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ICD↔CPT crosswalk

CPT 0193U: ICD-10 codes that support medical necessity

692 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 0193U under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 0193U 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-10Description
A03.8Other shigellosis
A03.9Shigellosis, unspecified
A04.4Other intestinal Escherichia coli infections
A15.9Respiratory tuberculosis unspecified
A17.9Tuberculosis of nervous system, unspecified
A18.01Tuberculosis of spine
A18.02Tuberculous arthritis of other joints
A18.03Tuberculosis of other bones
A18.09Other musculoskeletal tuberculosis
A18.10Tuberculosis of genitourinary system, unspecified
A18.11Tuberculosis of kidney and ureter
A18.12Tuberculosis of bladder
A18.13Tuberculosis of other urinary organs
A18.14Tuberculosis of prostate
A18.15Tuberculosis of other male genital organs
A18.16Tuberculosis of cervix
A18.17Tuberculous female pelvic inflammatory disease
A18.18Tuberculosis of other female genital organs
A18.2Tuberculous peripheral lymphadenopathy
A18.31Tuberculous peritonitis
A18.32Tuberculous enteritis
A18.39Retroperitoneal tuberculosis
A18.4Tuberculosis of skin and subcutaneous tissue
A18.50Tuberculosis of eye, unspecified
A18.51Tuberculous episcleritis
A18.52Tuberculous keratitis
A18.53Tuberculous chorioretinitis
A18.54Tuberculous iridocyclitis
A18.59Other tuberculosis of eye
A18.6Tuberculosis of (inner) (middle) ear
A18.7Tuberculosis of adrenal glands
A18.81Tuberculosis of thyroid gland
A18.82Tuberculosis of other endocrine glands
A18.83Tuberculosis of digestive tract organs, not elsewhere classified
A18.84Tuberculosis of heart
A18.85Tuberculosis of spleen
A18.89Tuberculosis of other sites
A19.8Other miliary tuberculosis
A19.9Miliary tuberculosis, unspecified
B18.0Chronic viral hepatitis B with delta-agent
B18.1Chronic viral hepatitis B without delta-agent
B18.2Chronic viral hepatitis C
B20Human immunodeficiency virus [HIV] disease
B37.81Candidal esophagitis
B37.89Other sites of candidiasis
B44.0Invasive pulmonary aspergillosis
B48.8Other specified mycoses
B51.0Plasmodium vivax malaria with rupture of spleen
B51.8Plasmodium vivax malaria with other complications
B51.9Plasmodium vivax malaria without complication
B59Pneumocystosis
B96.20Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere
C16.9Malignant neoplasm of stomach, unspecified
C18.9Malignant neoplasm of colon, unspecified
C19Malignant neoplasm of rectosigmoid junction
C20Malignant neoplasm of rectum
C25.4Malignant neoplasm of endocrine pancreas
C25.9Malignant neoplasm of pancreas, unspecified
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
C43.0Malignant melanoma of lip
C43.111Malignant melanoma of right upper eyelid, including canthus
C43.112Malignant melanoma of right lower eyelid, including canthus
C43.121Malignant melanoma of left upper eyelid, including canthus
C43.122Malignant melanoma of left lower eyelid, including canthus
C43.21Malignant melanoma of right ear and external auricular canal
C43.22Malignant melanoma of left ear and external auricular canal
C43.31Malignant melanoma of nose
C43.39Malignant melanoma of other parts of face
C43.4Malignant melanoma of scalp and neck
C43.51Malignant melanoma of anal skin
C43.52Malignant melanoma of skin of breast
C43.59Malignant melanoma of other part of trunk
C43.61Malignant melanoma of right upper limb, including shoulder
C43.62Malignant melanoma of left upper limb, including shoulder
C43.71Malignant melanoma of right lower limb, including hip
C43.72Malignant melanoma of left lower limb, including hip
C43.8Malignant melanoma of overlapping sites of skin
C43.9Malignant melanoma of skin, unspecified
C49.9Malignant neoplasm of connective and soft tissue, unspecified
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.111Malignant neoplasm of central portion of right female breast
C50.112Malignant neoplasm of central portion of left female breast
C50.121Malignant neoplasm of central portion of right male breast
C50.122Malignant neoplasm of central portion of left male breast
C50.211Malignant neoplasm of upper-inner quadrant of right female breast
