Skip to main content

M1A.161 vs M1A.162

M1A.161 (Lead-induced chronic gout, right knee) compared with M1A.162 (Lead-induced chronic gout, left knee), from the official CMS tabular data. M1A.161 and M1A.162 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M1A.161
Right
Lead-induced chronic gout, right knee
M1A.162
Left
Lead-induced 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.161 and M1A.162 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.161Lead-induced chronic gout, right kneeM1A.162Lead-induced chronic gout, left knee
Billing statusNon-billable header

Report instead: M1A.1610, M1A.1611

Non-billable header

Report instead: M1A.1620, M1A.1621

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionLead-induced chronic gout, right knee is a non-billable ICD-10-CM category code (M1A.161).Lead-induced chronic gout, left knee is a non-billable ICD-10-CM category code (M1A.162).
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)
Code first
toxic effects of lead and its compounds (T56.0-)
toxic effects of lead and its compounds (T56.0-)

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