ICD-9-CM diagnosis code (retired)
274.03 — Chronic gouty arthropathy with tophus (tophi)
About ICD-9-CM 274.03
274.03 is an ICD-9-CM diagnosis code for chronic gouty arthropathy with tophus (tophi). ICD-9-CM was retired for U.S. claims on October 1, 2015, when ICD-10-CM took over.
The CMS General Equivalence Mappings translate it to 5 ICD-10-CM codes, such as M1A.00X1 (Idiopathic chronic gout, unspecified site, with tophus (tophi)), M1A.20X1 (Drug-induced chronic gout, unspecified site, with tophus (tophi)) and M1A.30X1 (Chronic gout due to renal impairment, unspecified site, with tophus (tophi)). All of these are approximate matches, so review the record to pick the right one.
ICD-10-CM equivalents
- M1A.00X1Idiopathic chronic gout, unspecified site, with tophus (tophi)approximate
- M1A.20X1Drug-induced chronic gout, unspecified site, with tophus (tophi)approximate
- M1A.30X1Chronic gout due to renal impairment, unspecified site, with tophus (tophi)approximate
- M1A.40X1Other secondary chronic gout, unspecified site, with tophus (tophi)approximate
- M1A.9XX1Chronic gout, unspecified, with tophus (tophi)approximate
Common questions about 274.03
GEMs are a translation aid, not a substitute for coding from the record. The 2027 ICD-10 code set has changed since the last GEMs release in 2018. Page updated September 29, 2026.