C50.212Malignant neoplasm of upper-inner quadrant of left female breast
C50.221Malignant neoplasm of upper-inner quadrant of right male breast
C50.222Malignant neoplasm of upper-inner quadrant of left male breast
C50.311Malignant neoplasm of lower-inner quadrant of right female breast
C50.312Malignant neoplasm of lower-inner quadrant of left female breast
C50.321Malignant neoplasm of lower-inner quadrant of right male breast
C50.322Malignant neoplasm of lower-inner quadrant of left male breast
C50.411Malignant neoplasm of upper-outer quadrant of right female breast
C50.412Malignant neoplasm of upper-outer quadrant of left female breast
C50.421Malignant neoplasm of upper-outer quadrant of right male breast
C50.422Malignant neoplasm of upper-outer quadrant of left male breast
C50.511Malignant neoplasm of lower-outer quadrant of right female breast
C50.512Malignant neoplasm of lower-outer quadrant of left female breast
C50.521Malignant neoplasm of lower-outer quadrant of right male breast
C50.522Malignant neoplasm of lower-outer quadrant of left male breast
C50.611Malignant neoplasm of axillary tail of right female breast
C50.612Malignant neoplasm of axillary tail of left female breast
C50.621Malignant neoplasm of axillary tail of right male breast
C50.622Malignant neoplasm of axillary tail of left male breast
C50.811Malignant neoplasm of overlapping sites of right female breast
C50.812Malignant neoplasm of overlapping sites of left female breast
C50.821Malignant neoplasm of overlapping sites of right male breast
C50.822Malignant neoplasm of overlapping sites of left male breast
C50.919Malignant neoplasm of unspecified site of unspecified female breast
C50.929Malignant neoplasm of unspecified site of unspecified male breast
C50.A1Malignant inflammatory neoplasm of right breast
C50.A2Malignant inflammatory neoplasm of left breast
C64.1Malignant neoplasm of right kidney, except renal pelvis
C64.2Malignant neoplasm of left kidney, except renal pelvis
C64.9Malignant neoplasm of unspecified kidney, except renal pelvis
C65.1Malignant neoplasm of right renal pelvis
C65.2Malignant neoplasm of left renal pelvis
C66.1Malignant neoplasm of right ureter
C66.2Malignant neoplasm of left ureter
C67.0Malignant neoplasm of trigone of bladder
C67.1Malignant neoplasm of dome of bladder
C67.2Malignant neoplasm of lateral wall of bladder
C67.3Malignant neoplasm of anterior wall of bladder
C67.4Malignant neoplasm of posterior wall of bladder
C67.5Malignant neoplasm of bladder neck
C67.6Malignant neoplasm of ureteric orifice
C67.7Malignant neoplasm of urachus
C67.8Malignant neoplasm of overlapping sites of bladder
C67.9Malignant neoplasm of bladder, unspecified
C68.0Malignant neoplasm of urethra
C68.1Malignant neoplasm of paraurethral glands
C68.8Malignant neoplasm of overlapping sites of urinary organs
C7A.093Malignant carcinoid tumor of the kidney
C84.40Peripheral T-cell lymphoma, not elsewhere classified, unspecified site
C84.48Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites
C85.80Other specified types of non-Hodgkin lymphoma, unspecified site
C85.89Other specified types of non-Hodgkin lymphoma, extranodal and solid organ sites
C85.90Non-Hodgkin lymphoma, unspecified, unspecified site
C85.91Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck
C85.92Non-Hodgkin lymphoma, unspecified, intrathoracic lymph nodes
C85.93Non-Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes
C85.94Non-Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb
C85.95Non-Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb
C85.96Non-Hodgkin lymphoma, unspecified, intrapelvic lymph nodes
C85.97Non-Hodgkin lymphoma, unspecified, spleen
C85.98Non-Hodgkin lymphoma, unspecified, lymph nodes of multiple sites
C85.99Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites
C90.00Multiple myeloma not having achieved remission
C90.01Multiple myeloma in remission
C90.02Multiple myeloma in relapse
C91.00Acute lymphoblastic leukemia not having achieved remission
C91.01Acute lymphoblastic leukemia, in remission
C91.02Acute lymphoblastic leukemia, in relapse
C92.00Acute myeloblastic leukemia, not having achieved remission
