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ICD↔CPT crosswalk

CPT 11010: ICD-10 codes that support medical necessity

1249 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 11010 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 11010 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
E10.620Type 1 diabetes mellitus with diabetic dermatitis
E10.621Type 1 diabetes mellitus with foot ulcer
E10.622Type 1 diabetes mellitus with other skin ulcer
E10.628Type 1 diabetes mellitus with other skin complications
E10.65Type 1 diabetes mellitus with hyperglycemia
E10.69Type 1 diabetes mellitus with other specified complication
E11.620Type 2 diabetes mellitus with diabetic dermatitis
E11.621Type 2 diabetes mellitus with foot ulcer
E11.622Type 2 diabetes mellitus with other skin ulcer
E11.628Type 2 diabetes mellitus with other skin complications
E11.65Type 2 diabetes mellitus with hyperglycemia
E11.69Type 2 diabetes mellitus with other specified complication
E75.21Fabry (-Anderson) disease
G60.0Hereditary motor and sensory neuropathy
G60.1Refsum's disease
G60.2Neuropathy in association with hereditary ataxia
G60.3Idiopathic progressive neuropathy
G60.8Other hereditary and idiopathic neuropathies
I70.231Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
I70.239Atherosclerosis of native arteries of right leg with ulceration of unspecified site
I70.241Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
I70.249Atherosclerosis of native arteries of left leg with ulceration of unspecified site
I70.25Atherosclerosis of native arteries of other extremities with ulceration
I70.261Atherosclerosis of native arteries of extremities with gangrene, right leg
I70.262Atherosclerosis of native arteries of extremities with gangrene, left leg
I70.263Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.268Atherosclerosis of native arteries of extremities with gangrene, other extremity
I70.269Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity
I83.011Varicose veins of right lower extremity with ulcer of thigh
I83.012Varicose veins of right lower extremity with ulcer of calf
I83.013Varicose veins of right lower extremity with ulcer of ankle
I83.014Varicose veins of right lower extremity with ulcer of heel and midfoot
I83.015Varicose veins of right lower extremity with ulcer other part of foot
I83.018Varicose veins of right lower extremity with ulcer other part of lower leg
I83.021Varicose veins of left lower extremity with ulcer of thigh
I83.022Varicose veins of left lower extremity with ulcer of calf
I83.023Varicose veins of left lower extremity with ulcer of ankle
I83.024Varicose veins of left lower extremity with ulcer of heel and midfoot
I83.025Varicose veins of left lower extremity with ulcer other part of foot
I83.028Varicose veins of left lower extremity with ulcer other part of lower leg
I83.211Varicose veins of right lower extremity with both ulcer of thigh and inflammation
I83.212Varicose veins of right lower extremity with both ulcer of calf and inflammation
I83.213Varicose veins of right lower extremity with both ulcer of ankle and inflammation
I83.214Varicose veins of right lower extremity with both ulcer of heel and midfoot and inflammation
I83.215Varicose veins of right lower extremity with both ulcer other part of foot and inflammation
I83.218Varicose veins of right lower extremity with both ulcer of other part of lower extremity and inflammation
I83.221Varicose veins of left lower extremity with both ulcer of thigh and inflammation
I83.222Varicose veins of left lower extremity with both ulcer of calf and inflammation
I83.223Varicose veins of left lower extremity with both ulcer of ankle and inflammation
I83.224Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation
I83.225Varicose veins of left lower extremity with both ulcer other part of foot and inflammation
I83.228Varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation
I87.011Postthrombotic syndrome with ulcer of right lower extremity
I87.012Postthrombotic syndrome with ulcer of left lower extremity
I87.013Postthrombotic syndrome with ulcer of bilateral lower extremity
I87.031Postthrombotic syndrome with ulcer and inflammation of right lower extremity
I87.032Postthrombotic syndrome with ulcer and inflammation of left lower extremity
