D14.0 vs D22
D14.0 and D22 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.
D14.0
Benign neoplasm of middle ear, nasal cavity and accessory sinuses
Billable
- Chapter 2
- Neoplasms
- Section
- D10-D36
Use when the record says
- Benign neoplasm of cartilage of nose
Indexed under
- Papilloma › Schneiderian › unspecified site
- Schneiderian › papilloma › unspecified site
D22
Melanocytic nevi
Not billable
- Chapter 2
- Neoplasms
- Section
- D10-D36
Use when the record says
- atypical nevus
- blue hairy pigmented nevus
- nevus NOS
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