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M1A.061 vs M1A.062

M1A.061 (Idiopathic chronic gout, right knee) compared with M1A.062 (Idiopathic chronic gout, left knee), from the official CMS tabular data. M1A.061 and M1A.062 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M1A.061
Right
Idiopathic chronic gout, right knee
M1A.062
Left
Idiopathic chronic gout, left knee

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)

Can these codes be reported together?

Same condition, opposite side. M1A.061 and M1A.062 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.

Side by side

M1A.061Idiopathic chronic gout, right kneeM1A.062Idiopathic chronic gout, left knee
Billing statusNon-billable header

Report instead: M1A.0610, M1A.0611

Non-billable header

Report instead: M1A.0620, M1A.0621

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionIdiopathic chronic gout, right knee is a non-billable ICD-10-CM category code (M1A.061).Idiopathic chronic gout, left knee is a non-billable ICD-10-CM category code (M1A.062).
7th characterThe appropriate 7th character is to be added to each code from category M1AThe 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