Health Information Management

Tip: Using Excludes notes in ICD-10-CM

APCs Insider, April 11, 2014

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Category S72.- (fracture of femur) includes an example of a new concept in ICD-10-CM, the Excludes1 and Excludes2 note:
  • Excludes1, traumatic amputation of hip and thigh (S78.-)
  • Excludes2, fracture of lower leg and ankle (S82.-)
    • fracture of foot (S92.-)
    • periprosthetic fracture of prosthetic implant of hip (T84.040, T84.041)
The Excludes1 note indicates that the codes cannot be reported together, so codes from series S72.- should never be reported with codes from S78.-
The Excludes2 note represents "not included here," which means that the condition represented is not included in the subsequent code series, but can be coded with it.
 
This tip is adapted from “ICD-10-CM anatomy refresher: Thigh” in the April issue of Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs

  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular