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Diagnosis Coding:
Using the ICD-10-CM

ICD-10-CM Features

Excludes Notes

More Excludes Notes Examples

Let's review 2 additional Excludes Notes examples. Click each tab to view Excludes1 Note and Excludes2 Note examples.

The Excludes1 note in this example lists the codes that you don't report under the category for type 1 diabetes mellitus because the 2 conditions can't occur together.

These include codes for diabetes mellitus due to an underlying condition, gestational diabetes, and type 2 diabetes mellitus. In this example, you can't report codes in category E10, like E10.10, describing type 1 diabetes mellitus with ketoacidosis without coma, with the codes listed in the Excludes1 Note.

Table 9. Excludes1 Note Example
Category ICD-10-CM Codes & Description
E10

Type 1 Diabetes mellitus

Excludes1: diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
hyperglycemia NOS (R73.9)
neonatal diabetes mellitus (P70.2)
postpancreatectomy diabetes mellitus (E13.-)
postprocedural diabetes mellitus (E13.-)
secondary diabetes mellitus NEC (E13.-)
type 2 diabetes mellitus (E11.-)

E10.1  

Type 1 diabetes mellitus with ketoacidosis

E10.10 Type 1 diabetes mellitus with ketoacidosis without coma

The Excludes2 note in this example lists the codes you can report with the codes under the category for benign neoplasm of breast because the conditions excluded aren’t part of the condition represented by the code. You can report both codes together if the patient has both conditions. These include the codes for adenofibrosis of breast, benign cyst of breast, and fibrocystic disease of breast. In this example, you can report code D24.1 describing a benign neoplasm of the right breast, with the codes listed in the Excludes2 note.

Table 10. Excludes2 Note Example
Category ICD-10-CM Codes & Description
D24

Benign neoplasm of breast

Excludes2: adenofibrosis of breast (N60.2)
benign cyst of breast (N60.-)
benign mammary dysplasia (N60.-)
benign neoplasm of skin of breast (D22.5, D23.5)
fibrocystic disease of breast (N60.-)

D24.1 Benign neoplasm of right breast