I87.033Postthrombotic syndrome with ulcer and inflammation of bilateral lower extremity
I87.311Chronic venous hypertension (idiopathic) with ulcer of right lower extremity
I87.312Chronic venous hypertension (idiopathic) with ulcer of left lower extremity
I87.313Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity
I87.331Chronic venous hypertension (idiopathic) with ulcer and inflammation of right lower extremity
I87.332Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity
I87.333Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity
I96Gangrene, not elsewhere classified
K12.2Cellulitis and abscess of mouth
K62.6Ulcer of anus and rectum
L03.011Cellulitis of right finger
L03.012Cellulitis of left finger
L03.031Cellulitis of right toe
L03.032Cellulitis of left toe
L03.111Cellulitis of right axilla
L03.112Cellulitis of left axilla
L03.113Cellulitis of right upper limb
L03.114Cellulitis of left upper limb
L03.115Cellulitis of right lower limb
L03.116Cellulitis of left lower limb
L03.211Cellulitis of face
L03.221Cellulitis of neck
L03.222Acute lymphangitis of neck
L03.311Cellulitis of abdominal wall
L03.312Cellulitis of back [any part except buttock and flank]
L03.313Cellulitis of chest wall
L03.314Cellulitis of groin
L03.315Cellulitis of perineum
L03.316Cellulitis of umbilicus
L03.317Cellulitis of buttock
L03.811Cellulitis of head [any part, except face]
L05.01Pilonidal cyst with abscess
L08.0Pyoderma
L08.89Other specified local infections of the skin and subcutaneous tissue
L11.0Acquired keratosis follicularis
L12.0Bullous pemphigoid
L59.8Other specified disorders of the skin and subcutaneous tissue related to radiation
L73.8Other specified follicular disorders
L84Corns and callosities
L85.0Acquired ichthyosis
L85.1Acquired keratosis [keratoderma] palmaris et plantaris
L85.2Keratosis punctata (palmaris et plantaris)
L85.8Other specified epidermal thickening
L86Keratoderma in diseases classified elsewhere
L87.0Keratosis follicularis et parafollicularis in cutem penetrans
L87.2Elastosis perforans serpiginosa
L89.012Pressure ulcer of right elbow, stage 2
L89.013Pressure ulcer of right elbow, stage 3
L89.014Pressure ulcer of right elbow, stage 4
L89.016Pressure-induced deep tissue damage of right elbow
L89.022Pressure ulcer of left elbow, stage 2
L89.023Pressure ulcer of left elbow, stage 3
L89.024Pressure ulcer of left elbow, stage 4
L89.026Pressure-induced deep tissue damage of left elbow
L89.112Pressure ulcer of right upper back, stage 2
L89.113Pressure ulcer of right upper back, stage 3
L89.114Pressure ulcer of right upper back, stage 4
L89.116Pressure-induced deep tissue damage of right upper back
L89.122Pressure ulcer of left upper back, stage 2
L89.123Pressure ulcer of left upper back, stage 3
L89.124Pressure ulcer of left upper back, stage 4
L89.126Pressure-induced deep tissue damage of left upper back
L89.132Pressure ulcer of right lower back, stage 2
L89.133Pressure ulcer of right lower back, stage 3
L89.134Pressure ulcer of right lower back, stage 4
L89.136Pressure-induced deep tissue damage of right lower back
L89.142Pressure ulcer of left lower back, stage 2
L89.143Pressure ulcer of left lower back, stage 3
L89.144Pressure ulcer of left lower back, stage 4
L89.146Pressure-induced deep tissue damage of left lower back
L89.152Pressure ulcer of sacral region, stage 2
L89.153Pressure ulcer of sacral region, stage 3
L89.154Pressure ulcer of sacral region, stage 4
L89.156Pressure-induced deep tissue damage of sacral region
L89.212Pressure ulcer of right hip, stage 2
L89.213Pressure ulcer of right hip, stage 3
L89.214Pressure ulcer of right hip, stage 4
L89.216Pressure-induced deep tissue damage of right hip
L89.222Pressure ulcer of left hip, stage 2
L89.223Pressure ulcer of left hip, stage 3
L89.224Pressure ulcer of left hip, stage 4
L89.226Pressure-induced deep tissue damage of left hip
L89.312Pressure ulcer of right buttock, stage 2
L89.313Pressure ulcer of right buttock, stage 3
L89.314Pressure ulcer of right buttock, stage 4
L89.316Pressure-induced deep tissue damage of right buttock
L89.322Pressure ulcer of left buttock, stage 2
L89.323Pressure ulcer of left buttock, stage 3
L89.324Pressure ulcer of left buttock, stage 4
L89.326Pressure-induced deep tissue damage of left buttock
L89.42Pressure ulcer of contiguous site of back, buttock and hip, stage 2
