C92.1 vs D47.1
C92.1 and D47.1 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 C92.1
chronic myeloproliferative disease (D47.1)
C92.1
Chronic myeloid leukemia, BCR/ABL-positive
Not billable
- Chapter 2
- Neoplasms
- Section
- C81-C96
Use when the record says
- Chronic myelogenous leukemia, Philadelphia chromosome (Ph1) positive
- Chronic myelogenous leukemia, t(9;22) (q34;q11)
- Chronic myelogenous leukemia with crisis of blast cells
Indexed under
- Leukemia, leukemic › chronic myelogenous
- Leukemia, leukemic › chronic myeloid, BCR/ABL-positive
D47.1
Chronic myeloproliferative disease
Billable
- Chapter 2
- Neoplasms
- Section
- D37-D48
Use when the record says
- Chronic neutrophilic leukemia
- Myeloproliferative disease, unspecified
Indexed under
- Disease, diseased › myeloproliferative
- Leukemia, leukemic › chronic neutrophilic
- Myelofibrosis › primary
- Myelosis › chronic
- Syndrome › myeloproliferative
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