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T19.0 vs Z97.5

T19.0 (Foreign body in urethra) compared with Z97.5 (Presence of (intrauterine) contraceptive device), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because T19.0 lists Z97.5 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named, billing status and chapter.T19.0 is “Foreign body in urethra”; Z97.5 is “Presence of (intrauterine) contraceptive device”. T19.0 is a non-billable header; Z97.5 is billable. T19.0 sits in S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88); Z97.5 in Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99).

Registry fact

Can these codes be reported together?

Yes, when both are documented.T19.0 lists Z97.5 under Excludes2: “presence of contraceptive device (intrauterine) (vaginal) (Z97.5)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. Z97.5 carries 3 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.T19.0’s tabular entry: “presence of contraceptive device (intrauterine) (vaginal) (Z97.5)”. The note covers Z97.5.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.T19.0 is a non-billable header, but Z97.5 is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

T19.0
Foreign body in urethra
↔
Z97.5
Presence of (intrauterine) contraceptive device

What we found

Yes, when both are documented.T19.0 carries an Excludes2 note covering Z97.5: “presence of contraceptive device (intrauterine) (vaginal) (Z97.5)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

T19.0Foreign body in urethraZ97.5Presence of (intrauterine) contraceptive device
Billing statusNon-billable header

Report instead: T19.0XXA, T19.0XXD, T19.0XXS

Billable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionForeign body in urethra is a non-billable ICD-10-CM category code (T19.0).Presence of (intrauterine) contraceptive device is a billable ICD-10-CM diagnosis code (Z97.5).
7th characterThe appropriate 7th character is to be added to each code from category T19—
Excludes1—
checking, reinsertion or removal of implantable subdermal contraceptive (Z30.46)
checking, reinsertion or removal of intrauterine contraceptive device (Z30.43-)
complications of internal prosthetic devices, implants and grafts (T82-T85)
Excludes2
complications due to implanted mesh (T83.7-)
mechanical complications of contraceptive device (intrauterine) (vaginal) (T83.3-)
presence of contraceptive device (intrauterine) (vaginal) (Z97.5)
foreign body accidentally left in operation wound (T81.5-)
foreign body in penetrating wound - See open wound by body region
residual foreign body in soft tissue (M79.5)
splinter, without open wound - See superficial injury by body region
fitting and adjustment of prosthetic and other devices (Z44-Z46)
presence of cerebrospinal fluid drainage device (Z98.2)
Use additional code
code, if known, for foreign body entering into or through a natural orifice (W44.-)
—
Code also—
any follow-up examination (Z08-Z09)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources