Excludes1 pair
N47.6 vs N48.2-
N47.6 and N48.2 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 N48.2
balanoposthitis (N47.6)
N47.6
Balanoposthitis
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N40-N53
Indexed under
- Balanoposthitis
- Infection, infected, infective › prepuce NEC › with penile inflammation
- Disease, diseased › inflammatory › prepuce › balanoposthitis
- Disease, diseased › prepuce › inflammatory › balanoposthitis
N48.2
Other inflammatory disorders of penis
Not billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N40-N53
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