Excludes1 pair

J70.3 vs J84.2

J70.3 and J84.2 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 J70.3
lymphoid interstitial pneumonia (J84.2)
J70.3

Chronic drug-induced interstitial lung disorders

Billable
Chapter 10
Diseases of the respiratory system
Section
J60-J70
Indexed under
  • Disorder › lung, interstitial, drug-induced › chronic
  • Pneumonitis › chemotherapy › chronic
J84.2

Lymphoid interstitial pneumonia

Billable
Chapter 10
Diseases of the respiratory system
Section
J80-J84
Use when the record says
  • Lymphoid interstitial pneumonitis
Indexed under
  • Pneumonia › lymphoid interstitial
  • Pneumonitis › lymphoid, interstitial
  • Pneumonia › interstitial › lymphoid
  • Pneumonitis › interstitial › lymphoid

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