ICD-10 M1A.2
Non-Billable HeaderDrug-induced chronic gout
About ICD-10-CM M1A.2
ICD-10-CM code M1A.2 represents Drug-induced chronic gout. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M1A). The 2026 edition of ICD-10-CM M1A.2 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.
Use Additional Code
When coding M1A.2, also report these additional codes when applicable.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Medicare LCD Coverage for M1A.2
Local Coverage Determinations (LCDs) from CMS MACs that list M1A.2 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.2.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M1A.2 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M1A.2
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.2
Other codes in section M05-M14 (Inflammatory polyarthropathies).
ICD-10 M1A.2, Billing FAQ
Is ICD-10 code M1A.2 billable? +
No, M1A.2 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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