Excludes1 pair

C05- vs C46.2

C05 and C46.2 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 C05
Kaposi's sarcoma of palate (C46.2)
C05

Malignant neoplasm of palate

Not billable
Chapter 2
Neoplasms
Section
C00-C14
C46.2

Kaposi's sarcoma of palate

Billable
Chapter 2
Neoplasms
Section
C45-C49
Indexed under
  • Kaposi's › sarcoma › palate (hard) (soft)
  • Sarcoma › Kaposi's › palate (hard) (soft)

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