Excludes1 pair

C83- vs C83.8-

C83 and C83.8 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 C83.8
T-cell rich B-cell lymphoma (C83.3-)
C83

Non-follicular lymphoma

Not billable
Chapter 2
Neoplasms
Section
C81-C96
C83.8

Other non-follicular lymphoma

Not billable
Chapter 2
Neoplasms
Section
C81-C96
Use when the record says
  • Intravascular large B-cell lymphoma
  • Lymphoid granulomatosis
  • Primary effusion B-cell lymphoma
Indexed under
  • Granulomatosis › lymphoid
  • Lymphoma › intravascular large B-cell
  • Lymphoma › primary effusion B-cell
  • Lymphoma › non-follicular › specified NEC

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