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M1A.312 vs M1A.319

M1A.312 (Chronic gout due to renal impairment, left shoulder) compared with M1A.319 (Chronic gout due to renal impairment, unspecified shoulder), from the official CMS tabular data. M1A.312 and M1A.319 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M1A.312
Left
Chronic gout due to renal impairment, left shoulder
M1A.319
Unspecified
Chronic gout due to renal impairment, unspecified shoulder

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.312 and M1A.319 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.312Chronic gout due to renal impairment, left shoulderM1A.319Chronic gout due to renal impairment, unspecified shoulder
Billing statusNon-billable header

Report instead: M1A.3120, M1A.3121

Non-billable header

Report instead: M1A.3190, M1A.3191

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionChronic gout due to renal impairment, left shoulder is a non-billable ICD-10-CM category code (M1A.312).Chronic gout due to renal impairment, unspecified shoulder is a non-billable ICD-10-CM category code (M1A.319).
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
associated renal disease
associated renal disease

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