Excludes1 pair
Z60.5 vs Z65.5
Z60.5 and Z65.5 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 Z65.5
target of perceived discrimination or persecution (Z60.5)
Z60.5
Target of (perceived) adverse discrimination and persecution
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z55-Z65
Indexed under
- Discrimination › ethnic
- Discrimination › political
- Discrimination › racial
- Discrimination › religious
- Discrimination › sex
Z65.5
Exposure to disaster, war and other hostilities
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z55-Z65
Indexed under
- Exposure › disaster
- Exposure › war
- Victim › disaster
- Victim › war
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