Excludes1 pair

F44.0 vs F44.1

F44.0 and F44.1 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 F44.0
dissociative amnesia with dissociative fugue (F44.1)
F44.0

Dissociative amnesia

Billable
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders
Section
F40-F48
Indexed under
  • Amnesia › dissociative
  • Amnesia › hysterical
  • Amnesia › psychogenic
F44.1

Dissociative fugue

Billable
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders
Section
F40-F48
Use when the record says
  • Dissociative amnesia with dissociative fugue
Indexed under
  • Fugue › dissociative
  • Fugue › hysterical (dissociative)
  • Amnesia › dissociative › with dissociative fugue

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