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M1A.262 vs M1A.269

M1A.262 (Drug-induced chronic gout, left knee) compared with M1A.269 (Drug-induced chronic gout, unspecified knee), from the official CMS tabular data. M1A.262 and M1A.269 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M1A.262
Left
Drug-induced chronic gout, left knee
M1A.269
Unspecified
Drug-induced chronic gout, unspecified 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.262 and M1A.269 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.262Drug-induced chronic gout, left kneeM1A.269Drug-induced chronic gout, unspecified knee
Billing statusNon-billable header

Report instead: M1A.2620, M1A.2621

Non-billable header

Report instead: M1A.2690, M1A.2691

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionDrug-induced chronic gout, left knee is a non-billable ICD-10-CM category code (M1A.262).Drug-induced chronic gout, unspecified knee is a non-billable ICD-10-CM category code (M1A.269).
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 for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code to identify:
Autonomic neuropathy in diseases classified elsewhere (G99.0)
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code to identify:
Autonomic neuropathy in diseases classified elsewhere (G99.0)

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