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It also includes instructional notations that define how to interpret “Includes,” “Excludes1,” “Excludes2,” and code sequencing rules such as “Code First” and “Use Additional Code.” The document further explains pairing concepts for etiology and manifestation codes and guidance for 7th character placeholder X.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/icd-10-cm-tabular-list-of-diseases-and-injuries-table-of-contents/640764/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/icd-10-cm-tabular-list-of-diseases-and-injuries-table-of-contents/640764.png","ImageObject",300,407,{"name":92,"@type":93},"Mabel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the “Includes” notation mean in ICD-10-CM?","Question",{"text":112,"@type":113},"The “Includes” note appears under certain categories to define the content of that category further or give examples.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do Excludes1 and Excludes2 differ?",{"text":117,"@type":113},"Excludes1 means “NOT CODED HERE!”—the excluded code should never be used with the code above. Excludes2 means “Not included here” but both conditions may occur together, so both codes can be used.",{"name":119,"@type":110,"acceptedAnswer":120},"When do “Code First” and “Use Additional Code” notes apply?",{"text":121,"@type":113},"They apply when ICD-10-CM requires sequencing an underlying etiology code first, followed by a manifestation code. The instructional notes specify the correct order, etiology then manifestation.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},640764,1792899894,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","ICD-10-CM TABULAR LIST of DISEASES and INJURIES Table of Contents  \n1 Certain infectious and parasitic diseases (A00-B99)  \n2 Neoplasms (C00-D49)  \n3 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)  \n4 Endocrine, nutritional and metabolic diseases (E00-E89)  \n5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)  \n6 Diseases of the nervous system (G00-G99)  \n7 Diseases of the eye and adnexa (H00-H59)  \n8 Diseases of the ear and mastoid process (H60-H95)  \n9 Diseases of the circulatory system (I00-I99)  \n10 Diseases of the respiratory system (J00-J99)  \n11 Diseases of the digestive system (K00-K95)  \n12 Diseases of the skin and subcutaneous tissue (L00-L99)  \n13 Diseases of the musculoskeletal system and connective tissue (M00-M99)  \n14 Diseases of the genitourinary system (N00-N99)  \n15 Pregnancy, childbirth and the puerperium (O00-O9A)  \n16 Certain conditions originating in the perinatal period (P00-P96)  \n17 Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)  \n18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)  \n19 Injury, poisoning and certain other consequences of external causes (S00-T88)  \n20 External causes of morbidity (V00-Y99)  \n21 Factors influencing health status and contact with health services (Z00-Z99)  \n22 Codes for special purposes (U00-U85)  \nInstructional Notations  \nIncludes:  \nThe word 'Includes' appears immediately under certain categories to further define, or give examples of, the content of the category.  \nExcludes Notes  \nThe ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are both similar in that they indicate that codes excluded from each other are independent of each other.  \nExcludes1  \nA type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.  \nExcludes2  \nA type 2 excludes note represents 'Not included here'. An excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.  \nCode First/Use Additional Code notes (etiology/manifestation paired codes)  \nCertain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.  \nIn most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere.' Codes with this title are a component of the etiology/ manifestation convention. The code title indicates that it is a manifestation code. 'In diseases classified elsewhere' codes are never permitted to be used as first listed or principal diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.  \nCode Also  \nA code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes  \nis discretionary, depending on the severity of the conditions and the reason for the encounter.  \n7th characters and placeholder X  \nFor codes less than 6 characters that require a 7th character a placeholder X should be assigned for all char","cbCain9SnXZNK4hb","https://ap.wps.com/l/cbCain9SnXZNK4hb","pdf",6990505,1977,"English","# Table of Contents\n## Certain infectious and parasitic diseases (A00-B99)\n## Neoplasms (C00-D49)\n## Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)\n## Endocrine, nutritional and metabolic diseases (E00-E89)\n## Mental, Behavioral and Neurodevelopmental disorders (F01-F99)\n## Diseases of the nervous system (G00-G99)\n## Diseases of the eye and adnexa (H00-H59)\n## Diseases of the ear and mastoid process (H60-H95)\n## Diseases of the circulatory system (I00-I99)\n## Diseases of the respiratory system (J00-J99)\n## Diseases of the digestive system (K00-K95)\n## Diseases of the skin and subcutaneous tissue (L00-L99)\n## Diseases of the musculoskeletal system and connective tissue (M00-M99)\n## Diseases of the genitourinary system (N00-N99)\n## Pregnancy, childbirth and the puerperium (O00-O9A)\n## Certain conditions originating in the perinatal period (P00-P96)\n## Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)\n## Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)\n## Injury, poisoning and certain other consequences of external causes (S00-T88)\n## External causes of morbidity (V00-Y99)\n## Factors influencing health status and contact with health services (Z00-Z99)\n## Codes for special purposes (U00-U85)\n# Instructional Notations\n## Includes\n## Excludes Notes (Excludes1, Excludes2)\n## Code First / Use Additional Code\n## Code Also\n## 7th characters and placeholder X\n# Chapter 1\n## Certain infectious and parasitic diseases (A00-B99)\n## Intestinal infectious diseases (A00-A09)","[{\"question\":\"What does the “Includes” notation mean in ICD-10-CM?\",\"answer\":\"The “Includes” note appears under certain categories to define the content of that category further or give examples.\"},{\"question\":\"How do Excludes1 and Excludes2 differ?\",\"answer\":\"Excludes1 means “NOT CODED HERE!”—the excluded code should never be used with the code above. Excludes2 means “Not included here” but both conditions may occur together, so both codes can be used.\"},{\"question\":\"When do “Code First” and “Use Additional Code” notes apply?\",\"answer\":\"They apply when ICD-10-CM requires sequencing an underlying etiology code first, followed by a manifestation code. The instructional notes specify the correct order, etiology then manifestation.\"}]","ICD-10-CM Tabular List of Diseases and Injuries - Table of Contents | PDF",1792711435,4982]