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M1A.0721 vs M1A.0791

M1A.0721 (Idiopathic chronic gout, left ankle and foot, with tophus (tophi)) compared with M1A.0791 (Idiopathic chronic gout, unspecified ankle and foot, with tophus (tophi)), from the official CMS tabular data. M1A.0721 and M1A.0791 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M1A.0721
Left
Idiopathic chronic gout, left ankle and foot, with tophus (tophi)
M1A.0791
Unspecified
Idiopathic chronic gout, unspecified ankle and foot, with tophus (tophi)

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.0721 and M1A.0791 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.0721Idiopathic chronic gout, left ankle and foot, with tophus (tophi)M1A.0791Idiopathic chronic gout, unspecified ankle and foot, with tophus (tophi)
Billing statusBillableBillable
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, left ankle and foot, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.0721).Idiopathic chronic gout, unspecified ankle and foot, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.0791).
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