Wiki 291.81 and 303.91

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jessv1910

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Dx for Axis I: Alcohol Dependence, Alcohol withdrawal
Can I use 291.81 and 303.91?

291.81 has an "excludes" note and 303 has "add an additional code" note, which is making my decision very difficult. :confused:

I found this note online:
Excludes: An excludes note under a code indicates that the terms excluded
from the code are to be coded elsewhere. In some cases the codes
for the excluded terms should not be used in conjunction with the
code from which it is excluded. An example of this is a congenital
condition excluded from an acquired form of the same condition.
The congenital and acquired codes should not be used together. In
other cases, the excluded terms may be used together with an
excluded code. An example of this is when fractures of different
bones are coded to different codes. Both codes may be used
together if both types of fractures are present.

How do I know when to code both codes and when not to code them both?
Please HELP!
 
My confusion is because of the excludes note under main category 291
EXCLUDES: alcoholism without psychosis (303.0-303.9)
And since the other code is 303.91

I'm just not sure how to interpreter the “excludes” notes. Does it mean that when a code is part of the “excludes” ones (like in this case) it can or it cannot be coded too.

I really appreciate all the help! Thanks!
 
I found this note online:
Excludes: An excludes note under a code indicates that the terms excluded
from the code are to be coded elsewhere. In some cases the codes
for the excluded terms should not be used in conjunction with the
code from which it is excluded. An example of this is a congenital
condition excluded from an acquired form of the same condition.
The congenital and acquired codes should not be used together. In
other cases, the excluded terms may be used together with an
excluded code. An example of this is when fractures of different
bones are coded to different codes. Both codes may be used
together if both types of fractures are present.


I'm relating this with the fact that a pt is having withdrawal symptoms due to drinking... so maybe the 303.91 is not necessary and this is the reason why is excluded... I don't know... I'm not sure.
 
I have a book that I used to learn ICD9 coding in school and it has an example in it that leads me to think that you would code both of the above codes. 291 is saying that they are in withdrawl and 303 is saying that they are dependent on it
 
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