Excludes1 pair

N30- vs N32.3

N30 and N32.3 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 N32.3
diverticulitis of bladder (N30.8-)
N30

Cystitis

Not billable
Chapter 14
Diseases of the genitourinary system
Section
N30-N39
N32.3

Diverticulum of bladder

Billable
Chapter 14
Diseases of the genitourinary system
Section
N30-N39
Indexed under
  • Diverticulum, diverticula › bladder (sphincter)
  • Diverticulum, diverticula › vesical
  • Sacculation › bladder
  • Sacculation › vesical
  • Rupture, ruptured › diverticulum › bladder

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