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M1A.3210 vs M1A.3290

M1A.3210 (Chronic gout due to renal impairment, right elbow, without tophus (tophi)) compared with M1A.3290 (Chronic gout due to renal impairment, unspecified elbow, without tophus (tophi)), from the official CMS tabular data. M1A.3210 and M1A.3290 code the same condition on opposite sides. MedCoder-derived

Can these codes be reported together?

Review

Laterality relationship

M1A.3210
Right
Chronic gout due to renal impairment, right elbow, without tophus (tophi)
M1A.3290
Unspecified
Chronic gout due to renal impairment, unspecified elbow, without tophus (tophi)

What we found

Same condition, opposite side.M1A.3210 and M1A.3290 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.

What to review

Report the side the documentation names. Where the code set provides a bilateral code and both sides are documented, use it instead of the pair.

Guide: Laterality codingCheck these on a claim

Why it matters

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 / rule

ICD-10-CM tabular list (laterality variant derived from the code title)

Side by side

M1A.3210Chronic gout due to renal impairment, right elbow, without tophus (tophi)M1A.3290Chronic gout due to renal impairment, unspecified elbow, without 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)
DefinitionChronic gout due to renal impairment, right elbow, without tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.3210).Chronic gout due to renal impairment, unspecified elbow, without tophus (tophi) is a billable ICD-10-CM diagnosis code (M1A.3290).
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
Excludes1
gout NOS (M10.-)
gout NOS (M10.-)
Excludes2
acute gout (M10.-)
acute gout (M10.-)
Code first
associated renal disease
associated renal disease
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)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources