Excludes1 pair
P84 vs P91-
P84 and P91 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 P84
hypoxic ischemic encephalopathy [HIE] (P91.6-)
P84
Other problems with newborn
Billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P84
Use when the record says
- Acidemia of newborn
- Acidosis of newborn
- Anoxia of newborn NOS
- Asphyxia of newborn NOS
- Hypercapnia of newborn
- Hypoxemia of newborn
- Hypoxia of newborn NOS
- Mixed metabolic and respiratory acidosis of newborn
Indexed under
- Acidosis › mixed metabolic and respiratory, newborn
- Acidosis › newborn
- Anoxemia › newborn
- Anoxia › intrauterine
- Anoxia › newborn
P91
Other disturbances of cerebral status of newborn
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P90-P96
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