ICD-10-CM > M00-M99 > M05-M14 > M1A > M1A.3 > M1A.31 > M1A.319 M1A.319 Chronic gout due to renal impairment, unspecified shoulder Non-Billable/Non-Specific Codes M1A.3190..., without tophus (tophi)M1A.3191..., with tophus (tophi)