ICD↔CPT crosswalk
CPT 11305: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 11305 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 11305 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 |
|---|---|
| A54.02 | Gonococcal vulvovaginitis, unspecified |
| A54.1 | Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess |
| A63.0 | Anogenital (venereal) warts |
| B07.0 | Plantar wart |
| B07.8 | Other viral warts |
| B07.9 | Viral wart, unspecified |
| B08.1 | Molluscum contagiosum |
| B78.1 | Cutaneous strongyloidiasis |
| 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 |
| C43.30 | Malignant melanoma of unspecified part of face |
| 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 |
| C44.00 | Unspecified malignant neoplasm of skin of lip |
| C44.01 | Basal cell carcinoma of skin of lip |
| C44.02 | Squamous cell carcinoma of skin of lip |
| C44.09 | Other specified malignant neoplasm of skin of lip |
| C44.101 | Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus |
| C44.1021 | Unspecified malignant neoplasm of skin of right upper eyelid, including canthus |
| C44.1022 | Unspecified malignant neoplasm of skin of right lower eyelid, including canthus |
| C44.1091 | Unspecified malignant neoplasm of skin of left upper eyelid, including canthus |
| C44.1092 | Unspecified malignant neoplasm of skin of left lower eyelid, including canthus |
| C44.1121 | Basal cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1122 | Basal cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1191 | Basal cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1192 | Basal cell carcinoma of skin of left lower eyelid, including canthus |
| C44.1221 | Squamous cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1222 | Squamous cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1291 | Squamous cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1292 | Squamous cell carcinoma of skin of left lower eyelid, including canthus |
| C44.131 | Sebaceous cell carcinoma of skin of unspecified eyelid, including canthus |
| C44.1321 | Sebaceous cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1322 | Sebaceous cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1391 | Sebaceous cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1392 | Sebaceous cell carcinoma of skin of left lower eyelid, including canthus |
| C44.1921 | Other specified malignant neoplasm of skin of right upper eyelid, including canthus |
| C44.1922 | Other specified malignant neoplasm of skin of right lower eyelid, including canthus |
| C44.1991 | Other specified malignant neoplasm of skin of left upper eyelid, including canthus |
| C44.1992 | Other specified malignant neoplasm of skin of left lower eyelid, including canthus |
| C44.202 | Unspecified malignant neoplasm of skin of right ear and external auricular canal |
| C44.209 | Unspecified malignant neoplasm of skin of left ear and external auricular canal |
| C44.212 | Basal cell carcinoma of skin of right ear and external auricular canal |
| C44.219 | Basal cell carcinoma of skin of left ear and external auricular canal |
| C44.222 | Squamous cell carcinoma of skin of right ear and external auricular canal |
| C44.229 | Squamous cell carcinoma of skin of left ear and external auricular canal |
| C44.291 | Other specified malignant neoplasm of skin of unspecified ear and external auricular canal |
| C44.292 | Other specified malignant neoplasm of skin of right ear and external auricular canal |
| C44.299 | Other specified malignant neoplasm of skin of left ear and external auricular canal |
| C44.300 | Unspecified malignant neoplasm of skin of unspecified part of face |
