R26 vs R27.0
R26 and R27.0 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on R26
ataxia NOS (R27.0)
R26
Abnormalities of gait and mobility
Not billable
- Chapter 18
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- Section
- R25-R29
R27.0
Ataxia, unspecified
BillableUnspecified
- Chapter 18
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- Section
- R25-R29
Indexed under
- Ataxia, ataxy, ataxic
- Lack of › coordination › ataxia
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