tci ED Coding & Reimbursement Alert - 2019 Issue 1

Reader Question: Get to the Bottom of Excludes1 Note

Question: If an Excludes1 note is listed after an ICD-10 code, does that mean you can never use the codes together, or are there exceptions? Supercoder Subscriber Answer: Over the course of the last several years, coders have been frustrated by the lack of guidelines about Excludes1 notes, but a recent article from the AHA’s Coding Clinic (Q4, 2018) offers some clarity on the topic. Refresher:  The ICD-10-CM guidelines offer the following instructions regarding an Excludes1 note: “A type1 Excludes note is a pure excludes note. It means “not coded here.” An Excludes1 note...

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