View All. Official Long Descriptor. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. ICD code series S Category Notes. Well as you can see that has not happened. I'm trying to code for the biceps repair. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate. Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system. Biceps Tendon Rupture-Proximal M A sprain is a stretched or torn ligament. M code is for spontaneous rupture, not for chronic bicep tear. I am in my last semester in school I always wanted to help people which is what led me down the path of becoming a psychiatrist.