Excludes1 pair

F10- vs F10.2-

F10 and F10.2 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 F10.2
alcohol abuse (F10.1-)
F10

Alcohol related disorders

Not billable
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders
Section
F10-F19
F10.2

Alcohol dependence

Not billable
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders
Section
F10-F19
Indexed under
  • Wernicke-Korsakoff's syndrome or psychosis › with dependence
  • Syndrome › Korsakoff › alcoholic › with dependence
  • Syndrome › Wernicke-Korsakoff › alcoholic › with dependence

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