DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Guide · FY2027

Excludes1 vs Excludes2

FY2027 has 5,259 Excludes1 notes on 2,581 lines and 2,187 Excludes2 notes on 1,092 lines. The two kinds look alike and mean opposite things for reporting.

Excludes1: 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.

Official Guidelines FY2027, Section I.A.12.a

An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other.

Official Guidelines FY2027, Section I.A.12.a

Example, the Excludes1 notes at E11 Type 2 diabetes mellitus, as printed:

Excludes1

  • diabetes mellitus due to underlying condition (E08.-) E08
  • drug or chemical induced diabetes mellitus (E09.-) E09
  • gestational diabetes (O24.4-) O24.4
  • neonatal diabetes mellitus (P70.2) P70.2
  • postpancreatectomy diabetes mellitus (E13.-) E13
  • postprocedural diabetes mellitus (E13.-) E13
  • secondary diabetes mellitus NEC (E13.-) E13
  • type 1 diabetes mellitus (E10.-) E10

Excludes2: not included here

When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

Official Guidelines FY2027, Section I.A.12.b

Example, the Excludes2 notes at S72 Fracture of femur:

Excludes2

  • fracture of lower leg and ankle (S82.-) S82
  • fracture of foot (S92.-) S92
  • periprosthetic fracture of prosthetic implant of hip (M97.0-) M97.0

How many

Lines with itNotes
Excludes12,5815,259
Excludes21,0922,187
Both on one line259–

Excludes1 lines by length: 799 at 3 characters, 1,249 at 4 characters, 399 at 5 characters, 130 at 6 characters, 4 at 7 characters. 18 of the 22 chapters also carry Excludes notes at chapter level, and 108 blocks do. A note applies to everything below the line that carries it, so each code page here lists the Excludes notes of its own line and of every level above it.

Quotes: ICD-10-CM Official Guidelines for Coding and Reporting FY 2027 (CMS and NCHS), by section. Counts: computed from the NCHS FY2027 files on this site's build.