Excludes1 pair
N36.8 vs N81.0
N36.8 and N81.0 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 N36.8
female urethrocele (N81.0)
N36.8
Other specified disorders of urethra
BillableUnspecified
- Chapter 14
- Diseases of the genitourinary system
- Section
- N30-N39
Indexed under
- Hydrourethra
- Urethrorrhagia
- Urinoma, urethra
- Cicatrix › urethra
- Colic › urethral
N81.0
Urethrocele
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Indexed under
- Urethrocele
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