System that lets a proposed insured who is replacing a policy to obtain a new policy with little or no evidence of insurability if this was recently established by the company that issued the original policy.

Benefit not covered by Medicare such as routine physical examination, eye examination, foot care, eyeglasses, hearing aids, immunizations not related to injury or immediate risk of infection, cosmetic surgery not related to an illness or injury, custodial care, personal comfort items, and procedure not reasonable and necessary for diagnosing and treating an illness or injury.

Word with number that is one of the conventions used in the diagnostic code book titled International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) . This indicates that the code excluded should never be used at the same time as the code above the Excludes 1 note. An Excludes 1 is when two conditions cannot occur together (e.g., congenital form versus acquired form of a condition). A note instructs the reader to go to another code for the excluded condition. This convention does not appear in the former ICD-9-CM code books.

Word with number that is one of the conventions used in the diagnostic code book titled International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) . This note represents “Not included here” and 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 Excludes 2 note appears under a code, it is acceptable to use both the code and the excluded code together. This convention does not appear in the former ICD-9-CM code books.

Term (excludes) used in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Tabular List, Volume 1, that refers to terms or conditions that are not included within the diagnostic code. These notes may further direct the coder to the correct diagnostic code assignment.

Office of the Inspector General (OIG) record of providers, individuals, and entities that are excluded from Medicare reimbursement. It includes identifying information about the sanctioned party, specialty, notice date, sanction period, and sections of the Social Security Act used in arriving at the determination to impose a sanction. It is titled List of Excluded Individuals/Entities (LEIE) and may be found at http://oig.hhs.gov/fraud/exclusions.asp . Also called sanctioned provider list .

Excludes notation that lists a disease or condition with a diagnostic code that indicates it cannot be used when assigning a code from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) , Tabular List, Volume 1.