Excludes1 pair
S67- vs S67.4-
S67 and S67.4 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 S67.4
crushing injury of hand alone (S67.2-)
S67
Crushing injury of wrist, hand and fingers
Not billable
- Chapter 19
- Injury, poisoning and certain other consequences of external causes
- Section
- S60-S69
S67.4
Crushing injury of wrist and hand
Not billable
- Chapter 19
- Injury, poisoning and certain other consequences of external causes
- Section
- S60-S69
Indexed under
- Crush, crushed, crushing › hand › with wrist
- Crush, crushed, crushing › wrist › with hand
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