Wiki Excludes 1 explanation needed for a physician

[MSCALLIE79]

I am having trouble explaining the reason for excludes 1 rule to a physician for a patient that has strabismus (esotropia H50.011) and strabismic amblyopia (H53.031).
His response "Those are two related but separate diagnoses that require separate assessments and treatments. Many patients with strabismus do not have strabismic amblyopia, so the second diagnosis is a necessary addition that clearly adds more information. It's like a patient with hypertension and coronary disease. The hypertension might have caused the heart disease, but you still document and address the two problems separately. Can you please clarify the reasoning why I cannot document both of these diagnoses in the same patient?"

Can anyone give me a clinical explanation for these 2 codes?

 

[LakeshD]

Amblyopia can be caused by the misalignment of the two eyes—a condition called strabismus. With strabismus, the eyes can cross in (esotropia) or turn out (exotropia).

Hi,
Here the medical explanation between these 2 codes H53.031(Amblyopia) and H50.011(esotropia). amblyopia caused by strabismus esotropia . So we cannot code both if both given better to code amblyopia based on the provider documentation and treatment. Thank you