ICD↔CPT crosswalk
CPT 0175U: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 0175U under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 0175U 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 |
|---|---|
| A03.8 | Other shigellosis |
| A03.9 | Shigellosis, unspecified |
| A04.4 | Other intestinal Escherichia coli infections |
| A15.9 | Respiratory tuberculosis unspecified |
| A17.9 | Tuberculosis of nervous system, unspecified |
| A18.01 | Tuberculosis of spine |
| A18.02 | Tuberculous arthritis of other joints |
| A18.03 | Tuberculosis of other bones |
| A18.09 | Other musculoskeletal tuberculosis |
| A18.10 | Tuberculosis of genitourinary system, unspecified |
| A18.11 | Tuberculosis of kidney and ureter |
| A18.12 | Tuberculosis of bladder |
| A18.13 | Tuberculosis of other urinary organs |
| A18.14 | Tuberculosis of prostate |
| A18.15 | Tuberculosis of other male genital organs |
| A18.16 | Tuberculosis of cervix |
| A18.17 | Tuberculous female pelvic inflammatory disease |
| A18.18 | Tuberculosis of other female genital organs |
| A18.2 | Tuberculous peripheral lymphadenopathy |
| A18.31 | Tuberculous peritonitis |
| A18.32 | Tuberculous enteritis |
| A18.39 | Retroperitoneal tuberculosis |
| A18.4 | Tuberculosis of skin and subcutaneous tissue |
| A18.50 | Tuberculosis of eye, unspecified |
| A18.51 | Tuberculous episcleritis |
| A18.52 | Tuberculous keratitis |
| A18.53 | Tuberculous chorioretinitis |
| A18.54 | Tuberculous iridocyclitis |
| A18.59 | Other tuberculosis of eye |
| A18.6 | Tuberculosis of (inner) (middle) ear |
| A18.7 | Tuberculosis of adrenal glands |
| A18.81 | Tuberculosis of thyroid gland |
| A18.82 | Tuberculosis of other endocrine glands |
| A18.83 | Tuberculosis of digestive tract organs, not elsewhere classified |
| A18.84 | Tuberculosis of heart |
| A18.85 | Tuberculosis of spleen |
| A18.89 | Tuberculosis of other sites |
| A19.8 | Other miliary tuberculosis |
| A19.9 | Miliary tuberculosis, unspecified |
| B18.0 | Chronic viral hepatitis B with delta-agent |
| B18.1 | Chronic viral hepatitis B without delta-agent |
| B18.2 | Chronic viral hepatitis C |
| B20 | Human immunodeficiency virus [HIV] disease |
| B37.81 | Candidal esophagitis |
| B37.89 | Other sites of candidiasis |
| B44.0 | Invasive pulmonary aspergillosis |
| B48.8 | Other specified mycoses |
| B51.0 | Plasmodium vivax malaria with rupture of spleen |
| B51.8 | Plasmodium vivax malaria with other complications |
| B51.9 | Plasmodium vivax malaria without complication |
| B59 | Pneumocystosis |
| B96.20 | Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere |
| C16.9 | Malignant neoplasm of stomach, unspecified |
| C18.9 | Malignant neoplasm of colon, unspecified |
| C19 | Malignant neoplasm of rectosigmoid junction |
| C20 | Malignant neoplasm of rectum |
| C25.4 | Malignant neoplasm of endocrine pancreas |
| C25.9 | Malignant neoplasm of pancreas, unspecified |
| C34.90 | Malignant neoplasm of unspecified part of unspecified bronchus or lung |
| C43.0 | Malignant melanoma of lip |
| C43.111 | Malignant melanoma of right upper eyelid, including canthus |
| C43.112 | Malignant melanoma of right lower eyelid, including canthus |
| C43.121 | Malignant melanoma of left upper eyelid, including canthus |
| C43.122 | Malignant melanoma of left lower eyelid, including canthus |
| C43.21 | Malignant melanoma of right ear and external auricular canal |
| C43.22 | Malignant melanoma of left ear and external auricular canal |
| C43.31 | Malignant melanoma of nose |
| C43.39 | Malignant melanoma of other parts of face |
| C43.4 | Malignant melanoma of scalp and neck |
| C43.51 | Malignant melanoma of anal skin |
| C43.52 | Malignant melanoma of skin of breast |
| C43.59 | Malignant melanoma of other part of trunk |
| C43.61 | Malignant melanoma of right upper limb, including shoulder |
| C43.62 | Malignant melanoma of left upper limb, including shoulder |
| C43.71 | Malignant melanoma of right lower limb, including hip |
| C43.72 | Malignant melanoma of left lower limb, including hip |
| C43.8 | Malignant melanoma of overlapping sites of skin |
| C43.9 | Malignant melanoma of skin, unspecified |
