ICD-10 M1A.151
Non-Billable HeaderLead-induced chronic gout, right hip
About ICD-10-CM M1A.151
ICD-10-CM code M1A.151 represents Lead-induced chronic gout, right hip. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M1A). The 2026 edition of ICD-10-CM M1A.151 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for M1A.151
Local Coverage Determinations (LCDs) from CMS MACs that list M1A.151 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M1A.151.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M1A.151 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M1A.151
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M1A.151
Other codes in section M05-M14 (Inflammatory polyarthropathies).
ICD-10 M1A.151, Billing FAQ
Is ICD-10 code M1A.151 billable? +
No, M1A.151 is a non-billable header code. Use a more specific child code from block M1A when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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