L65.0 vs L67
L65.0 and L67 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on L67
telogen effluvium (L65.0)
L65.0
Telogen effluvium
Billable
- Chapter 12
- Diseases of the skin and subcutaneous tissue
- Section
- L60-L75
Indexed under
- Alopecia › postpartum (hereditaria) (seborrheica)
- Effluvium › telogen
L67
Hair color and hair shaft abnormalities
Not billable
- Chapter 12
- Diseases of the skin and subcutaneous tissue
- Section
- L60-L75
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