Excludes1 pair

C84- vs C84.9-

C84 and C84.9 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 C84.9
mature T-cell lymphoma, not elsewhere classified (C84.4-)
C84

Mature T/NK-cell lymphomas

Not billable
Chapter 2
Neoplasms
Section
C81-C96
C84.9

Mature T/NK-cell lymphomas, unspecified

Not billable
Chapter 2
Neoplasms
Section
C81-C96
Use when the record says
  • NK/T cell lymphoma NOS
Indexed under
  • Lymphoma › mature T/NK-cell
  • Lymphoma › NK/T cell

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