinary tract in diseases classified elsewhere (N22)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources