Excludes1 pair

C44- vs C63.2

C44 and C63.2 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 C44
malignant neoplasm of skin of genital organs (C51-C52, C60.-, C63.2)
C44

Other and unspecified malignant neoplasm of skin

Not billable
Chapter 2
Neoplasms
Section
C43-C44
Use when the record says
  • malignant neoplasm of sebaceous glands
  • malignant neoplasm of sweat glands
C63.2

Malignant neoplasm of scrotum

Billable
Chapter 2
Neoplasms
Section
C60-C63
Use when the record says
  • Malignant neoplasm of skin of scrotum
Indexed under
  • Melanoma › skin › scrotum

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