| C49.9 | Malignant neoplasm of connective and soft tissue, unspecified |
| C50.011 | Malignant neoplasm of nipple and areola, right female breast |
| C50.012 | Malignant neoplasm of nipple and areola, left female breast |
| C50.021 | Malignant neoplasm of nipple and areola, right male breast |
| C50.022 | Malignant neoplasm of nipple and areola, left male breast |
| C50.111 | Malignant neoplasm of central portion of right female breast |
| C50.112 | Malignant neoplasm of central portion of left female breast |
| C50.121 | Malignant neoplasm of central portion of right male breast |
| C50.122 | Malignant neoplasm of central portion of left male breast |
| C50.211 | Malignant neoplasm of upper-inner quadrant of right female breast |
| C50.212 | Malignant neoplasm of upper-inner quadrant of left female breast |
| C50.221 | Malignant neoplasm of upper-inner quadrant of right male breast |
| C50.222 | Malignant neoplasm of upper-inner quadrant of left male breast |
| C50.311 | Malignant neoplasm of lower-inner quadrant of right female breast |
| C50.312 | Malignant neoplasm of lower-inner quadrant of left female breast |
| C50.321 | Malignant neoplasm of lower-inner quadrant of right male breast |
| C50.322 | Malignant neoplasm of lower-inner quadrant of left male breast |
| C50.411 | Malignant neoplasm of upper-outer quadrant of right female breast |
| C50.412 | Malignant neoplasm of upper-outer quadrant of left female breast |
| C50.421 | Malignant neoplasm of upper-outer quadrant of right male breast |
| C50.422 | Malignant neoplasm of upper-outer quadrant of left male breast |
| C50.511 | Malignant neoplasm of lower-outer quadrant of right female breast |
| C50.512 | Malignant neoplasm of lower-outer quadrant of left female breast |
| C50.521 | Malignant neoplasm of lower-outer quadrant of right male breast |
| C50.522 | Malignant neoplasm of lower-outer quadrant of left male breast |
| C50.611 | Malignant neoplasm of axillary tail of right female breast |
| C50.612 | Malignant neoplasm of axillary tail of left female breast |
| C50.621 | Malignant neoplasm of axillary tail of right male breast |
| C50.622 | Malignant neoplasm of axillary tail of left male breast |
| C50.811 | Malignant neoplasm of overlapping sites of right female breast |
| C50.812 | Malignant neoplasm of overlapping sites of left female breast |
| C50.821 | Malignant neoplasm of overlapping sites of right male breast |
| C50.822 | Malignant neoplasm of overlapping sites of left male breast |
| C50.919 | Malignant neoplasm of unspecified site of unspecified female breast |
| C50.929 | Malignant neoplasm of unspecified site of unspecified male breast |
| C50.A1 | Malignant inflammatory neoplasm of right breast |
| C50.A2 | Malignant inflammatory neoplasm of left breast |
| C64.1 | Malignant neoplasm of right kidney, except renal pelvis |
| C64.2 | Malignant neoplasm of left kidney, except renal pelvis |
| C64.9 | Malignant neoplasm of unspecified kidney, except renal pelvis |
| C65.1 | Malignant neoplasm of right renal pelvis |
| C65.2 | Malignant neoplasm of left renal pelvis |
| C66.1 | Malignant neoplasm of right ureter |
| C66.2 | Malignant neoplasm of left ureter |
| C67.0 | Malignant neoplasm of trigone of bladder |
| C67.1 | Malignant neoplasm of dome of bladder |
| C67.2 | Malignant neoplasm of lateral wall of bladder |
| C67.3 | Malignant neoplasm of anterior wall of bladder |
| C67.4 | Malignant neoplasm of posterior wall of bladder |
| C67.5 | Malignant neoplasm of bladder neck |
| C67.6 | Malignant neoplasm of ureteric orifice |
| C67.7 | Malignant neoplasm of urachus |
| C67.8 | Malignant neoplasm of overlapping sites of bladder |
| C67.9 | Malignant neoplasm of bladder, unspecified |
| C68.0 | Malignant neoplasm of urethra |
| C68.1 | Malignant neoplasm of paraurethral glands |
| C68.8 | Malignant neoplasm of overlapping sites of urinary organs |
| C7A.093 | Malignant carcinoid tumor of the kidney |
| C84.40 | Peripheral T-cell lymphoma, not elsewhere classified, unspecified site |
| C84.48 | Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites |
| C91.00 | Acute lymphoblastic leukemia not having achieved remission |