L89.43Pressure ulcer of contiguous site of back, buttock and hip, stage 3
L89.44Pressure ulcer of contiguous site of back, buttock and hip, stage 4
L89.46Pressure-induced deep tissue damage of contiguous site of back, buttock and hip
L89.512Pressure ulcer of right ankle, stage 2
L89.513Pressure ulcer of right ankle, stage 3
L89.514Pressure ulcer of right ankle, stage 4
L89.516Pressure-induced deep tissue damage of right ankle
L89.522Pressure ulcer of left ankle, stage 2
L89.523Pressure ulcer of left ankle, stage 3
L89.524Pressure ulcer of left ankle, stage 4
L89.526Pressure-induced deep tissue damage of left ankle
L89.612Pressure ulcer of right heel, stage 2
L89.613Pressure ulcer of right heel, stage 3
L89.614Pressure ulcer of right heel, stage 4
L89.616Pressure-induced deep tissue damage of right heel
L89.622Pressure ulcer of left heel, stage 2
L89.623Pressure ulcer of left heel, stage 3
L89.624Pressure ulcer of left heel, stage 4
L89.626Pressure-induced deep tissue damage of left heel
L89.812Pressure ulcer of head, stage 2
L89.813Pressure ulcer of head, stage 3
L89.814Pressure ulcer of head, stage 4
L89.816Pressure-induced deep tissue damage of head
L89.892Pressure ulcer of other site, stage 2
L89.893Pressure ulcer of other site, stage 3
L89.894Pressure ulcer of other site, stage 4
L89.896Pressure-induced deep tissue damage of other site
L97.111Non-pressure chronic ulcer of right thigh limited to breakdown of skin
L97.112Non-pressure chronic ulcer of right thigh with fat layer exposed
L97.113Non-pressure chronic ulcer of right thigh with necrosis of muscle
L97.114Non-pressure chronic ulcer of right thigh with necrosis of bone
L97.115Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis
L97.116Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis
L97.118Non-pressure chronic ulcer of right thigh with other specified severity
L97.121Non-pressure chronic ulcer of left thigh limited to breakdown of skin
L97.122Non-pressure chronic ulcer of left thigh with fat layer exposed
L97.123Non-pressure chronic ulcer of left thigh with necrosis of muscle
L97.124Non-pressure chronic ulcer of left thigh with necrosis of bone
L97.125Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis
L97.126Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis
L97.128Non-pressure chronic ulcer of left thigh with other specified severity
L97.211Non-pressure chronic ulcer of right calf limited to breakdown of skin
L97.212Non-pressure chronic ulcer of right calf with fat layer exposed
L97.213Non-pressure chronic ulcer of right calf with necrosis of muscle
L97.214Non-pressure chronic ulcer of right calf with necrosis of bone
L97.215Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis
L97.216Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis
L97.218Non-pressure chronic ulcer of right calf with other specified severity
L97.221Non-pressure chronic ulcer of left calf limited to breakdown of skin
L97.222Non-pressure chronic ulcer of left calf with fat layer exposed
L97.223Non-pressure chronic ulcer of left calf with necrosis of muscle
L97.224Non-pressure chronic ulcer of left calf with necrosis of bone
L97.225Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis
L97.226Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis
L97.228Non-pressure chronic ulcer of left calf with other specified severity
L97.311Non-pressure chronic ulcer of right ankle limited to breakdown of skin
L97.312Non-pressure chronic ulcer of right ankle with fat layer exposed
L97.313Non-pressure chronic ulcer of right ankle with necrosis of muscle
L97.314Non-pressure chronic ulcer of right ankle with necrosis of bone
L97.315Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis
L97.316Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis
L97.318Non-pressure chronic ulcer of right ankle with other specified severity
L97.321Non-pressure chronic ulcer of left ankle limited to breakdown of skin
L97.322Non-pressure chronic ulcer of left ankle with fat layer exposed
L97.323Non-pressure chronic ulcer of left ankle with necrosis of muscle
L97.324Non-pressure chronic ulcer of left ankle with necrosis of bone
L97.325Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis
L97.326Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis
