Excludes1 pair

B82.0 vs B83.9

B82.0 and B83.9 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on B83.9
intestinal helminthiasis NOS (B82.0)
B82.0

Intestinal helminthiasis, unspecified

BillableUnspecified
Chapter 1
Certain infectious and parasitic diseases
Section
B65-B83
Indexed under
  • Nematodiasis (intestinal)
  • Dysentery, dysenteric › metazoal
  • Helminthiasis › intestinal
  • Infection, infected, infective › roundworm NEC (large)
  • Infestation › nematode NEC (intestinal)
B83.9

Helminthiasis, unspecified

BillableUnspecified
Chapter 1
Certain infectious and parasitic diseases
Section
B65-B83
Use when the record says
  • Worms NOS
Indexed under
  • Colic › worm NOS
  • Fever › worm
  • Infection, infected, infective › helminths
  • Infection, infected, infective › worms
  • Infestation › helminth

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027