| C91.01 | Acute lymphoblastic leukemia, in remission |
| C91.02 | Acute lymphoblastic leukemia, in relapse |
| C92.00 | Acute myeloblastic leukemia, not having achieved remission |
| C92.01 | Acute myeloblastic leukemia, in remission |
| C92.02 | Acute myeloblastic leukemia, in relapse |
| C92.10 | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission |
| C92.12 | Chronic myeloid leukemia, BCR/ABL-positive, in relapse |
| D13.7 | Benign neoplasm of endocrine pancreas |
| D18.02 | Hemangioma of intracranial structures |
| D32.0 | Benign neoplasm of cerebral meninges |
| D32.1 | Benign neoplasm of spinal meninges |
| D33.0 | Benign neoplasm of brain, supratentorial |
| D33.1 | Benign neoplasm of brain, infratentorial |
| D33.3 | Benign neoplasm of cranial nerves |
| D33.4 | Benign neoplasm of spinal cord |
| D33.7 | Benign neoplasm of other specified parts of central nervous system |
| D74.8 | Other methemoglobinemias |
| D84.89 | Other immunodeficiencies |
| D84.9 | Immunodeficiency, unspecified |
| E11.8 | Type 2 diabetes mellitus with unspecified complications |
| E11.9 | Type 2 diabetes mellitus without complications |
| E16.4 | Increased secretion of gastrin |
| E31.20 | Multiple endocrine neoplasia [MEN] syndrome, unspecified |
| E31.8 | Other polyglandular dysfunction |
| E46 | Unspecified protein-calorie malnutrition |
| E75.22 | Gaucher disease |
| E78.00 | Pure hypercholesterolemia, unspecified |
| E78.010 | Homozygous familial hypercholesterolemia [HoFH] |
| E78.011 | Heterozygous familial hypercholesterolemia [HeFH] |
| E78.019 | Familial hypercholesterolemia, unspecified |
| E78.1 | Pure hyperglyceridemia |
| E78.2 | Mixed hyperlipidemia |
| E78.49 | Other hyperlipidemia |
| E79.9 | Disorder of purine and pyrimidine metabolism, unspecified |
| E84.8 | Cystic fibrosis with other manifestations |
| F11.23 | Opioid dependence with withdrawal |
| F20.0 | Paranoid schizophrenia |
| F20.1 | Disorganized schizophrenia |
| F20.2 | Catatonic schizophrenia |
| F20.3 | Undifferentiated schizophrenia |
| F20.5 | Residual schizophrenia |
| F20.81 | Schizophreniform disorder |
| F20.89 | Other schizophrenia |
| F31.0 | Bipolar disorder, current episode hypomanic |
| F31.11 | Bipolar disorder, current episode manic without psychotic features, mild |
| F31.12 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F31.13 | Bipolar disorder, current episode manic without psychotic features, severe |
| F31.2 | Bipolar disorder, current episode manic severe with psychotic features |
| F31.31 | Bipolar disorder, current episode depressed, mild |
| F31.32 | Bipolar disorder, current episode depressed, moderate |
| F31.4 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F31.5 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F31.61 | Bipolar disorder, current episode mixed, mild |
| F31.62 | Bipolar disorder, current episode mixed, moderate |
| F31.63 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F31.64 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F31.71 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F31.73 | Bipolar disorder, in partial remission, most recent episode manic |
| F31.75 | Bipolar disorder, in partial remission, most recent episode depressed |
| F31.77 | Bipolar disorder, in partial remission, most recent episode mixed |
| F32.1 | Major depressive disorder, single episode, moderate |
| F32.2 | Major depressive disorder, single episode, severe without psychotic features |
| F32.3 | Major depressive disorder, single episode, severe with psychotic features |
| F32.4 | Major depressive disorder, single episode, in partial remission |
| F32.81 | Premenstrual dysphoric disorder |
| F32.9 | Major depressive disorder, single episode, unspecified |
| F33.1 | Major depressive disorder, recurrent, moderate |
| F33.2 | Major depressive disorder, recurrent severe without psychotic features |
| F33.3 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F33.41 | Major depressive disorder, recurrent, in partial remission |
| F33.9 | Major depressive disorder, recurrent, unspecified |
| F40.01 | Agoraphobia with panic disorder |
| F40.11 | Social phobia, generalized |
| F41.0 | Panic disorder [episodic paroxysmal anxiety] |
