Excludes1 pair
P00.7 vs P02.1
P00.7 and P02.1 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 P00.7
damage to placenta from amniocentesis, cesarean delivery or surgical induction (P02.1)
P00.7
Newborn affected by other medical procedures on mother, not elsewhere classified
BillableUnspecified
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Use when the record says
- Newborn affected by radiation to mother
Indexed under
- Newborn › affected by › maternal › medical procedure
P02.1
Newborn affected by other forms of placental separation and hemorrhage
Billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Use when the record says
- Newborn affected by abruptio placenta
- Newborn affected by accidental hemorrhage
- Newborn affected by antepartum hemorrhage
- Newborn affected by damage to placenta from amniocentesis, cesarean delivery or surgical induction
- Newborn affected by maternal blood loss
- Newborn affected by premature separation of placenta
Indexed under
- Newborn › affected by › abruptio placenta
- Newborn › affected by › hemorrhage (antepartum)
- Newborn › affected by › maternal › blood loss
- Newborn › affected by › maternal › hemorrhage
- Newborn › affected by › placental › separation NEC
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