C92.01Acute myeloblastic leukemia, in remission
C92.02Acute myeloblastic leukemia, in relapse
C92.10Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission
C92.12Chronic myeloid leukemia, BCR/ABL-positive, in relapse
C92.60Acute myeloid leukemia with 11q23-abnormality not having achieved remission
C92.61Acute myeloid leukemia with 11q23-abnormality in remission
C92.62Acute myeloid leukemia with 11q23-abnormality in relapse
C92.A0Acute myeloid leukemia with multilineage dysplasia, not having achieved remission
C92.A1Acute myeloid leukemia with multilineage dysplasia, in remission
C92.A2Acute myeloid leukemia with multilineage dysplasia, in relapse
D13.7Benign neoplasm of endocrine pancreas
D18.02Hemangioma of intracranial structures
D32.0Benign neoplasm of cerebral meninges
D32.1Benign neoplasm of spinal meninges
D33.0Benign neoplasm of brain, supratentorial
D33.1Benign neoplasm of brain, infratentorial
D33.3Benign neoplasm of cranial nerves
D33.4Benign neoplasm of spinal cord
D33.7Benign neoplasm of other specified parts of central nervous system
D46.CMyelodysplastic syndrome with isolated del(5q) chromosomal abnormality
D46.ZOther myelodysplastic syndromes
D51.0Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D53.9Nutritional anemia, unspecified
D55.0Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency
D55.1Anemia due to other disorders of glutathione metabolism
D55.29Anemia due to other disorders of glycolytic enzymes
D55.3Anemia due to disorders of nucleotide metabolism
D55.8Other anemias due to enzyme disorders
D55.9Anemia due to enzyme disorder, unspecified
D56.0Alpha thalassemia
D56.1Beta thalassemia
D56.2Delta-beta thalassemia
D56.3Thalassemia minor
D56.5Hemoglobin E-beta thalassemia
D56.8Other thalassemias
D56.9Thalassemia, unspecified
D57.00Hb-SS disease with crisis, unspecified
D57.01Hb-SS disease with acute chest syndrome
D57.02Hb-SS disease with splenic sequestration
D57.03Hb-SS disease with cerebral vascular involvement
D57.04Hb-SS disease with dactylitis
D57.09Hb-SS disease with crisis with other specified complication
D57.1Sickle-cell disease without crisis
D57.20Sickle-cell/Hb-C disease without crisis
D57.211Sickle-cell/Hb-C disease with acute chest syndrome
D57.212Sickle-cell/Hb-C disease with splenic sequestration
D57.213Sickle-cell/Hb-C disease with cerebral vascular involvement
D57.214Sickle-cell/Hb-C disease with dactylitis
D57.218Sickle-cell/Hb-C disease with crisis with other specified complication
D57.219Sickle-cell/Hb-C disease with crisis, unspecified
D57.3Sickle-cell trait
D57.40Sickle-cell thalassemia without crisis
D57.411Sickle-cell thalassemia, unspecified, with acute chest syndrome
D57.412Sickle-cell thalassemia, unspecified, with splenic sequestration
D57.413Sickle-cell thalassemia, unspecified, with cerebral vascular involvement
D57.414Sickle-cell thalassemia, unspecified, with dactylitis
D57.418Sickle-cell thalassemia, unspecified, with crisis with other specified complication
D57.419Sickle-cell thalassemia, unspecified, with crisis
D57.42Sickle-cell thalassemia beta zero without crisis
D57.431Sickle-cell thalassemia beta zero with acute chest syndrome
D57.432Sickle-cell thalassemia beta zero with splenic sequestration
D57.433Sickle-cell thalassemia beta zero with cerebral vascular involvement
D57.434Sickle-cell thalassemia beta zero with dactylitis
D57.438Sickle-cell thalassemia beta zero with crisis with other specified complication
D57.439Sickle-cell thalassemia beta zero with crisis, unspecified
D57.44Sickle-cell thalassemia beta plus without crisis
D57.451Sickle-cell thalassemia beta plus with acute chest syndrome
D57.452Sickle-cell thalassemia beta plus with splenic sequestration
D57.453Sickle-cell thalassemia beta plus with cerebral vascular involvement
D57.454Sickle-cell thalassemia beta plus with dactylitis
D57.458Sickle-cell thalassemia beta plus with crisis with other specified complication
D57.459Sickle-cell thalassemia beta plus with crisis, unspecified
D57.80Other sickle-cell disorders without crisis
D57.811Other sickle-cell disorders with acute chest syndrome
D57.812Other sickle-cell disorders with splenic sequestration
