Excludes1 pair
Z92.0 vs Z97.5
Z92.0 and Z97.5 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 Z92.0
presence of (intrauterine) contraceptive device (Z97.5)
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
Z97.5
Presence of (intrauterine) contraceptive device
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z77-Z99
Indexed under
- Contraception, contraceptive › device (intrauterine) (in situ)
- Intrauterine contraceptive device › in situ
- Presence › intrauterine contraceptive device (IUD)
- Contraception, contraceptive › device › in place
- Foreign body › genitourinary tract › uterus › IUD
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