Excludes1 pair

G71.3 vs G93.7

G71.3 and G93.7 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 G71.3
Reye's syndrome (G93.7)
G71.3

Mitochondrial myopathy, not elsewhere classified

BillableUnspecified
Chapter 6
Diseases of the nervous system
Section
G70-G73
Indexed under
  • Myopathy › mitochondrial NEC
G93.7

Reye's syndrome

Billable
Chapter 6
Diseases of the nervous system
Section
G89-G99
Indexed under
  • Reye's syndrome
  • Syndrome › Reye's

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