Excludes1 pair
N07.6 vs N07.A
N07.6 and N07.A 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.
N07.6
Hereditary nephropathy, not elsewhere classified with dense deposit disease
BillableUnspecified
- Chapter 14
- Diseases of the genitourinary system
- Section
- N00-N08
Use when the record says
- Hereditary nephropathy, not elsewhere classified with C3 glomerulopathy with dense deposit disease
- Hereditary nephropathy, not elsewhere classified with membranoproliferative glomerulonephritis, type 2
Indexed under
- Nephropathy › hereditary NEC › with › dense deposit disease
- Nephropathy › hereditary NEC › with › C3 › glomerulopathy › with dense deposit disease
N07.A
Hereditary nephropathy, not elsewhere classified with C3 glomerulonephritis
BillableUnspecified
- Chapter 14
- Diseases of the genitourinary system
- Section
- N00-N08
Use when the record says
- Hereditary nephropathy, not elsewhere classified with C3 glomerulopathy
Indexed under
- Nephropathy › hereditary NEC › with › C3 › glomerulonephritis
- Nephropathy › hereditary NEC › with › C3 › glomerulopathy
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