D57.813Other sickle-cell disorders with cerebral vascular involvement
D57.814Other sickle-cell disorders with dactylitis
D57.818Other sickle-cell disorders with crisis with other specified complication
D57.819Other sickle-cell disorders with crisis, unspecified
D58.0Hereditary spherocytosis
D58.1Hereditary elliptocytosis
D58.9Hereditary hemolytic anemia, unspecified
D59.0Drug-induced autoimmune hemolytic anemia
D59.10Autoimmune hemolytic anemia, unspecified
D59.11Warm autoimmune hemolytic anemia
D59.12Cold autoimmune hemolytic anemia
D59.13Mixed type autoimmune hemolytic anemia
D59.19Other autoimmune hemolytic anemia
D59.9Acquired hemolytic anemia, unspecified
D60.0Chronic acquired pure red cell aplasia
D60.1Transient acquired pure red cell aplasia
D60.8Other acquired pure red cell aplasias
D60.9Acquired pure red cell aplasia, unspecified
D61.01Constitutional (pure) red blood cell aplasia
D61.02Shwachman-Diamond syndrome
D61.03Fanconi anemia
D61.09Other constitutional aplastic anemia
D61.1Drug-induced aplastic anemia
D61.2Aplastic anemia due to other external agents
D61.3Idiopathic aplastic anemia
D61.89Other specified aplastic anemias and other bone marrow failure syndromes
D63.0Anemia in neoplastic disease
D63.1Anemia in chronic kidney disease
D63.8Anemia in other chronic diseases classified elsewhere
D64.0Hereditary sideroblastic anemia
D64.1Secondary sideroblastic anemia due to disease
D64.2Secondary sideroblastic anemia due to drugs and toxins
D64.3Other sideroblastic anemias
D64.4Congenital dyserythropoietic anemia
D64.89Other specified anemias
D74.8Other methemoglobinemias
D84.89Other immunodeficiencies
D84.9Immunodeficiency, unspecified
E11.8Type 2 diabetes mellitus with unspecified complications
E11.9Type 2 diabetes mellitus without complications
E16.4Increased secretion of gastrin
E31.20Multiple endocrine neoplasia [MEN] syndrome, unspecified
E31.8Other polyglandular dysfunction
E46Unspecified protein-calorie malnutrition
E75.22Gaucher disease
E78.00Pure hypercholesterolemia, unspecified
E78.010Homozygous familial hypercholesterolemia [HoFH]
E78.011Heterozygous familial hypercholesterolemia [HeFH]
E78.019Familial hypercholesterolemia, unspecified
E78.1Pure hyperglyceridemia
E78.2Mixed hyperlipidemia
E78.49Other hyperlipidemia
E79.9Disorder of purine and pyrimidine metabolism, unspecified
E84.8Cystic fibrosis with other manifestations
F11.23Opioid dependence with withdrawal
F20.0Paranoid schizophrenia
F20.1Disorganized schizophrenia
F20.2Catatonic schizophrenia
F20.3Undifferentiated schizophrenia
F20.5Residual schizophrenia
F20.81Schizophreniform disorder
F20.89Other schizophrenia
F31.0Bipolar disorder, current episode hypomanic
F31.11Bipolar disorder, current episode manic without psychotic features, mild
F31.12Bipolar disorder, current episode manic without psychotic features, moderate
F31.13Bipolar disorder, current episode manic without psychotic features, severe
F31.2Bipolar disorder, current episode manic severe with psychotic features
F31.31Bipolar disorder, current episode depressed, mild
F31.32Bipolar disorder, current episode depressed, moderate
F31.4Bipolar disorder, current episode depressed, severe, without psychotic features
F31.5Bipolar disorder, current episode depressed, severe, with psychotic features
F31.61Bipolar disorder, current episode mixed, mild
F31.62Bipolar disorder, current episode mixed, moderate
F31.63Bipolar disorder, current episode mixed, severe, without psychotic features
F31.64Bipolar disorder, current episode mixed, severe, with psychotic features
F31.71Bipolar disorder, in partial remission, most recent episode hypomanic
F31.73Bipolar disorder, in partial remission, most recent episode manic
F31.75Bipolar disorder, in partial remission, most recent episode depressed
F31.77Bipolar disorder, in partial remission, most recent episode mixed
F32.1Major depressive disorder, single episode, moderate
F32.2Major depressive disorder, single episode, severe without psychotic features
F32.3Major depressive disorder, single episode, severe with psychotic features
F32.4Major depressive disorder, single episode, in partial remission
F32.81Premenstrual dysphoric disorder
