Excludes2 Notes in Chapter 20: External causes of morbidity and mortality 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 20 (V00-Y99), notes printed in the chapter name other codes 64 times, and Excludes2 Notes anywhere in the Tabular List name the chapter’s codes 61 times, covering 40 distinct codes, categories and ranges. Switch views to read the list either way.
Excludes2 Notes by the code that carries the note
- rupture of pedal cycle tire (W37.0)
- drowning and submersion due to accident to watercraft (V90.-)
- hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)
- V93 Other injury due to accident on board watercraft, without accident to watercraft applies to 168 codes
- drowning and submersion due to accident on board watercraft, without accident to watercraft (V92.-)
- burn due to fire on board watercraft (V93.0-)
- fire on board watercraft (V93.0-)
- drowning and submersion due to fall from watercraft (V92.0-)
- fall with subsequent striking against sharp glass (W01.110-)
- striking or hitting diving board (W21.4)
- asphyxiation due to cave-in (T71.21)
- glass embedded in skin (W45.-)
- sharp object(s) embedded in skin (W45.-)
- exposure to electric current (W86.-)
- Plastic jewelry entering into or through a natural orifice (W44.B4)
- Plastic bead entering into or through a natural orifice (W44.B1)
- exposure to sunlight (X32)
- exposure to sunlight (X32)
- exposure to uncontrolled fire in building or structure (X00.-)
- exposure to uncontrolled fire, not in building or structure (X01.-)
- exposure to controlled fire in building or structure (X02.-)
- exposure to controlled fire, not in building or structure (X03.-)
- exposure to ignition of highly flammable materials (X04.-)
- exposure to uncontrolled fire in building or structure (X00.-)
- exposure to uncontrolled fire, not in building or structure (X01.-)
- exposure to controlled fire in building or structure (X02.-)
- exposure to controlled fire, not in building or structure (X03.-)
- exposure to ignition of highly flammable materials (X04.-)
- tidal wave (tsunami) due to earthquake (X37.41)
- tidal wave (tsunami) due to volcanic eruption (X37.41)
- flood (X38)
- Overuse from prolonged static or awkward postures (X50.1)
- very pistol (Y24.8)
- airgun (Y24.0)
- Block note Block Y62-Y69 Misadventures to patients during surgical and medical care applies to 33 codes
- Block note Block Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use applies to 63 codes
- later complications following use of medical devices without breakdown or malfunctioning of device (Y83-Y84)
- misadventure to patients during surgical and medical care, classifiable to (Y62-Y69)
- surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)
- Block note Block Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure applies to 19 codes
- V01-V99 Pedestrian injured in collision with pedal cycle to Unspecified transport accident 3,918 codes
- Block X00-X08 Exposure to smoke, fire and flames: transport accident (V01-V99)
- X36 Avalanche, landslide and other earth movements: transport accident involving collision with avalanche or landslide not in motion (V01-V99)
- V91.3 Hit or struck by falling object due to accident to watercraft: drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)
- V91.3 Hit or struck by falling object due to accident to watercraft: drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)
- V91 Other injury due to accident to watercraft: drowning and submersion due to accident to watercraft (V90.-)
- V94.0 Hitting object or bottom of body of water due to fall from watercraft: drowning and submersion due to fall from watercraft (V92.0-)
- V92.- Drowning and submersion due to accident on board watercraft, without accident to watercraft 84 codes
- V93 Other injury due to accident on board watercraft, without accident to watercraft: drowning and submersion due to accident on board watercraft, without accident to watercraft (V92.-)
- V92.0 Drowning and submersion due to fall off watercraft: hitting head on object or bottom of body of water due to fall from watercraft (V94.0-)
- W01.110- Fall on same level from slipping, tripping and stumbling with subsequent striking against sharp glass 3 codes
- W13.4 Fall from, out of or through window: fall with subsequent striking against sharp glass (W01.110-)
- W20-W22 Struck by thrown, projected or falling object to Striking against or struck by other objects 114 codes
- W45 Foreign body or object entering through skin: struck by objects (W20-W22)
- W16 Fall, jump or diving into water: striking or hitting diving board (W21.4)
- W27-W29 Contact with nonpowered hand tool to Contact with other powered hand tools and household machinery 42 codes
- W45 Foreign body or object entering through skin: contact with hand tools (nonpowered) (powered) (W27-W29)
- Block X00-X08 Exposure to smoke, fire and flames: explosions (W35-W40)
- Block V10-V19 Pedal cycle rider injured in transport accident: rupture of pedal cycle tire (W37.0)
- W44.B4 Plastic jewelry entering into or through a natural orifice: Plastic bead entering into or through a natural orifice (W44.B1)
- W44.B1 Plastic bead entering into or through a natural orifice: Plastic jewelry entering into or through a natural orifice (W44.B4)
- W28 Contact with powered lawn mower: exposure to electric current (W86.-)
- Z77.123 Contact with and (suspected) exposure to radon and other naturally occurring radiation: radiation exposure as the cause of a confirmed condition (W88-W90, X39.0-)
- Block W00-W19 Slipping, tripping, stumbling and falls: fall (in) (from) burning building (X00.-)
- X05 Exposure to ignition or melting of nightwear: exposure to uncontrolled fire in building or structure (X00.-)
- X06 Exposure to ignition or melting of other clothing and apparel: exposure to uncontrolled fire in building or structure (X00.-)
- X00-X04 Exposure to uncontrolled fire in building or structure to Exposure to ignition of highly flammable material 75 codes
- Block W00-W19 Slipping, tripping, stumbling and falls: fall into fire (X00-X04, X08)
- Block W00-W19 Slipping, tripping, stumbling and falls: fall into fire (X00-X04, X08)
- X00 Exposure to uncontrolled fire in building or structure: Exposure to other specified smoke, fire and flames (X08.-)
- Block V00-V99 Transport accidents: transport accidents due to cataclysm (X34-X38)
- Block W65-W74 Accidental non-transport drowning and submersion: accidental drowning and submersion due to cataclysm (X34-X39)
- X37.8 Other cataclysmic storms: flood (X38)
- Z77.123 Contact with and (suspected) exposure to radon and other naturally occurring radiation: radiation exposure as the cause of a confirmed condition (W88-W90, X39.0-)
- X50.3 Overexertion from repetitive movements: Overuse from prolonged static or awkward postures (X50.1)
- Y23 Rifle, shotgun and larger firearm discharge, undetermined intent: airgun (Y24.0)
- Y22 Handgun discharge, undetermined intent: very pistol (Y24.8)
- Y62-Y69 Failure of sterile precautions during surgical and medical care to Unspecified misadventure during surgical and medical care 33 codes
- Block Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use: misadventure to patients during surgical and medical care, classifiable to (Y62-Y69)
- Y70-Y82 Anesthesiology devices associated with adverse incidents to Other and unspecified medical devices associated with adverse incidents 63 codes
- Block Y62-Y69 Misadventures to patients during surgical and medical care: breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)
- Block Y83-Y84 Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure: breakdown or malfunctioning of medical device (after implantation) (during procedure) (ongoing use) (Y70-Y82)
- Y83-Y84 Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure to Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure 19 codes
- Block Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use: later complications following use of medical devices without breakdown or malfunctioning of device (Y83-Y84)
- Block Y70-Y82 Medical devices associated with adverse incidents in diagnostic and therapeutic use: surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)
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.