Excludes1 pair
G95.0 vs G98.0
G95.0 and G98.0 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 G98.0
syringomyelia and syringobulbia (G95.0)
G95.0
Syringomyelia and syringobulbia
Billable
- Chapter 6
- Diseases of the nervous system
- Section
- G89-G99
Indexed under
- Syringobulbia
- Syringomyelia
- Syringopontia
- Arthropathy › syringomyelic
- Arthritis, arthritic › Charcot's › syringomyelic
G98.0
Neurogenic arthritis, not elsewhere classified
BillableUnspecified
- Chapter 6
- Diseases of the nervous system
- Section
- G89-G99
Use when the record says
- Nonsyphilitic neurogenic arthropathy NEC
- Nonsyphilitic neurogenic spondylopathy NEC
Indexed under
- Arthritis, arthritic › in › neurological disorder NEC
- Arthritis, arthritic › neuropathic › nonsyphilitic NEC
- Arthropathy › neuropathic › nonsyphilitic NEC
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