M1A.0321 (Idiopathic chronic gout, left wrist, with tophus (tophi)) compared with M1A.0391 (Idiopathic chronic gout, unspecified wrist, with tophus (tophi)), from the official CMS tabular data. M1A.0321 and M1A.0391 code the same condition on opposite sides.
Same condition; these differ only in which side is documented.
These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.
Source: ICD-10-CM tabular list (laterality variant derived from the code title)
Same condition, opposite side. M1A.0321 and M1A.0391 name the same condition on opposite sides of the body.
Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.
| M1A.0321Idiopathic chronic gout, left wrist, with tophus (tophi) | M1A.0391Idiopathic chronic gout, unspecified wrist, with tophus (tophi) | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Idiopathic chronic gout, left wrist, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.0321). | Idiopathic chronic gout, unspecified wrist, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.0391). |
| 7th character | The appropriate 7th character is to be added to each code from category M1A | 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) | 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