Excludes1 pair

N29 vs N35.1-

N29 and N35.1 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 N35.1
urethral stricture associated with schistosomiasis (B65.-, N29)
N29

Other disorders of kidney and ureter in diseases classified elsewhere

Billable
Chapter 14
Diseases of the genitourinary system
Section
N25-N29
Indexed under
  • Nephrocalcinosis
  • Calcification › kidney › tuberculous
  • Degeneration, degenerative › kidney › amyloid
  • Disorder › ureter › schistosomiasis
  • Disease, diseased › kidney › in › schistosomiasis (bilharziasis)
N35.1

Postinfective urethral stricture, not elsewhere classified

Not billable
Chapter 14
Diseases of the genitourinary system
Section
N30-N39

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