Excludes1 pair

G93.1 vs P84

G93.1 and P84 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 G93.1
neonatal anoxia (P84)
G93.1

Anoxic brain damage, not elsewhere classified

BillableUnspecified
Chapter 6
Diseases of the nervous system
Section
G89-G99
Indexed under
  • Anoxia › cerebral
  • Damage › brain › anoxic, hypoxic
P84

Other problems with newborn

Billable
Chapter 16
Certain conditions originating in the perinatal period
Section
P84
Use when the record says
  • Acidemia of newborn
  • Acidosis of newborn
  • Anoxia of newborn NOS
  • Asphyxia of newborn NOS
  • Hypercapnia of newborn
  • Hypoxemia of newborn
  • Hypoxia of newborn NOS
  • Mixed metabolic and respiratory acidosis of newborn
Indexed under
  • Acidosis › mixed metabolic and respiratory, newborn
  • Acidosis › newborn
  • Anoxemia › newborn
  • Anoxia › intrauterine
  • Anoxia › newborn

These two codes sit in different chapters of the Tabular List, which is usually the clearest signal that they describe different underlying processes rather than different degrees of the same one.

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