| C44.301 | Unspecified malignant neoplasm of skin of nose |
| C44.309 | Unspecified malignant neoplasm of skin of other parts of face |
| C44.310 | Basal cell carcinoma of skin of unspecified parts of face |
| C44.311 | Basal cell carcinoma of skin of nose |
| C44.319 | Basal cell carcinoma of skin of other parts of face |
| C44.320 | Squamous cell carcinoma of skin of unspecified parts of face |
| C44.321 | Squamous cell carcinoma of skin of nose |
| C44.329 | Squamous cell carcinoma of skin of other parts of face |
| C44.390 | Other specified malignant neoplasm of skin of unspecified parts of face |
| C44.391 | Other specified malignant neoplasm of skin of nose |
| C44.399 | Other specified malignant neoplasm of skin of other parts of face |
| C44.40 | Unspecified malignant neoplasm of skin of scalp and neck |
| C44.41 | Basal cell carcinoma of skin of scalp and neck |
| C44.42 | Squamous cell carcinoma of skin of scalp and neck |
| C44.49 | Other specified malignant neoplasm of skin of scalp and neck |
| C44.500 | Unspecified malignant neoplasm of anal skin |
| C44.501 | Unspecified malignant neoplasm of skin of breast |
| C44.509 | Unspecified malignant neoplasm of skin of other part of trunk |
| C44.510 | Basal cell carcinoma of anal skin |
| C44.511 | Basal cell carcinoma of skin of breast |
| C44.519 | Basal cell carcinoma of skin of other part of trunk |
| C44.520 | Squamous cell carcinoma of anal skin |
| C44.521 | Squamous cell carcinoma of skin of breast |
| C44.529 | Squamous cell carcinoma of skin of other part of trunk |
| C44.590 | Other specified malignant neoplasm of anal skin |
| C44.591 | Other specified malignant neoplasm of skin of breast |
| C44.599 | Other specified malignant neoplasm of skin of other part of trunk |
| C44.601 | Unspecified malignant neoplasm of skin of unspecified upper limb, including shoulder |
| C44.602 | Unspecified malignant neoplasm of skin of right upper limb, including shoulder |
| C44.609 | Unspecified malignant neoplasm of skin of left upper limb, including shoulder |
| C44.612 | Basal cell carcinoma of skin of right upper limb, including shoulder |
| C44.619 | Basal cell carcinoma of skin of left upper limb, including shoulder |
| C44.622 | Squamous cell carcinoma of skin of right upper limb, including shoulder |
| C44.629 | Squamous cell carcinoma of skin of left upper limb, including shoulder |
| C44.691 | Other specified malignant neoplasm of skin of unspecified upper limb, including shoulder |
| C44.692 | Other specified malignant neoplasm of skin of right upper limb, including shoulder |
| C44.699 | Other specified malignant neoplasm of skin of left upper limb, including shoulder |
| C44.701 | Unspecified malignant neoplasm of skin of unspecified lower limb, including hip |
| C44.702 | Unspecified malignant neoplasm of skin of right lower limb, including hip |
| C44.709 | Unspecified malignant neoplasm of skin of left lower limb, including hip |
| C44.712 | Basal cell carcinoma of skin of right lower limb, including hip |
| C44.719 | Basal cell carcinoma of skin of left lower limb, including hip |
| C44.722 | Squamous cell carcinoma of skin of right lower limb, including hip |
| C44.729 | Squamous cell carcinoma of skin of left lower limb, including hip |
| C44.791 | Other specified malignant neoplasm of skin of unspecified lower limb, including hip |
| C44.792 | Other specified malignant neoplasm of skin of right lower limb, including hip |
| C44.799 | Other specified malignant neoplasm of skin of left lower limb, including hip |
| C44.80 | Unspecified malignant neoplasm of overlapping sites of skin |
