M1A.06
M1A.06 — Idiopathic chronic gout, knee
Non-billable headerICD-10-CM
M1A.06 is a non-billable header ICD-10-CM code for idiopathic chronic gout, knee. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category M1A
- 0
- without tophus (tophi)
- 1
- with tophus (tophi)
Risk adjustment
M1A.06 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M1A.06
3 child codes. Green means billable.
Related codes at this level
Codes that share M1A.0. If M1A.06 is not quite right, the correct code is usually one of these.
- M1A.00Idiopathic chronic gout, unspecified site
- M1A.01Idiopathic chronic gout, shoulder
- M1A.02Idiopathic chronic gout, elbow
- M1A.03Idiopathic chronic gout, wrist
- M1A.04Idiopathic chronic gout, hand
- M1A.05Idiopathic chronic gout, hip
- M1A.07Idiopathic chronic gout, ankle and foot
- M1A.08Idiopathic chronic gout, vertebrae
- M1A.09Idiopathic chronic gout, multiple sites
Questions about M1A.06
- Is M1A.06 a billable ICD-10-CM code?
- No. M1A.06 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M1A.06 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Inflammatory polyarthropathies (M05-M14).