ICD-10-CM Excludes2 Notes · Chapter 20 · FY 2027 V00-Y99

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.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
64
References in Its Notes
61
References to Its Codes
40
Chapter Codes Named
V00-Y99
Chapter 20
Chapter 20

Excludes2 Notes by the code that carries the note

40 of 40 shown
  • Block note Block V00-V99 Transport accidents applies to 4,086 codes
    • transport accidents due to cataclysm (X34-X38)
  • Block note Block V10-V19 Pedal cycle rider injured in transport accident applies to 237 codes
    • rupture of pedal cycle tire (W37.0)
  • V91 Other injury due to accident to watercraft applies to 141 codes
    • drowning and submersion due to accident to watercraft (V90.-)
  • V91.3 Hit or struck by falling object due to accident to watercraft applies to 30 codes
    • drowning or submersion due to fall or jumping from damaged watercraft (V90.2-, V90.3-)
  • V92.0 Drowning and submersion due to fall off watercraft applies to 30 codes
    • 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.-)
  • V93.2 Heat exposure on board watercraft applies to 18 codes
    • burn due to fire on board watercraft (V93.0-)
  • V93.5 Explosion on board watercraft applies to 18 codes
    • fire on board watercraft (V93.0-)
  • V94.0 Hitting object or bottom of body of water due to fall from watercraft applies to 3 codes
    • drowning and submersion due to fall from watercraft (V92.0-)
  • Block note Block W00-W19 Slipping, tripping, stumbling and falls applies to 330 codes
    • at risk for fall (history of fall) Z91.81
    • fall (in) (from) burning building (X00.-)
    • fall into fire (X00-X04, X08)
  • W13.4 Fall from, out of or through window applies to 3 codes
    • fall with subsequent striking against sharp glass (W01.110-)
  • W16 Fall, jump or diving into water applies to 138 codes
    • striking or hitting diving board (W21.4)
  • W20.0 Struck by falling object in cave-in applies to 3 codes
    • asphyxiation due to cave-in (T71.21)
  • W25 Contact with sharp glass applies to 3 codes
    • glass embedded in skin (W45.-)
  • W26 Contact with other sharp objects applies to 15 codes
    • sharp object(s) embedded in skin (W45.-)
  • W28 Contact with powered lawn mower applies to 3 codes
    • exposure to electric current (W86.-)
  • W44 Foreign body entering into or through a natural orifice applies to 126 codes
    • contact with other sharp objects (W26)
    • contact with sharp glass (W25)
    • foreign body or object entering through skin (W45)
  • W44.B1 Plastic bead entering into or through a natural orifice applies to 3 codes
    • Plastic jewelry entering into or through a natural orifice (W44.B4)
  • W44.B4 Plastic jewelry entering into or through a natural orifice applies to 3 codes
    • Plastic bead entering into or through a natural orifice (W44.B1)
  • W45 Foreign body or object entering through skin applies to 9 codes
    • contact with hand tools (nonpowered) (powered) (W27-W29)
    • contact with other sharp object(s) (W26.-)
    • contact with sharp glass (W25.-)
    • struck by objects (W20-W22)
  • Block note Block W65-W74 Accidental non-transport drowning and submersion applies to 15 codes
    • accidental drowning and submersion due to cataclysm (X34-X39)
  • W89 Exposure to man-made visible and ultraviolet light applies to 12 codes
    • exposure to sunlight (X32)
  • W90 Exposure to other nonionizing radiation applies to 12 codes
    • exposure to sunlight (X32)
  • Block note Block X00-X08 Exposure to smoke, fire and flames applies to 120 codes
  • X00 Exposure to uncontrolled fire in building or structure applies to 21 codes
    • Exposure to ignition or melting of nightwear (X05)
    • Exposure to ignition or melting of other clothing and apparel (X06.-)
    • Exposure to other specified smoke, fire and flames (X08.-)
  • X04 Exposure to ignition of highly flammable material applies to 3 codes
    • exposure to ignition or melting of nightwear (X05)
    • exposure to ignition or melting of other clothing and apparel (X06)
  • X05 Exposure to ignition or melting of nightwear applies to 3 codes
    • 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.-)
  • X06 Exposure to ignition or melting of other clothing and apparel applies to 12 codes
    • 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.-)
  • X32 Exposure to sunlight applies to 3 codes
    • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
  • X34 Earthquake applies to 3 codes
    • tidal wave (tsunami) due to earthquake (X37.41)
  • X35 Volcanic eruption applies to 3 codes
    • tidal wave (tsunami) due to volcanic eruption (X37.41)
  • X36 Avalanche, landslide and other earth movements applies to 6 codes
    • transport accident involving collision with avalanche or landslide not in motion (V01-V99)
  • X37.8 Other cataclysmic storms applies to 3 codes
  • X50.3 Overexertion from repetitive movements applies to 3 codes
    • Overuse from prolonged static or awkward postures (X50.1)
  • Y22 Handgun discharge, undetermined intent applies to 3 codes
  • Y23 Rifle, shotgun and larger firearm discharge, undetermined intent applies to 18 codes
  • Block note Block Y62-Y69 Misadventures to patients during surgical and medical care applies to 33 codes
    • breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)
  • Y63 Failure in dosage during surgical and medical care applies to 9 codes
    • accidental overdose of drug or wrong drug given in error (T36-T50)
  • 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
    • breakdown or malfunctioning of medical device (after implantation) (during procedure) (ongoing use) (Y70-Y82)

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.