| C44.81 | Basal cell carcinoma of overlapping sites of skin |
| C44.82 | Squamous cell carcinoma of overlapping sites of skin |
| C44.89 | Other specified malignant neoplasm of overlapping sites of skin |
| C44.90 | Unspecified malignant neoplasm of skin, unspecified |
| C44.91 | Basal cell carcinoma of skin, unspecified |
| C44.92 | Squamous cell carcinoma of skin, unspecified |
| C44.99 | Other specified malignant neoplasm of skin, unspecified |
| C46.0 | Kaposi's sarcoma of skin |
| C47.0 | Malignant neoplasm of peripheral nerves of head, face and neck |
| C49.0 | Malignant neoplasm of connective and soft tissue of head, face and neck |
| C49.11 | Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder |
| C49.12 | Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder |
| C49.21 | Malignant neoplasm of connective and soft tissue of right lower limb, including hip |
| C49.22 | Malignant neoplasm of connective and soft tissue of left lower limb, including hip |
| C49.4 | Malignant neoplasm of connective and soft tissue of abdomen |
| C49.5 | Malignant neoplasm of connective and soft tissue of pelvis |
| C49.6 | Malignant neoplasm of connective and soft tissue of trunk, unspecified |
| C4A.0 | Merkel cell carcinoma of lip |
| C4A.111 | Merkel cell carcinoma of right upper eyelid, including canthus |
| C4A.112 | Merkel cell carcinoma of right lower eyelid, including canthus |
| C4A.121 | Merkel cell carcinoma of left upper eyelid, including canthus |
| C4A.122 | Merkel cell carcinoma of left lower eyelid, including canthus |
| C4A.21 | Merkel cell carcinoma of right ear and external auricular canal |
| C4A.22 | Merkel cell carcinoma of left ear and external auricular canal |
| C4A.31 | Merkel cell carcinoma of nose |
| C4A.39 | Merkel cell carcinoma of other parts of face |
| C4A.4 | Merkel cell carcinoma of scalp and neck |
| C4A.51 | Merkel cell carcinoma of anal skin |
| C4A.52 | Merkel cell carcinoma of skin of breast |
| C4A.59 | Merkel cell carcinoma of other part of trunk |
| C4A.61 | Merkel cell carcinoma of right upper limb, including shoulder |
| C4A.62 | Merkel cell carcinoma of left upper limb, including shoulder |
| C4A.71 | Merkel cell carcinoma of right lower limb, including hip |
| C4A.72 | Merkel cell carcinoma of left lower limb, including hip |
| C4A.8 | Merkel cell carcinoma of overlapping sites |
| C4A.9 | Merkel cell carcinoma, unspecified |
| C51.0 | Malignant neoplasm of labium majus |
| C51.1 | Malignant neoplasm of labium minus |
| C51.2 | Malignant neoplasm of clitoris |
| C51.8 | Malignant neoplasm of overlapping sites of vulva |
| C51.9 | Malignant neoplasm of vulva, unspecified |
| C52 | Malignant neoplasm of vagina |
| C57.7 | Malignant neoplasm of other specified female genital organs |
| C57.8 | Malignant neoplasm of overlapping sites of female genital organs |
| C57.9 | Malignant neoplasm of female genital organ, unspecified |
| C60.0 | Malignant neoplasm of prepuce |
| C60.1 | Malignant neoplasm of glans penis |
| C60.2 | Malignant neoplasm of body of penis |
| C60.8 | Malignant neoplasm of overlapping sites of penis |
| C60.9 | Malignant neoplasm of penis, unspecified |
| C63.2 | Malignant neoplasm of scrotum |
| C63.7 | Malignant neoplasm of other specified male genital organs |
| C63.8 | Malignant neoplasm of overlapping sites of male genital organs |
| C63.9 | Malignant neoplasm of male genital organ, unspecified |
| C79.2 | Secondary malignant neoplasm of skin |
| C86.60 | Primary cutaneous CD30-positive T-cell proliferations not having achieved remission |
| C88.80 | Other malignant immunoproliferative diseases not having achieved remission |
