Medical Office Assistant · Medical Economics, Billing, and Coding

Excludes and Includes Notes

On this page 3 sections
  1. Quick check
  2. Study tools
  3. Sources & references

Quick check

5 questions here, of 85 in this lesson’s practice set. Answers stay hidden until you check.

Question 1 of 5foundational

In ICD-10-CM, an "Excludes1" note is used when the condition listed after the note cannot be reported together with the code above it. Which phrase best captures the meaning of an Excludes1 note?

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Question 2 of 5foundational

An "Excludes2" note in ICD-10-CM signals that the excluded condition is not part of the code above the note. Which statement correctly describes what an Excludes2 note allows?

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Question 3 of 5foundational

Which type of ICD-10-CM note is a list of terms and conditions that are classifiable to the code, used to further define or give examples of what the code covers?

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Question 4 of 5foundational

A "code first" note in ICD-10-CM is an instruction that appears on a manifestation code. What does this note tell the coder to do?

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Question 5 of 5foundational

A "use additional code" note in ICD-10-CM instructs the coder to add a second code to fully describe the condition. What is the purpose of this note?

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Study tools & related lessonsYou’ll learn to · Related

You’ll learn to

  • Distinguish between Excludes1 and Excludes2 notes and explain when two conditions may or may not be reported together.
  • Apply Includes notes to determine which terms and conditions are classifiable to a given ICD-10-CM code.
  • Interpret code-first and use-additional-code notes to sequence underlying etiology and manifestation codes correctly.
  • Recognize how ICD-10-CM instructional notes guide accurate, complete, and non-conflicting code assignment.

Sources & references

  1. Centers for Medicare & Medicaid Services — ICD-10
  2. World Health Organization — ICD-10 Classification of Diseases
  3. American Health Information Management Association — AHIMA - Health Information and Coding

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