Excludes1 pair
C56- vs C75-
C56 and C75 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 C75
malignant neoplasm of ovary (C56.-)
C56
Malignant neoplasm of ovary
Not billable
- Chapter 2
- Neoplasms
- Section
- C51-C58
Indexed under
- Carcinoma › granulosa cell
- Dermoid › with malignant transformation
- Thecoma › malignant
- Adenofibroma › endometrioid › malignant
- Brenner › tumor › malignant
C75
Malignant neoplasm of other endocrine glands and related structures
Not billable
- Chapter 2
- Neoplasms
- Section
- C73-C75
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