| C96.29 | Other malignant mast cell neoplasm |
| D03.0 | Melanoma in situ of lip |
| D03.111 | Melanoma in situ of right upper eyelid, including canthus |
| D03.112 | Melanoma in situ of right lower eyelid, including canthus |
| D03.121 | Melanoma in situ of left upper eyelid, including canthus |
| D03.122 | Melanoma in situ of left lower eyelid, including canthus |
| D03.21 | Melanoma in situ of right ear and external auricular canal |
| D03.22 | Melanoma in situ of left ear and external auricular canal |
| D03.39 | Melanoma in situ of other parts of face |
| D03.4 | Melanoma in situ of scalp and neck |
| D03.51 | Melanoma in situ of anal skin |
| D03.52 | Melanoma in situ of breast (skin) (soft tissue) |
| D03.59 | Melanoma in situ of other part of trunk |
| D03.61 | Melanoma in situ of right upper limb, including shoulder |
| D03.62 | Melanoma in situ of left upper limb, including shoulder |
| D03.71 | Melanoma in situ of right lower limb, including hip |
| D03.72 | Melanoma in situ of left lower limb, including hip |
| D03.8 | Melanoma in situ of other sites |
| D04.0 | Carcinoma in situ of skin of lip |
| D04.111 | Carcinoma in situ of skin of right upper eyelid, including canthus |
| D04.112 | Carcinoma in situ of skin of right lower eyelid, including canthus |
| D04.121 | Carcinoma in situ of skin of left upper eyelid, including canthus |
| D04.122 | Carcinoma in situ of skin of left lower eyelid, including canthus |
| D04.21 | Carcinoma in situ of skin of right ear and external auricular canal |
| D04.22 | Carcinoma in situ of skin of left ear and external auricular canal |
| D04.30 | Carcinoma in situ of skin of unspecified part of face |
| D04.39 | Carcinoma in situ of skin of other parts of face |
| D04.4 | Carcinoma in situ of skin of scalp and neck |
| D04.5 | Carcinoma in situ of skin of trunk |
| D04.61 | Carcinoma in situ of skin of right upper limb, including shoulder |
| D04.62 | Carcinoma in situ of skin of left upper limb, including shoulder |
| D04.71 | Carcinoma in situ of skin of right lower limb, including hip |
| D04.72 | Carcinoma in situ of skin of left lower limb, including hip |
| D04.8 | Carcinoma in situ of skin of other sites |
| D04.9 | Carcinoma in situ of skin, unspecified |
| D07.1 | Carcinoma in situ of vulva |
| D07.4 | Carcinoma in situ of penis |
| D10.0 | Benign neoplasm of lip |
| D10.30 | Benign neoplasm of unspecified part of mouth |
| D10.39 | Benign neoplasm of other parts of mouth |
| D17.0 | Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck |
| D17.1 | Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk |
| D17.21 | Benign lipomatous neoplasm of skin and subcutaneous tissue of right arm |
| D17.22 | Benign lipomatous neoplasm of skin and subcutaneous tissue of left arm |
| D17.23 | Benign lipomatous neoplasm of skin and subcutaneous tissue of right leg |
| D17.24 | Benign lipomatous neoplasm of skin and subcutaneous tissue of left leg |
| D17.39 | Benign lipomatous neoplasm of skin and subcutaneous tissue of other sites |
| D18.01 | Hemangioma of skin and subcutaneous tissue |
| D18.09 | Hemangioma of other sites |
| D18.1 | Lymphangioma, any site |
| D21.0 | Benign neoplasm of connective and other soft tissue of head, face and neck |
| D21.11 | Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder |
| D21.12 | Benign neoplasm of connective and other soft tissue of left upper limb, including shoulder |
| D21.21 | Benign neoplasm of connective and other soft tissue of right lower limb, including hip |
| D21.22 | Benign neoplasm of connective and other soft tissue of left lower limb, including hip |
| D21.3 | Benign neoplasm of connective and other soft tissue of thorax |
