Chapter 13

M00–M99: Diseases of the Musculoskeletal System and Connective Tissue

Diseases of the Musculoskeletal System and Connective Tissue diagnostic classification updated for 2026.

Chapter Instructions

Excludes2(Not included here. Code separately if applicable.)
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Internal Codes
  • M1A.4320

    Other secondary chronic gout, left wrist, without tophus (tophi)

  • M1A.4321

    Other secondary chronic gout, left wrist, with tophus (tophi)

  • M1A.439

    Other secondary chronic gout, unspecified wrist

  • M1A.4390

    Other secondary chronic gout, unspecified wrist, without tophus (tophi)

  • M1A.4391

    Other secondary chronic gout, unspecified wrist, with tophus (tophi)

  • M1A.441

    Other secondary chronic gout, right hand

  • M1A.4410

    Other secondary chronic gout, right hand, without tophus (tophi)

  • M1A.4411

    Other secondary chronic gout, right hand, with tophus (tophi)

  • M1A.442

    Other secondary chronic gout, left hand

  • M1A.4420

    Other secondary chronic gout, left hand, without tophus (tophi)

  • M1A.4421

    Other secondary chronic gout, left hand, with tophus (tophi)

  • M1A.449

    Other secondary chronic gout, unspecified hand

  • M1A.4490

    Other secondary chronic gout, unspecified hand, without tophus (tophi)

  • M1A.4491

    Other secondary chronic gout, unspecified hand, with tophus (tophi)

  • M1A.451

    Other secondary chronic gout, right hip

  • M1A.4510

    Other secondary chronic gout, right hip, without tophus (tophi)

  • M1A.4511

    Other secondary chronic gout, right hip, with tophus (tophi)

  • M1A.452

    Other secondary chronic gout, left hip

  • M1A.4520

    Other secondary chronic gout, left hip, without tophus (tophi)

  • M1A.4521

    Other secondary chronic gout, left hip, with tophus (tophi)

  • M1A.459

    Other secondary chronic gout, unspecified hip

  • M1A.4590

    Other secondary chronic gout, unspecified hip, without tophus (tophi)

  • M1A.4591

    Other secondary chronic gout, unspecified hip, with tophus (tophi)

  • M1A.461

    Other secondary chronic gout, right knee

  • M1A.4610

    Other secondary chronic gout, right knee, without tophus (tophi)

  • M1A.4611

    Other secondary chronic gout, right knee, with tophus (tophi)

  • M1A.462

    Other secondary chronic gout, left knee

  • M1A.4620

    Other secondary chronic gout, left knee, without tophus (tophi)

  • M1A.4621

    Other secondary chronic gout, left knee, with tophus (tophi)

  • M1A.469

    Other secondary chronic gout, unspecified knee

  • M1A.4690

    Other secondary chronic gout, unspecified knee, without tophus (tophi)

  • M1A.4691

    Other secondary chronic gout, unspecified knee, with tophus (tophi)

  • M1A.471

    Other secondary chronic gout, right ankle and foot

  • M1A.4710

    Other secondary chronic gout, right ankle and foot, without tophus (tophi)

  • M1A.4711

    Other secondary chronic gout, right ankle and foot, with tophus (tophi)

  • M1A.472

    Other secondary chronic gout, left ankle and foot

  • M1A.4720

    Other secondary chronic gout, left ankle and foot, without tophus (tophi)

  • M1A.4721

    Other secondary chronic gout, left ankle and foot, with tophus (tophi)

  • M1A.479

    Other secondary chronic gout, unspecified ankle and foot

  • M1A.4790

    Other secondary chronic gout, unspecified ankle and foot, without tophus (tophi)

  • M1A.4791

    Other secondary chronic gout, unspecified ankle and foot, with tophus (tophi)

  • M1A.48

    Other secondary chronic gout, vertebrae

  • M1A.48X0

    Other secondary chronic gout, vertebrae, without tophus (tophi)

  • M1A.48X1

    Other secondary chronic gout, vertebrae, with tophus (tophi)

  • M1A.49

    Other secondary chronic gout, multiple sites

  • M1A.49X0

    Other secondary chronic gout, multiple sites, without tophus (tophi)

  • M1A.49X1

    Other secondary chronic gout, multiple sites, with tophus (tophi)

  • M1A.9

    Chronic gout, unspecified

  • M1A.9XX0

    Chronic gout, unspecified, without tophus (tophi)

  • M1A.9XX1

    Chronic gout, unspecified, with tophus (tophi)

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