Excludes 1 note

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Hello,

I am coding a chart with diagnoses of HTN, CHF and CKD but Takotsubo syndrome was also documented. There is an excludes1 note in the code book that this code cannot be coded with any condition due to HTN or HTN and CKD. In this scenario, should the provider be queried to see if the HTN, CHF and CKD are unrelated or would that be assumed based on the diagnosis of Takotsubo? If the provider cannot be queried, how would you code this scenario?
 
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