Excludes1 pair

E50- vs E64.1

E50 and E64.1 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 E50
sequelae of vitamin A deficiency (E64.1)
E50

Vitamin A deficiency

Not billable
Chapter 4
Endocrine, nutritional and metabolic diseases
Section
E50-E64
E64.1

Sequelae of vitamin A deficiency

Billable
Chapter 4
Endocrine, nutritional and metabolic diseases
Section
E50-E64
Indexed under
  • Sequelae › vitamin deficiency NEC › A
  • Deficiency, deficient › vitamin NOS › A › sequelae

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