C56 vs C75
C56 and C75 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
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 (malignant)
- Dermoid › with malignant transformation (cyst)
- 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