Excludes1 pair
P00.2 vs P00.8-
P00.2 and P00.8 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 distinction is perinatal vs later onset.
The official note, declared on P00.2
maternal genital tract or other localized infections (P00.8)
P00.2
Newborn affected by maternal infectious and parasitic diseases
Billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Use when the record says
- Newborn affected by maternal infectious disease classifiable to A00-B99, J09 and J10
Indexed under
- TORCH infection › without active infection
- Infection, infected, infective › TORCH › without active infection
- Newborn › affected by › maternal › infectious disease
- Newborn › affected by › maternal › parasitic disease
P00.8
Newborn affected by other maternal conditions
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
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