Excludes1 pair
O71.0- vs O90.0
O71.0 and O90.0 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 O71.0
disruption of (current) cesarean delivery wound (O90.0)
O71.0
Rupture of uterus (spontaneous) before onset of labor
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O60-O77
Indexed under
- Rupture, ruptured › uterus › before labor
- Rupture, ruptured › uterus › pregnant › before labor
- Pregnancy › complicated by › rupture › uterus › before onset of labor
- Delivery › complicated › by › rupture › uterus › before labor
O90.0
Disruption of cesarean delivery wound
Billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O85-O92
Use when the record says
- Dehiscence of cesarean delivery wound
Indexed under
- Dehiscence › cesarean wound
- Complication › cesarean delivery wound NEC › disruption
- Puerperal, puerperium › disruption › cesarean wound
- Disruption › wound › operation › cesarean
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