N83.6 vs O00
N83.6 and O00 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on N83.6
tubal pregnancy (O00.1-)
N83.6
Hematosalpinx
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Indexed under
- Hematosalpinx
- Hemosalpinx
- Hemorrhage, hemorrhagic › fallopian tube (concealed)
- Hemorrhage, hemorrhagic › oviduct (concealed)
O00
Ectopic pregnancy
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O00-O08
Use when the record says
- ruptured ectopic pregnancy
These two codes sit in different chapters of the Tabular List, which is usually the clearest signal that they describe different underlying processes rather than different degrees of the same one.
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