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M1A.1611 vs M1A.1621

M1A.1611 (Lead-induced chronic gout, right knee, with tophus (tophi)) compared with M1A.1621 (Lead-induced chronic gout, left knee, with tophus (tophi)), from the official CMS tabular data. M1A.1611 and M1A.1621 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M1A.1611
Right
Lead-induced chronic gout, right knee, with tophus (tophi)
M1A.1621
Left
Lead-induced chronic gout, left knee, 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.1611 and M1A.1621 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.1611Lead-induced chronic gout, right knee, with tophus (tophi)M1A.1621Lead-induced chronic gout, left knee, with tophus (tophi)
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionLead-induced chronic gout, right knee, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.1611).Lead-induced chronic gout, left knee, with tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.1621).
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