L97.328Non-pressure chronic ulcer of left ankle with other specified severity
L97.411Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
L97.412Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed
L97.413Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle
L97.414Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.415Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis
L97.416Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis
L97.418Non-pressure chronic ulcer of right heel and midfoot with other specified severity
L97.421Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin
L97.422Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed
L97.423Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle
L97.424Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.425Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis
L97.426Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis
L97.428Non-pressure chronic ulcer of left heel and midfoot with other specified severity
L97.511Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin
L97.512Non-pressure chronic ulcer of other part of right foot with fat layer exposed
L97.513Non-pressure chronic ulcer of other part of right foot with necrosis of muscle
L97.514Non-pressure chronic ulcer of other part of right foot with necrosis of bone
L97.515Non-pressure chronic ulcer of other part of right foot with muscle involvement without evidence of necrosis
L97.516Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis
L97.518Non-pressure chronic ulcer of other part of right foot with other specified severity
L97.521Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin
L97.522Non-pressure chronic ulcer of other part of left foot with fat layer exposed
L97.523Non-pressure chronic ulcer of other part of left foot with necrosis of muscle
L97.524Non-pressure chronic ulcer of other part of left foot with necrosis of bone
L97.525Non-pressure chronic ulcer of other part of left foot with muscle involvement without evidence of necrosis
L97.526Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis
L97.528Non-pressure chronic ulcer of other part of left foot with other specified severity
L97.811Non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin
L97.812Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed
L97.813Non-pressure chronic ulcer of other part of right lower leg with necrosis of muscle
L97.814Non-pressure chronic ulcer of other part of right lower leg with necrosis of bone
L97.815Non-pressure chronic ulcer of other part of right lower leg with muscle involvement without evidence of necrosis
L97.816Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis
L97.818Non-pressure chronic ulcer of other part of right lower leg with other specified severity
L97.821Non-pressure chronic ulcer of other part of left lower leg limited to breakdown of skin
L97.822Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed
L97.823Non-pressure chronic ulcer of other part of left lower leg with necrosis of muscle
L97.824Non-pressure chronic ulcer of other part of left lower leg with necrosis of bone
L97.825Non-pressure chronic ulcer of other part of left lower leg with muscle involvement without evidence of necrosis
L97.826Non-pressure chronic ulcer of other part of left lower leg with bone involvement without evidence of necrosis
L97.828Non-pressure chronic ulcer of other part of left lower leg with other specified severity
L97.911Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin
L97.912Non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed
L97.913Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle
L97.914Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone
L97.915Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis
L97.916Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis
L97.918Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity
L97.921Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin
L97.922Non-pressure chronic ulcer of unspecified part of left lower leg with fat layer exposed
L97.923Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of muscle
L97.924Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone
L97.925Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis
L97.926Non-pressure chronic ulcer of unspecified part of left lower leg with bone involvement without evidence of necrosis