| F41.1 | Generalized anxiety disorder |
| F43.11 | Post-traumatic stress disorder, acute |
| F43.12 | Post-traumatic stress disorder, chronic |
| F52.0 | Hypoactive sexual desire disorder |
| F60.5 | Obsessive-compulsive personality disorder |
| F84.0 | Autistic disorder |
| F90.1 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| F90.2 | Attention-deficit hyperactivity disorder, combined type |
| F90.8 | Attention-deficit hyperactivity disorder, other type |
| F95.2 | Tourette's disorder |
| G10 | Huntington's disease |
| G24.01 | Drug induced subacute dyskinesia |
| G40.101 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus |
| G40.109 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus |
| G40.111 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus |
| G40.119 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus |
| G40.201 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus |
| G40.209 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus |
| G40.211 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus |
| G40.219 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus |
| G40.301 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| G40.309 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| G40.311 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus |
| G40.319 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus |
| G40.401 | Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| G40.409 | Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| G40.411 | Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus |
| G40.419 | Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus |
| G40.801 | Other epilepsy, not intractable, with status epilepticus |
| G40.802 | Other epilepsy, not intractable, without status epilepticus |
| G40.803 | Other epilepsy, intractable, with status epilepticus |
| G40.804 | Other epilepsy, intractable, without status epilepticus |
| G40.811 | Lennox-Gastaut syndrome, not intractable, with status epilepticus |
| G40.812 | Lennox-Gastaut syndrome, not intractable, without status epilepticus |
| G40.813 | Lennox-Gastaut syndrome, intractable, with status epilepticus |
| G40.814 | Lennox-Gastaut syndrome, intractable, without status epilepticus |
| G47.09 | Other insomnia |
| G47.411 | Narcolepsy with cataplexy |
| G47.419 | Narcolepsy without cataplexy |
| G50.0 | Trigeminal neuralgia |
| G70.80 | Lambert-Eaton syndrome, unspecified |
| G70.81 | Lambert-Eaton syndrome in disease classified elsewhere |
| G89.11 | Acute pain due to trauma |
| G89.18 | Other acute postprocedural pain |
| G89.29 | Other chronic pain |
| H66.90 | Otitis media, unspecified, unspecified ear |
| H66.93 | Otitis media, unspecified, bilateral |
| I10 | Essential (primary) hypertension |
| I20.0 | Unstable angina |
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
| I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
| I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
| I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
| I21.9 | Acute myocardial infarction, unspecified |
| I21.A1 | Myocardial infarction type 2 |
| I21.A9 | Other myocardial infarction type |
| I21.B | Myocardial infarction with coronary microvascular dysfunction |
| I22.0 | Subsequent ST elevation (STEMI) myocardial infarction of anterior wall |
| I22.1 | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall |
| I22.2 | Subsequent non-ST elevation (NSTEMI) myocardial infarction |
| I22.8 | Subsequent ST elevation (STEMI) myocardial infarction of other sites |
| I22.9 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
| I23.6 | Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction |
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| I25.2 | Old myocardial infarction |
| I26.02 | Saddle embolus of pulmonary artery with acute cor pulmonale |
| I26.03 | Cement embolism of pulmonary artery with acute cor pulmonale |
| I26.04 | Fat embolism of pulmonary artery with acute cor pulmonale |
| I26.09 | Other pulmonary embolism with acute cor pulmonale |
| I26.92 | Saddle embolus of pulmonary artery without acute cor pulmonale |
| I26.93 | Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale |
