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Misplaced Modifiers. A misplaced modifier is a word, phrase, or clause that is improperly separated from the word it modifies / describes. Because of the separation, sentences with this error often sound awkward, ridiculous, or confusing.
It means not coded here. A type 1 excludes note indicates that the code excluded should never be used at the same time as G45.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.