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