ICD-10-CM > M00-M99 > M05-M14 > M1A > M1A.4 > M1A.44 M1A.44 Other secondary chronic gout, hand Non-Billable/Non-Specific Codes M1A.441Other secondary chronic gout, right handM1A.4410..., without tophus (tophi)M1A.4411..., with tophus (tophi)M1A.442Other secondary chronic gout, left handM1A.4420..., without tophus (tophi)M1A.4421..., with tophus (tophi)M1A.449Other secondary chronic gout, unspecified handM1A.4490..., without tophus (tophi)M1A.4491..., with tophus (tophi)