| I26.94 | Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale |
| I26.95 | Cement embolism of pulmonary artery without acute cor pulmonale |
| I26.96 | Fat embolism of pulmonary artery without acute cor pulmonale |
| I26.99 | Other pulmonary embolism without acute cor pulmonale |
| I42.1 | Obstructive hypertrophic cardiomyopathy |
| I48.0 | Paroxysmal atrial fibrillation |
| I48.11 | Longstanding persistent atrial fibrillation |
| I48.19 | Other persistent atrial fibrillation |
| I48.20 | Chronic atrial fibrillation, unspecified |
| I48.21 | Permanent atrial fibrillation |
| I50.1 | Left ventricular failure, unspecified |
| I50.20 | Unspecified systolic (congestive) heart failure |
| I50.30 | Unspecified diastolic (congestive) heart failure |
| I50.40 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.89 | Other heart failure |
| I50.9 | Heart failure, unspecified |
| I51.3 | Intracardiac thrombosis, not elsewhere classified |
| I69.30 | Unspecified sequelae of cerebral infarction |
| I82.890 | Acute embolism and thrombosis of other specified veins |
| I82.891 | Chronic embolism and thrombosis of other specified veins |
| J42 | Unspecified chronic bronchitis |
| J62.8 | Pneumoconiosis due to other dust containing silica |
| K21.00 | Gastro-esophageal reflux disease with esophagitis, without bleeding |
| K21.01 | Gastro-esophageal reflux disease with esophagitis, with bleeding |
| K21.9 | Gastro-esophageal reflux disease without esophagitis |
| K22.10 | Ulcer of esophagus without bleeding |
| K22.11 | Ulcer of esophagus with bleeding |
| K25.9 | Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation |
| K26.6 | Chronic or unspecified duodenal ulcer with both hemorrhage and perforation |
| K26.7 | Chronic duodenal ulcer without hemorrhage or perforation |
| K26.9 | Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation |
| K27.4 | Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage |
| K27.5 | Chronic or unspecified peptic ulcer, site unspecified, with perforation |
| K27.6 | Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation |
| K27.7 | Chronic peptic ulcer, site unspecified, without hemorrhage or perforation |
| K27.9 | Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation |
| K31.84 | Gastroparesis |
| K51.90 | Ulcerative colitis, unspecified, without complications |
| K51.918 | Ulcerative colitis, unspecified with other complication |
| K51.919 | Ulcerative colitis, unspecified with unspecified complications |
| K73.9 | Chronic hepatitis, unspecified |
| L20.89 | Other atopic dermatitis |
| L70.0 | Acne vulgaris |
| M06.89 | Other specified rheumatoid arthritis, multiple sites |
| M06.8A | Other specified rheumatoid arthritis, other specified site |
| M10.00 | Idiopathic gout, unspecified site |
| M10.09 | Idiopathic gout, multiple sites |
| M10.40 | Other secondary gout, unspecified site |
| M10.49 | Other secondary gout, multiple sites |
| M10.9 | Gout, unspecified |
| M19.09 | Primary osteoarthritis, other specified site |
| M19.29 | Secondary osteoarthritis, other specified site |
| M1A.00X0 | Idiopathic chronic gout, unspecified site, without tophus (tophi) |
| M1A.00X1 | Idiopathic chronic gout, unspecified site, with tophus (tophi) |
| M1A.0110 | Idiopathic chronic gout, right shoulder, without tophus (tophi) |
| M1A.0111 | Idiopathic chronic gout, right shoulder, with tophus (tophi) |
| M1A.0120 | Idiopathic chronic gout, left shoulder, without tophus (tophi) |
| M1A.0121 | Idiopathic chronic gout, left shoulder, with tophus (tophi) |
| M1A.0210 | Idiopathic chronic gout, right elbow, without tophus (tophi) |
| M1A.0211 | Idiopathic chronic gout, right elbow, with tophus (tophi) |
| M1A.0220 | Idiopathic chronic gout, left elbow, without tophus (tophi) |
| M1A.0221 | Idiopathic chronic gout, left elbow, with tophus (tophi) |
| M1A.0310 | Idiopathic chronic gout, right wrist, without tophus (tophi) |
| M1A.0311 | Idiopathic chronic gout, right wrist, with tophus (tophi) |
| M1A.0320 | Idiopathic chronic gout, left wrist, without tophus (tophi) |
| M1A.0321 | Idiopathic chronic gout, left wrist, with tophus (tophi) |
