ICD-10-CM Excludes2 Notes · Chapter 3 · FY 2027 D50-D89

Excludes2 Notes in Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism ICD-10-CM

An Excludes2 note means "NOT INCLUDED HERE": the excluded condition is not part of this code, but a patient may have both, so both codes may be reported. In Chapter 3 (D50-D89), notes printed in the chapter name other codes 54 times, and Excludes2 Notes anywhere in the Tabular List name the chapter’s codes 40 times, covering 24 distinct codes, categories and ranges. Switch views to read the list either way.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
54
References in Its Notes
40
References to Its Codes
24
Chapter Codes Named
D50-D89
Chapter 3
Chapter 3

Excludes2 Notes by the code that carries the note

23 of 23 shown
  • Chapter note Chapter 3 (D50-D89) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism applies to 324 codes
    • autoimmune disease (systemic) NOS (M35.9)
    • certain conditions originating in the perinatal period (P00-P96)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • human immunodeficiency virus [HIV] disease (B20)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • D51 Vitamin B12 deficiency anemia applies to 6 codes
    • deficiency of other B group vitamins (E53-)
  • D53.8 Other specified nutritional anemias
    • copper deficiency NOS (E61.0)
    • molybdenum deficiency NOS (E61.5)
    • zinc deficiency NOS (E60)
  • D59.1 Other autoimmune hemolytic anemias applies to 5 codes
    • Evans syndrome (D69.41)
    • hemolytic disease of newborn (P55.-)
    • paroxysmal cold hemoglobinuria (D59.6)
  • D61 Other aplastic anemias and other bone marrow failure syndromes applies to 13 codes
  • D61.81 Pancytopenia applies to 3 codes
    • pancytopenia (due to) (with) myelodysplastic syndromes (D46.-)
  • D61.810 Antineoplastic chemotherapy induced pancytopenia
    • aplastic anemia due to antineoplastic chemotherapy (D61.1)
  • D61.811 Other drug-induced pancytopenia
    • aplastic anemia due to drugs (D61.1)
  • D63.0 Anemia in neoplastic disease
    • anemia due to antineoplastic chemotherapy (D64.81)
  • D64.81 Anemia due to antineoplastic chemotherapy
    • anemia in neoplastic disease (D63.0)
    • aplastic anemia due to antineoplastic chemotherapy (D61.1)
  • D65 Disseminated intravascular coagulation [defibrination syndrome]
    • abortion or ectopic or molar pregnancy (O00-O07, O08.1)
  • D68 Other coagulation defects applies to 25 codes
    • coagulation defects complicating abortion or ectopic or molar pregnancy (O00-O07, O08.1)
    • coagulation defects complicating pregnancy, childbirth and the puerperium (O45.0, O46.0, O67.0, O72.3)
  • D68.312 Antiphospholipid antibody with hemorrhagic disorder
    • antiphospholipid antibody syndrome (D68.61)
    • antiphospholipid antibody with hypercoagulable state (D68.61)
    • lupus anticoagulant (LAC) with hypercoagulable state (D68.62)
    • systemic lupus erythematosus [SLE] inhibitor with hypercoagulable state (D68.62)
  • D68.61 Antiphospholipid syndrome
    • anti-phospholipid antibody with hemorrhagic disorder (D68.312)
    • lupus anticoagulant syndrome (D68.62)
  • D68.62 Lupus anticoagulant syndrome
    • anticardiolipin syndrome (D68.61)
    • antiphospholipid syndrome (D68.61)
    • lupus anticoagulant (LAC) with hemorrhagic disorder (D68.312)
  • D69.1 Qualitative platelet defects applies to 2 codes
    • von Willebrand disease (D68.0-)
  • D72 Other disorders of white blood cells applies to 22 codes
    • neutropenia (D70)
  • D72.1 Eosinophilia applies to 8 codes
    • Löffler's syndrome (J82.89)
    • pulmonary eosinophilia (J82.-)
  • D72.81 Decreased white blood cell count applies to 3 codes
    • neutropenia (D70)
  • D75 Other and unspecified diseases of blood and blood-forming organs applies to 13 codes
    • acute lymphadenitis (L04.-)
    • chronic lymphadenitis (I88.1)
    • enlarged lymph nodes (R59.-)
    • hypergammaglobulinemia NOS (D89.2)
    • lymphadenitis NOS (I88.9)
    • mesenteric lymphadenitis (acute) (chronic) (I88.0)
  • D75.83 Thrombocytosis applies to 2 codes
    • essential thrombocythemia (D47.3)
  • Block note Block D80-D89 Certain disorders involving the immune mechanism applies to 83 codes
    • human immunodeficiency virus [HIV] disease (B20)
  • D89 Other disorders involving the immune mechanism, not elsewhere classified applies to 24 codes
    • transplant failure and rejection (T86.-)

The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Excludes2 Notes anywhere in the Tabular List, including notes in other chapters.

Questions About Excludes2 Notes

What does an Excludes2 note mean?

An Excludes2 note means “Not included here”: the excluded condition is not part of the condition represented by the code, but a patient may have both conditions at the same time (Section I.A.12.b). The FY 2027 Tabular List has 2,529 of them; 2,493 name other codes, with 2,799 references to 1,779 distinct codes, categories and ranges.

Can both codes be reported when there is an Excludes2 note?

Yes. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate: that is, when the patient has both conditions and both are documented.

Related References

Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.