CPT 0077U: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 0077U under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 0077U with a diagnosis that isn't covered typically denies as CARC 50 — not medically necessary.
National approximation. Coverage varies by MAC and state — confirm against the specific LCD/NCD and article that applies to your jurisdiction and date of service.
| ICD-10 | Description |
|---|---|
| C83.00 | Small cell B-cell lymphoma, unspecified site |
| C88.00 | Waldenstrom macroglobulinemia not having achieved remission |
| C88.20 | Heavy chain disease not having achieved remission |
| C90.00 | Multiple myeloma not having achieved remission |
| C90.01 | Multiple myeloma in remission |
| C90.02 | Multiple myeloma in relapse |
| C90.10 | Plasma cell leukemia not having achieved remission |
| C90.20 | Extramedullary plasmacytoma not having achieved remission |
| C90.30 | Solitary plasmacytoma not having achieved remission |
| C91.10 | Chronic lymphocytic leukemia of B-cell type not having achieved remission |
| D47.2 | Monoclonal gammopathy |
| D63.8 | Anemia in other chronic diseases classified elsewhere |
| D64.9 | Anemia, unspecified |
| D86.85 | Sarcoid myocarditis |
| E85.0 | Non-neuropathic heredofamilial amyloidosis |
| E85.2 | Heredofamilial amyloidosis, unspecified |
| E85.4 | Organ-limited amyloidosis |
| E85.81 | Light chain (AL) amyloidosis |
| E85.82 | Wild-type transthyretin-related (ATTR) amyloidosis |
| E85.89 | Other amyloidosis |
| E85.9 | Amyloidosis, unspecified |
| G62.9 | Polyneuropathy, unspecified |
| I11.0 | Hypertensive heart disease with heart failure |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I42.1 | Obstructive hypertrophic cardiomyopathy |
| I42.2 | Other hypertrophic cardiomyopathy |
| I42.3 | Endomyocardial (eosinophilic) disease |
| I42.4 | Endocardial fibroelastosis |
| I42.5 | Other restrictive cardiomyopathy |
| I42.6 | Alcoholic cardiomyopathy |
| I42.7 | Cardiomyopathy due to drug and external agent |
| I42.8 | Other cardiomyopathies |
| I42.9 | Cardiomyopathy, unspecified |
| I50.1 | Left ventricular failure, unspecified |
| I50.20 | Unspecified systolic (congestive) heart failure |
| I50.21 | Acute systolic (congestive) heart failure |
| I50.22 | Chronic systolic (congestive) heart failure |
| I50.23 | Acute on chronic systolic (congestive) heart failure |
| I50.30 | Unspecified diastolic (congestive) heart failure |
| I50.31 | Acute diastolic (congestive) heart failure |
| I50.32 | Chronic diastolic (congestive) heart failure |
| I50.33 | Acute on chronic diastolic (congestive) heart failure |
| I50.40 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.41 | Acute combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.43 | Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.810 | Right heart failure, unspecified |
| I50.811 | Acute right heart failure |
| I50.812 | Chronic right heart failure |
| I50.813 | Acute on chronic right heart failure |
| I50.814 | Right heart failure due to left heart failure |
| I50.82 | Biventricular heart failure |
| I50.83 | High output heart failure |
| I50.84 | End stage heart failure |
| I50.89 | Other heart failure |
| I50.9 | Heart failure, unspecified |
| M54.50 | Low back pain, unspecified |
| M79.7 | Fibromyalgia |
| M81.0 | Age-related osteoporosis without current pathological fracture |
| N03.8 | Chronic nephritic syndrome with other morphologic changes |
| N04.0 | Nephrotic syndrome with minor glomerular abnormality |
| N04.1 | Nephrotic syndrome with focal and segmental glomerular lesions |
| N04.20 | Nephrotic syndrome with diffuse membranous glomerulonephritis, unspecified |
| N04.9 | Nephrotic syndrome with unspecified morphologic changes |
| N05.5 | Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis |
| N05.8 | Unspecified nephritic syndrome with other morphologic changes |
| N05.9 | Unspecified nephritic syndrome with unspecified morphologic changes |
| N18.1 | Chronic kidney disease, stage 1 |
| N18.2 | Chronic kidney disease, stage 2 (mild) |
| N18.30 | Chronic kidney disease, stage 3 unspecified |
| N18.31 | Chronic kidney disease, stage 3a |
| N18.32 | Chronic kidney disease, stage 3b |
| N18.4 | Chronic kidney disease, stage 4 (severe) |
| N18.5 | Chronic kidney disease, stage 5 |
| N18.6 | End stage renal disease |
| N18.9 | Chronic kidney disease, unspecified |
| R20.2 | Paresthesia of skin |
| R53.82 | Chronic fatigue, unspecified |
| R53.83 | Other fatigue |
| R80.9 | Proteinuria, unspecified |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 0077U?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 82 ICD-10 diagnosis codes that support medical necessity for CPT 0077U. The covered codes are listed on this page. Coverage varies by MAC/state — always confirm against the policy that applies to you.
What is a medical-necessity (LCD/NCD) crosswalk?
A claim whose procedure isn't supported by a covered diagnosis denies as "not medically necessary" (CARC 50). CMS coverage policies define which diagnoses justify a procedure; this page is the ICD-10 → CPT 0077U view of that relationship.
More free billing tools: all crosswalks · NCCI edits · Medicare fees · denial codes
Informational only, not coding, billing, or legal advice. Based on CMS Medicare Coverage Database data; verify the current LCD/NCD for your MAC before billing.
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