| M1A.0410 | Idiopathic chronic gout, right hand, without tophus (tophi) |
| M1A.0411 | Idiopathic chronic gout, right hand, with tophus (tophi) |
| M1A.0420 | Idiopathic chronic gout, left hand, without tophus (tophi) |
| M1A.0421 | Idiopathic chronic gout, left hand, with tophus (tophi) |
| M1A.0510 | Idiopathic chronic gout, right hip, without tophus (tophi) |
| M1A.0511 | Idiopathic chronic gout, right hip, with tophus (tophi) |
| M1A.0520 | Idiopathic chronic gout, left hip, without tophus (tophi) |
| M1A.0521 | Idiopathic chronic gout, left hip, with tophus (tophi) |
| M1A.0610 | Idiopathic chronic gout, right knee, without tophus (tophi) |
| M1A.0611 | Idiopathic chronic gout, right knee, with tophus (tophi) |
| M1A.0620 | Idiopathic chronic gout, left knee, without tophus (tophi) |
| M1A.0621 | Idiopathic chronic gout, left knee, with tophus (tophi) |
| M1A.0710 | Idiopathic chronic gout, right ankle and foot, without tophus (tophi) |
| M1A.0711 | Idiopathic chronic gout, right ankle and foot, with tophus (tophi) |
| M1A.0720 | Idiopathic chronic gout, left ankle and foot, without tophus (tophi) |
| M1A.0721 | Idiopathic chronic gout, left ankle and foot, with tophus (tophi) |
| M1A.08X0 | Idiopathic chronic gout, vertebrae, without tophus (tophi) |
| M1A.08X1 | Idiopathic chronic gout, vertebrae, with tophus (tophi) |
| M1A.09X0 | Idiopathic chronic gout, multiple sites, without tophus (tophi) |
| M1A.09X1 | Idiopathic chronic gout, multiple sites, with tophus (tophi) |
| M1A.1110 | Lead-induced chronic gout, right shoulder, without tophus (tophi) |
| M1A.1111 | Lead-induced chronic gout, right shoulder, with tophus (tophi) |
| M1A.1120 | Lead-induced chronic gout, left shoulder, without tophus (tophi) |
| M1A.1121 | Lead-induced chronic gout, left shoulder, with tophus (tophi) |
| M1A.1210 | Lead-induced chronic gout, right elbow, without tophus (tophi) |
| M1A.1211 | Lead-induced chronic gout, right elbow, with tophus (tophi) |
| M1A.1220 | Lead-induced chronic gout, left elbow, without tophus (tophi) |
| M1A.1221 | Lead-induced chronic gout, left elbow, with tophus (tophi) |
| M1A.1310 | Lead-induced chronic gout, right wrist, without tophus (tophi) |
| M1A.1311 | Lead-induced chronic gout, right wrist, with tophus (tophi) |
| M1A.1320 | Lead-induced chronic gout, left wrist, without tophus (tophi) |
| M1A.1321 | Lead-induced chronic gout, left wrist, with tophus (tophi) |
| M1A.1410 | Lead-induced chronic gout, right hand, without tophus (tophi) |
| M1A.1411 | Lead-induced chronic gout, right hand, with tophus (tophi) |
| M1A.1420 | Lead-induced chronic gout, left hand, without tophus (tophi) |
| M1A.1421 | Lead-induced chronic gout, left hand, with tophus (tophi) |
| M1A.1510 | Lead-induced chronic gout, right hip, without tophus (tophi) |
| M1A.1511 | Lead-induced chronic gout, right hip, with tophus (tophi) |
| M1A.1520 | Lead-induced chronic gout, left hip, without tophus (tophi) |
| M1A.1521 | Lead-induced chronic gout, left hip, with tophus (tophi) |
| M1A.1610 | Lead-induced chronic gout, right knee, without tophus (tophi) |
| M1A.1611 | Lead-induced chronic gout, right knee, with tophus (tophi) |
| M1A.1620 | Lead-induced chronic gout, left knee, without tophus (tophi) |
| M1A.1621 | Lead-induced chronic gout, left knee, with tophus (tophi) |
| M1A.1710 | Lead-induced chronic gout, right ankle and foot, without tophus (tophi) |
| M1A.1711 | Lead-induced chronic gout, right ankle and foot, with tophus (tophi) |
Showing the first 400 of 579 covered codes — this procedure has a large covered-diagnosis set; see the governing LCD/article for the complete list.
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 0175U?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 579 ICD-10 diagnosis codes that support medical necessity for CPT 0175U. 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 0175U view of that relationship.
Catch medical-necessity denials before you bill. CareNiva scrubs claims against LCD/NCD coverage and flags unsupported diagnoses — in the same platform you run visits and billing.
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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