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ICD-10-CM 2027

ICD-10 code for tophi gout

M1A.9

Chronic gout, unspecified

Header — needs a more specific code

From the official ICD-10-CM alphabetic index entry “Gout, chronic › tophi”. Page updated September 29, 2026.

About coding tophi gout

The ICD-10-CM code for tophi gout is M1A.9 (Chronic gout, unspecified).

Within M1A, choose M1A.9 (unspecified) only when documentation doesn't support a more specific option: idiopathic chronic gout (M1A.0), Lead-induced chronic gout (M1A.1), drug-induced chronic gout (M1A.2), due to renal impairment (M1A.3) and other secondary chronic gout (M1A.4).

Codes in this range require a 7th character: 0 for without tophus (tophi) and 1 for with tophus (tophi). Use placeholder "X" characters to fill any empty positions before the 7th character.

Use an additional code to identify: Autonomic neuropathy in diseases classified elsewhere (G99.0), Calculus of urinary tract in diseases classified elsewhere (N22), Cardiomyopathy in diseases classified elsewhere (I43), Disorders of external ear in diseases classified elsewhere (H61.1-, H62.8-), Disorders of iris and ciliary body in diseases classified elsewhere (H22) and 1 more.

Common questions about tophi gout ICD-10 codes

What is the ICD-10 code for tophi gout?

M1A.9 — Chronic gout, unspecified (a header code; report a more specific subcode).

Is M1A.9 billable?

No. M1A.9 is a header code. Report one of its more specific subcodes instead.