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ICD-10 IN/EX-cludes

Meaning of Excludes 1 & 2; Includes; Code First; Use additional Code

Exclude1 Not Coded Here
Exclude1 Do not use with the one above
Exclude1 ONE only - Two conditions cannot occur together, i.e. congenital vs acquired
Exclude2 Not Included Here
Exclude2 Excluded condition is not part of above condition
Exclude2 TWO possible - Patient may have both conditions at the same time.
Where might you find Inclusion Notes? At beginning of a chapter or section.
Inclusion Notes Used to give examples or further define
What are not considered exhaustive? Includes (Inclusion Notes)
Exclusion notes basic meaning "Code this condition somewhere else"
The proper sequence for coding is what? Etiology (underlying condition) before manifestation
Where will you find a "Code First" note? At the manifestation code to direct the coder to to code the underlying condition first.
Where will you find the "Use Additional Code" note? At the etiology code to remind coder to add the appropriate manifestation code(s).
Where will you likely find "in diseases classified elsewhere"? At the manifestation codes.
What does "in diseases classified elsewhere" tell you as a coder? Never use as a first code or a principal diagnosis
If you see the phrase "such as", what does this mean to you as a coder? Any of the listed codes may be coded first.
If you see "use additional code", does that indicate sequencing of secondary diagnosis codes in the fields on the claim? No.
What does "Code Also" indicate to the coder? It may take more than one code to fully explain the patient's condition.
Does the "Code Also" indicate sequencing of diagnosis codes on the claim? No.
Created by: ZonaB2
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