M24.5 vs M72.0
M24.5 and M72.0 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 M24.5
Dupuytren's contracture (M72.0)
M24.5
Contracture of joint
Not billable
- Chapter 13
- Diseases of the musculoskeletal system and connective tissue
- Section
- M20-M25
M72.0
Palmar fascial fibromatosis [Dupuytren]
Billable
- Chapter 13
- Diseases of the musculoskeletal system and connective tissue
- Section
- M70-M79
Indexed under
- Dupuytren's contraction or disease
- Contraction, contracture, contracted › Dupuytren's (s)
- Contraction, contracture, contracted › palmar fascia (s)
- Disease, diseased › Dupuytren's
- Fibromatosis › Dupuytren's
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