Guidelines › Excludes2 notes
Excludes2 notes
Official text from the FY2027 ICD-10-CM Official Guidelines for Coding and Reporting. The wording is quoted exactly.
Guidelines I.A.12.b
“An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.”
“When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.”
Where this applies
This is a general rule. It applies to code assignment everywhere, not to one code or group of codes.
The Guidelines are the authority for assigning codes, and following them is required under HIPAA. This page quotes them for convenience and is not a substitute for the official document. See the Terms and Disclaimer.