Tip: Using Excludes notes in ICD-10-CM
APCs Insider, November 1, 2013
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Excludes notes are one significant change in ICD-10-CM. In ICD-9-CM, Excludes notes can mean two different things:
- A particular code is not for use with this condition
- A particular condition is not included in this code
Currently, coders must interpret the meaning of the Excludes note. ICD-10-CM actually divides the Excludes notes into two types, taking the guesswork out.
An Excludes1 denotes "not coded here," meaning coders should never report the excluded code at the same time as the code above the Excludes1 note (e.g., the congenital form versus an acquired form of the same condition).
An Excludes2 denotes "not included here," meaning that the condition excluded is not part of the condition represented by the code even though a patient may have both conditions at the same time. When an Excludes2 note appears under a code, coders can report both codes together, when appropriate.
This tip is adapted from “Build a foundation for ICD-10-CM coding” in the November issue of Briefings on APCs.
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
-
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
- Articles
-
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- What to include on the incident report
- Understanding and coding for critical care services
- What does case-mix index mean to you?
- Pneumonia with a negative chest x-ray: Clinical diagnoses, physician documentation, and coding guidelines
- Neurological checks for head injuries
- E-mailed
-
- Nursing tops Gallup’s most honest and ethical professions list
- Improve predicted mortality rates through documentation
- ICD-10-CM contracts the flu
- How to assign the correct ED E/M code
- Free tool: Peer evaluation tool for charge nurse
- Five keys to creating a CHF disease management program
- Correctly bill ancillary bedside procedures in addition to the room rate
- Consider two options for coding Rho(D) immune globulin given in pregnancy
- Coding Clinic for CDI:Reassessing debridement documentation
- CMS replaces clinic E/M visit levels with single G-code
- Searched