L97.928Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity
L98.411Non-pressure chronic ulcer of buttock limited to breakdown of skin
L98.412Non-pressure chronic ulcer of buttock with fat layer exposed
L98.413Non-pressure chronic ulcer of buttock with necrosis of muscle
L98.414Non-pressure chronic ulcer of buttock with necrosis of bone
L98.415Non-pressure chronic ulcer of buttock with muscle involvement without evidence of necrosis
L98.416Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis
L98.418Non-pressure chronic ulcer of buttock with other specified severity
L98.421Non-pressure chronic ulcer of back limited to breakdown of skin
L98.422Non-pressure chronic ulcer of back with fat layer exposed
L98.423Non-pressure chronic ulcer of back with necrosis of muscle
L98.424Non-pressure chronic ulcer of back with necrosis of bone
L98.425Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis
L98.426Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis
L98.428Non-pressure chronic ulcer of back with other specified severity
L98.431Non-pressure chronic ulcer of abdomen limited to breakdown of skin
L98.432Non-pressure chronic ulcer of abdomen with fat layer exposed
L98.471Non-pressure chronic ulcer of groin limited to breakdown of skin
L98.472Non-pressure chronic ulcer of groin with fat layer exposed
L98.473Non-pressure chronic ulcer of groin with necrosis of muscle
L98.491Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin
L98.492Non-pressure chronic ulcer of skin of other sites with fat layer exposed
L98.493Non-pressure chronic ulcer of skin of other sites with necrosis of muscle
L98.494Non-pressure chronic ulcer of skin of other sites with necrosis of bone
L98.495Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis
L98.496Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis
L98.498Non-pressure chronic ulcer of skin of other sites with other specified severity
L98.A111Non-pressure chronic ulcer of right upper arm limited to breakdown of skin
L98.A112Non-pressure chronic ulcer of right upper arm with fat layer exposed
L98.A113Non-pressure chronic ulcer of right upper arm with necrosis of muscle
L98.A114Non-pressure chronic ulcer of right upper arm with necrosis of bone
L98.A115Non-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosis
L98.A116Non-pressure chronic ulcer of right upper arm with bone involvement without evidence of necrosis
L98.A118Non-pressure chronic ulcer of right upper arm with other specified severity
L98.A121Non-pressure chronic ulcer of left upper arm limited to breakdown of skin
L98.A122Non-pressure chronic ulcer of left upper arm with fat layer exposed
L98.A123Non-pressure chronic ulcer of left upper arm with necrosis of muscle
L98.A124Non-pressure chronic ulcer of left upper arm with necrosis of bone
L98.A125Non-pressure chronic ulcer of left upper arm with muscle involvement without evidence of necrosis
L98.A126Non-pressure chronic ulcer of left upper arm with bone involvement without evidence of necrosis
L98.A128Non-pressure chronic ulcer of left upper arm with other specified severity
L98.A211Non-pressure chronic ulcer of right forearm limited to breakdown of skin
L98.A212Non-pressure chronic ulcer of right forearm with fat layer exposed
L98.A213Non-pressure chronic ulcer of right forearm with necrosis of muscle
L98.A214Non-pressure chronic ulcer of right forearm with necrosis of bone
L98.A215Non-pressure chronic ulcer of right forearm with muscle involvement without evidence of necrosis
L98.A216Non-pressure chronic ulcer of right forearm with bone involvement without evidence of necrosis
L98.A218Non-pressure chronic ulcer of right forearm with other specified severity
L98.A221Non-pressure chronic ulcer of left forearm limited to breakdown of skin
L98.A222Non-pressure chronic ulcer of left forearm with fat layer exposed
L98.A223Non-pressure chronic ulcer of left forearm with necrosis of muscle
L98.A224Non-pressure chronic ulcer of left forearm with necrosis of bone
L98.A225Non-pressure chronic ulcer of left forearm with muscle involvement without evidence of necrosis
L98.A226Non-pressure chronic ulcer of left forearm with bone involvement without evidence of necrosis
L98.A228Non-pressure chronic ulcer of left forearm with other specified severity
