H61.1 vs M1A
H61.1 (Noninfective disorders of pinna) compared with M1A (Chronic gout), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. H61.1 carries an Excludes2 note covering M1A: “gouty tophi of ear (M1A.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Sequencing on the claim
1stM1A then H61.1
M1A carries a Use Additional Code instruction covering H61.1: “Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-)”
Side by side
| H61.1Noninfective disorders of pinna | M1AChronic gout | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: M1A.00X0, M1A.00X1, M1A.0110, M1A.0111, M1A.0120 |
| Classification | H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Noninfective disorders of pinna is a non-billable ICD-10-CM category code (H61.1). | Chronic gout is a non-billable ICD-10-CM category code (M1A). |
| 7th character | — | The 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