| D21.4 | Benign neoplasm of connective and other soft tissue of abdomen |
| D21.5 | Benign neoplasm of connective and other soft tissue of pelvis |
| D21.6 | Benign neoplasm of connective and other soft tissue of trunk, unspecified |
| D21.9 | Benign neoplasm of connective and other soft tissue, unspecified |
| D22.0 | Melanocytic nevi of lip |
| D22.111 | Melanocytic nevi of right upper eyelid, including canthus |
| D22.112 | Melanocytic nevi of right lower eyelid, including canthus |
| D22.121 | Melanocytic nevi of left upper eyelid, including canthus |
| D22.122 | Melanocytic nevi of left lower eyelid, including canthus |
| D22.21 | Melanocytic nevi of right ear and external auricular canal |
| D22.22 | Melanocytic nevi of left ear and external auricular canal |
| D22.30 | Melanocytic nevi of unspecified part of face |
| D22.39 | Melanocytic nevi of other parts of face |
| D22.4 | Melanocytic nevi of scalp and neck |
| D22.5 | Melanocytic nevi of trunk |
| D22.61 | Melanocytic nevi of right upper limb, including shoulder |
| D22.62 | Melanocytic nevi of left upper limb, including shoulder |
| D22.71 | Melanocytic nevi of right lower limb, including hip |
| D22.72 | Melanocytic nevi of left lower limb, including hip |
| D22.9 | Melanocytic nevi, unspecified |
| D23.0 | Other benign neoplasm of skin of lip |
| D23.111 | Other benign neoplasm of skin of right upper eyelid, including canthus |
| D23.112 | Other benign neoplasm of skin of right lower eyelid, including canthus |
| D23.121 | Other benign neoplasm of skin of left upper eyelid, including canthus |
| D23.122 | Other benign neoplasm of skin of left lower eyelid, including canthus |
| D23.21 | Other benign neoplasm of skin of right ear and external auricular canal |
| D23.22 | Other benign neoplasm of skin of left ear and external auricular canal |
| D23.30 | Other benign neoplasm of skin of unspecified part of face |
| D23.39 | Other benign neoplasm of skin of other parts of face |
| D23.4 | Other benign neoplasm of skin of scalp and neck |
| D23.5 | Other benign neoplasm of skin of trunk |
| D23.61 | Other benign neoplasm of skin of right upper limb, including shoulder |
| D23.62 | Other benign neoplasm of skin of left upper limb, including shoulder |
| D23.70 | Other benign neoplasm of skin of unspecified lower limb, including hip |
| D23.71 | Other benign neoplasm of skin of right lower limb, including hip |
| D23.72 | Other benign neoplasm of skin of left lower limb, including hip |
| D23.9 | Other benign neoplasm of skin, unspecified |
| D28.0 | Benign neoplasm of vulva |
| D28.1 | Benign neoplasm of vagina |
| D29.0 | Benign neoplasm of penis |
| D29.4 | Benign neoplasm of scrotum |
| D37.01 | Neoplasm of uncertain behavior of lip |
| D37.02 | Neoplasm of uncertain behavior of tongue |
| D37.04 | Neoplasm of uncertain behavior of the minor salivary glands |
| D37.05 | Neoplasm of uncertain behavior of pharynx |
| D37.09 | Neoplasm of uncertain behavior of other specified sites of the oral cavity |
| D39.8 | Neoplasm of uncertain behavior of other specified female genital organs |
| D39.9 | Neoplasm of uncertain behavior of female genital organ, unspecified |
| D40.8 | Neoplasm of uncertain behavior of other specified male genital organs |
| D40.9 | Neoplasm of uncertain behavior of male genital organ, unspecified |
| D47.01 | Cutaneous mastocytosis |
| D48.5 | Neoplasm of uncertain behavior of skin |
| D49.2 | Neoplasm of unspecified behavior of bone, soft tissue, and skin |
| D49.511 | Neoplasm of unspecified behavior of right kidney |
| D49.512 | Neoplasm of unspecified behavior of left kidney |
