Excludes1 pair
Z79.3 vs Z92.0
Z79.3 and Z92.0 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 Z92.0
long term (current) use of contraception (Z79.3)
Z79.3
Long term (current) use of hormonal contraceptives
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z77-Z99
Use when the record says
- Long term (current) use of birth control pill or patch
Indexed under
- Long-term › birth control pill or patch
- Long-term › contraceptive, oral
- Long-term › oral › contraceptive
- Therapy › drug, long-term › birth control pill or patch
- Therapy › drug, long-term › contraceptive, oral
Z92.0
Personal history of contraception
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z77-Z99
Indexed under
- History › personal › contraception
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