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CC/ MCC Exclusion

Michelle Posted Wed 13th of February, 2019 12:13:10 PM
What does CC/MCC exclusions mean? I noticed a list of codes that come up under that category when I looked up O10.011 pre-existing essential hypertension complicating pregnancy.
SuperCoder Answered Thu 14th of February, 2019 05:52:10 AM

Hi Michelle,

CC/MCC exclusions defined as either a complication or comorbidity (CC) or a major complication or comorbidity (MCC) when used as a secondary diagnosis.

When ever there is list of these exclusions with a code then CC or MCC is not allowed with principal diagnoses. Otherwise if not listed, they are allowed with principal diagnosis. Also, follow the link below to give you better clarity for exclusion codes, how and when to use. Feel free to ask for any further query. Thank you.

https://www.cms.gov/icd10manual/fullcode_cms/P0031.html 

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