Excludes1 pair

I20- vs I23.7

I20 and I23.7 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 I20
postinfarction angina (I23.7)
I20

Angina pectoris

Not billable
Chapter 9
Diseases of the circulatory system
Section
I20-I25
I23.7

Postinfarction angina

Billable
Chapter 9
Diseases of the circulatory system
Section
I20-I25
Indexed under
  • Angina › following acute myocardial infarction
  • Angina › post-infarctional
  • Complication › following › acute myocardial infarction NEC › angina

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