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How are "excludes notes" identified in ICD-9-CM coding?

  1. Printed in italics and a box

  2. Highlighted in bold letters

  3. Color-coded for visibility

  4. Underlined for emphasis

The correct answer is: Printed in italics and a box

"Excludes notes" in ICD-9-CM coding are identified by being printed in italics and a box. This formatting helps distinguish them from other text in the coding guidelines and indicates that certain codes should not be used together or are mutually exclusive. This design helps coders make accurate code selections by drawing attention to important coding rules and restrictions. The other options - highlighted in bold letters, color-coded for visibility, and underlined for emphasis - are not the typical ways "excludes notes" are presented in ICD-9-CM coding.