ICD-10-CM > M00-M99 > M05-M14 > M1A > M1A.4 > M1A.44 > M1A.449 M1A.449 Other secondary chronic gout, unspecified hand Non-Billable/Non-Specific Codes M1A.4490..., without tophus (tophi)M1A.4491..., with tophus (tophi)