M79.671Pain in right foot
M79.672Pain in left foot
M79.674Pain in right toe(s)
M79.675Pain in left toe(s)
Q81.9Epidermolysis bullosa, unspecified
Q82.8Other specified congenital malformations of skin
S01.00XAUnspecified open wound of scalp, initial encounter
S01.00XDUnspecified open wound of scalp, subsequent encounter
S01.00XSUnspecified open wound of scalp, sequela
S01.01XALaceration without foreign body of scalp, initial encounter
S01.01XDLaceration without foreign body of scalp, subsequent encounter
S01.01XSLaceration without foreign body of scalp, sequela
S01.20XAUnspecified open wound of nose, initial encounter
S01.20XDUnspecified open wound of nose, subsequent encounter
S01.20XSUnspecified open wound of nose, sequela
S01.21XALaceration without foreign body of nose, initial encounter
S01.21XDLaceration without foreign body of nose, subsequent encounter
S01.21XSLaceration without foreign body of nose, sequela
S01.22XALaceration with foreign body of nose, initial encounter
S01.22XDLaceration with foreign body of nose, subsequent encounter
S01.22XSLaceration with foreign body of nose, sequela
S01.23XAPuncture wound without foreign body of nose, initial encounter
S01.23XDPuncture wound without foreign body of nose, subsequent encounter
S01.23XSPuncture wound without foreign body of nose, sequela
S01.24XAPuncture wound with foreign body of nose, initial encounter
S01.24XDPuncture wound with foreign body of nose, subsequent encounter
S01.24XSPuncture wound with foreign body of nose, sequela
S01.25XAOpen bite of nose, initial encounter
S01.25XDOpen bite of nose, subsequent encounter
S01.25XSOpen bite of nose, sequela
S01.301AUnspecified open wound of right ear, initial encounter
S01.301DUnspecified open wound of right ear, subsequent encounter
S01.301SUnspecified open wound of right ear, sequela
S01.302AUnspecified open wound of left ear, initial encounter
S01.302DUnspecified open wound of left ear, subsequent encounter
S01.302SUnspecified open wound of left ear, sequela
S01.311ALaceration without foreign body of right ear, initial encounter
S01.311DLaceration without foreign body of right ear, subsequent encounter
S01.311SLaceration without foreign body of right ear, sequela
S01.312ALaceration without foreign body of left ear, initial encounter
S01.312DLaceration without foreign body of left ear, subsequent encounter
S01.312SLaceration without foreign body of left ear, sequela
S01.321ALaceration with foreign body of right ear, initial encounter
S01.321DLaceration with foreign body of right ear, subsequent encounter
S01.321SLaceration with foreign body of right ear, sequela
S01.322ALaceration with foreign body of left ear, initial encounter
S01.322DLaceration with foreign body of left ear, subsequent encounter
S01.322SLaceration with foreign body of left ear, sequela
S01.351AOpen bite of right ear, initial encounter
S01.351DOpen bite of right ear, subsequent encounter
S01.351SOpen bite of right ear, sequela
S01.352AOpen bite of left ear, initial encounter
S01.352DOpen bite of left ear, subsequent encounter
S01.352SOpen bite of left ear, sequela
S01.411ALaceration without foreign body of right cheek and temporomandibular area, initial encounter
S01.411DLaceration without foreign body of right cheek and temporomandibular area, subsequent encounter
S01.411SLaceration without foreign body of right cheek and temporomandibular area, sequela
S01.412ALaceration without foreign body of left cheek and temporomandibular area, initial encounter
S01.412DLaceration without foreign body of left cheek and temporomandibular area, subsequent encounter
S01.412SLaceration without foreign body of left cheek and temporomandibular area, sequela
S01.451AOpen bite of right cheek and temporomandibular area, initial encounter
S01.451DOpen bite of right cheek and temporomandibular area, subsequent encounter
S01.451SOpen bite of right cheek and temporomandibular area, sequela

Showing the first 400 of 1249 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 11010?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 1249 ICD-10 diagnosis codes that support medical necessity for CPT 11010. 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 11010 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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