N85.7 vs N89.7
N85.7 and N89.7 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 N85.7
hematometra with hematocolpos (N89.7)
N85.7
Hematometra
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Use when the record says
- Hematosalpinx with hematometra
Indexed under
- Hematometra
- Hemorrhage, hemorrhagic › intrauterine (concealed)
- Hematosalpinx › with › hematometra
- Hemosalpinx › with › hematometra
N89.7
Hematocolpos
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Use when the record says
- Hematocolpos with hematometra or hematosalpinx
Indexed under
- Hematocolpos (with hematometra or hematosalpinx)
- Hematometra › with hematocolpos
- Hematosalpinx › with › hematocolpos
- Hemosalpinx › with › hematocolpos
- Hematosalpinx › with › hematometra › with hematocolpos
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