Excludes1 pair
P35.3 vs P59.2-
P35.3 and P59.2 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 P59.2
congenital viral hepatitis (P35.3)
P35.3
Congenital viral hepatitis
Billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P35-P39
Indexed under
- Hepatitis › viral, virus › congenital
- Infection, infected, infective › congenital › hepatitis, viral
P59.2
Neonatal jaundice from other and unspecified hepatocellular damage
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P50-P61
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