F32.9Major depressive disorder, single episode, unspecified
F33.1Major depressive disorder, recurrent, moderate
F33.2Major depressive disorder, recurrent severe without psychotic features
F33.3Major depressive disorder, recurrent, severe with psychotic symptoms
F33.41Major depressive disorder, recurrent, in partial remission
F33.9Major depressive disorder, recurrent, unspecified
F40.01Agoraphobia with panic disorder
F40.11Social phobia, generalized
F41.0Panic disorder [episodic paroxysmal anxiety]
F41.1Generalized anxiety disorder
F43.11Post-traumatic stress disorder, acute
F43.12Post-traumatic stress disorder, chronic
F52.0Hypoactive sexual desire disorder
F60.5Obsessive-compulsive personality disorder
F84.0Autistic disorder
F90.1Attention-deficit hyperactivity disorder, predominantly hyperactive type
F90.2Attention-deficit hyperactivity disorder, combined type
F90.8Attention-deficit hyperactivity disorder, other type
F95.2Tourette's disorder
G10Huntington's disease
G24.01Drug induced subacute dyskinesia
G40.101Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus
G40.109Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus
G40.111Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus
G40.119Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
G40.201Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
G40.209Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
G40.211Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
G40.219Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
G40.301Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.309Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.311Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.319Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.401Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.409Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.411Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.419Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.801Other epilepsy, not intractable, with status epilepticus
G40.802Other epilepsy, not intractable, without status epilepticus
G40.803Other epilepsy, intractable, with status epilepticus
G40.804Other epilepsy, intractable, without status epilepticus
G40.811Lennox-Gastaut syndrome, not intractable, with status epilepticus
G40.812Lennox-Gastaut syndrome, not intractable, without status epilepticus
G40.813Lennox-Gastaut syndrome, intractable, with status epilepticus
G40.814Lennox-Gastaut syndrome, intractable, without status epilepticus
G47.09Other insomnia
G47.411Narcolepsy with cataplexy
G47.419Narcolepsy without cataplexy
G50.0Trigeminal neuralgia
G70.80Lambert-Eaton syndrome, unspecified
G70.81Lambert-Eaton syndrome in disease classified elsewhere
G89.11Acute pain due to trauma
G89.18Other acute postprocedural pain
G89.29Other chronic pain
H66.90Otitis media, unspecified, unspecified ear
H66.93Otitis media, unspecified, bilateral
I10Essential (primary) hypertension
I20.0Unstable angina
I21.01ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29ST elevation (STEMI) myocardial infarction involving other sites
I21.4Non-ST elevation (NSTEMI) myocardial infarction
I21.9Acute myocardial infarction, unspecified
I21.A1Myocardial infarction type 2
I21.A9Other myocardial infarction type
I21.BMyocardial infarction with coronary microvascular dysfunction
I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.2Old myocardial infarction
I26.02Saddle embolus of pulmonary artery with acute cor pulmonale
I26.03Cement embolism of pulmonary artery with acute cor pulmonale
I26.04Fat embolism of pulmonary artery with acute cor pulmonale
I26.09Other pulmonary embolism with acute cor pulmonale
I26.92Saddle embolus of pulmonary artery without acute cor pulmonale
I26.93Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale

Showing the first 400 of 692 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 0193U?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 692 ICD-10 diagnosis codes that support medical necessity for CPT 0193U. 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 0193U 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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