ICD-10 M1A.4211
Billable / SpecificOther secondary chronic gout, right elbow, with tophus (tophi)
About ICD-10-CM M1A.4211
ICD-10-CM code M1A.4211 represents Other secondary chronic gout, right elbow, with tophus (tophi). This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M1A). The 2026 edition of ICD-10-CM M1A.4211 became effective on October 1, 2025.
Medicare LCD Coverage for M1A.4211
Local Coverage Determinations (LCDs) from CMS MACs that list M1A.4211 as a covered diagnosis.
Showing top 10 of 129 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M1A.4211.
3 Medicare
CPT Codes Commonly Billed with M1A.4211
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.
Convert M1A.4211 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M1A.4211 | 27403 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
ICD-10 M1A.4211, Billing FAQ
Is ICD-10 code M1A.4211 billable? +
Yes, M1A.4211 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does M1A.4211 map to? +
Per CMS GEMs, M1A.4211 maps to ICD-9 codes: 27403. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 30, 2026.
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