ICD-10-CM > M00-M99 > M05-M14 > M1A > M1A.3 > M1A.38 M1A.38 Chronic gout due to renal impairment, vertebrae Non-Billable/Non-Specific Codes M1A.38X0..., without tophus (tophi)M1A.38X1..., with tophus (tophi)