Excludes1 pair

C83.0- vs C84-

C83.0 and C84 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 C83.0
mature T/NK-cell lymphomas (C84.-)
C83.0

Small cell B-cell lymphoma

Not billable
Chapter 2
Neoplasms
Section
C81-C96
Use when the record says
  • Lymphoplasmacytic lymphoma
  • Nodal marginal zone lymphoma
  • Non-leukemic variant of B-CLL
  • Splenic marginal zone lymphoma
Indexed under
  • Immunocytoma
  • Lymphoma › lymphoplasmacytic
  • Lymphoma › nodal marginal zone
  • Lymphoma › non-leukemic variant of B-CLL
  • Lymphoma › small cell B-cell
C84

Mature T/NK-cell lymphomas

Not billable
Chapter 2
Neoplasms
Section
C81-C96

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