ICD-10-CM > M00-M99 > M05-M14 > M1A > M1A.3 > M1A.34 M1A.34 Chronic gout due to renal impairment, hand Non-Billable/Non-Specific Codes M1A.341Chronic gout due to renal impairment, right handM1A.3410..., without tophus (tophi)M1A.3411..., with tophus (tophi)M1A.342Chronic gout due to renal impairment, left handM1A.3420..., without tophus (tophi)M1A.3421..., with tophus (tophi)M1A.349Chronic gout due to renal impairment, unspecified handM1A.3490..., without tophus (tophi)M1A.3491..., with tophus (tophi)