D30.2 vs D30.3
D30.2 and D30.3 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 D30.2
benign neoplasm of ureteric orifice of bladder (D30.3)
D30.2
Benign neoplasm of ureter
Not billable
- Chapter 2
- Neoplasms
- Section
- D10-D36
Indexed under
- Papilloma › ureter › benign
D30.3
Benign neoplasm of bladder
Billable
- Chapter 2
- Neoplasms
- Section
- D10-D36
Use when the record says
- Benign neoplasm of ureteric orifice of bladder
- Benign neoplasm of urethral orifice of bladder
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