Excludes1 pair

M08- vs M14.8-

M08 and M14.8 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 M08
arthropathy in Whipple's disease (M14.8)
M08

Juvenile arthritis

Not billable
Chapter 13
Diseases of the musculoskeletal system and connective tissue
Section
M05-M14
M14.8

Arthropathies in other specified diseases classified elsewhere

Not billable
Chapter 13
Diseases of the musculoskeletal system and connective tissue
Section
M05-M14
Indexed under
  • Arthropathy › in › acromegaly
  • Arthropathy › in › amyloidosis
  • Arthropathy › in › endocrine disease NOS
  • Arthropathy › in › hemochromatosis
  • Arthropathy › in › hyperthyroidism

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