| D49.519 | Neoplasm of unspecified behavior of unspecified kidney |
| D49.59 | Neoplasm of unspecified behavior of other genitourinary organ |
| D80.0 | Hereditary hypogammaglobulinemia |
| D80.1 | Nonfamilial hypogammaglobulinemia |
| D80.2 | Selective deficiency of immunoglobulin A [IgA] |
| D80.3 | Selective deficiency of immunoglobulin G [IgG] subclasses |
| D80.4 | Selective deficiency of immunoglobulin M [IgM] |
| D80.5 | Immunodeficiency with increased immunoglobulin M [IgM] |
| D80.6 | Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia |
| D80.7 | Transient hypogammaglobulinemia of infancy |
| D80.8 | Other immunodeficiencies with predominantly antibody defects |
| D81.0 | Severe combined immunodeficiency [SCID] with reticular dysgenesis |
| D81.1 | Severe combined immunodeficiency [SCID] with low T- and B-cell numbers |
| D81.2 | Severe combined immunodeficiency [SCID] with low or normal B-cell numbers |
| D81.4 | Nezelof's syndrome |
| D81.6 | Major histocompatibility complex class I deficiency |
| D81.7 | Major histocompatibility complex class II deficiency |
| D81.89 | Other combined immunodeficiencies |
| D82.0 | Wiskott-Aldrich syndrome |
| D82.1 | Di George's syndrome |
| D83.0 | Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function |
| D83.1 | Common variable immunodeficiency with predominant immunoregulatory T-cell disorders |
| D83.2 | Common variable immunodeficiency with autoantibodies to B- or T-cells |
| D83.8 | Other common variable immunodeficiencies |
| D84.81 | Immunodeficiency due to conditions classified elsewhere |
| D84.821 | Immunodeficiency due to drugs |
| D84.822 | Immunodeficiency due to external causes |
| D84.89 | Other immunodeficiencies |
| D86.3 | Sarcoidosis of skin |
| D86.89 | Sarcoidosis of other sites |
| D86.9 | Sarcoidosis, unspecified |
| D89.82 | Autoimmune lymphoproliferative syndrome [ALPS] |
| D89.89 | Other specified disorders involving the immune mechanism, not elsewhere classified |
| E83.2 | Disorders of zinc metabolism |
| H00.11 | Chalazion right upper eyelid |
| H00.12 | Chalazion right lower eyelid |
| H00.14 | Chalazion left upper eyelid |
| H00.15 | Chalazion left lower eyelid |
| H02.61 | Xanthelasma of right upper eyelid |
| H02.62 | Xanthelasma of right lower eyelid |
| H02.64 | Xanthelasma of left upper eyelid |
| H02.65 | Xanthelasma of left lower eyelid |
| H02.821 | Cysts of right upper eyelid |
| H02.822 | Cysts of right lower eyelid |
| H02.824 | Cysts of left upper eyelid |
| H02.825 | Cysts of left lower eyelid |
| H02.881 | Meibomian gland dysfunction right upper eyelid |
| H02.882 | Meibomian gland dysfunction right lower eyelid |
| H02.884 | Meibomian gland dysfunction left upper eyelid |
| H02.885 | Meibomian gland dysfunction left lower eyelid |
| H02.88A | Meibomian gland dysfunction right eye, upper and lower eyelids |
| H02.88B | Meibomian gland dysfunction left eye, upper and lower eyelids |
| H02.89 | Other specified disorders of eyelid |
| H10.401 | Unspecified chronic conjunctivitis, right eye |
| H10.402 | Unspecified chronic conjunctivitis, left eye |
| H10.403 | Unspecified chronic conjunctivitis, bilateral |
| H10.421 | Simple chronic conjunctivitis, right eye |
| H10.422 | Simple chronic conjunctivitis, left eye |
| H10.423 | Simple chronic conjunctivitis, bilateral |
| H10.431 | Chronic follicular conjunctivitis, right eye |
| H10.432 | Chronic follicular conjunctivitis, left eye |
| H10.433 | Chronic follicular conjunctivitis, bilateral |
| H10.9 | Unspecified conjunctivitis |
| H53.40 | Unspecified visual field defects |
| H53.451 | Other localized visual field defect, right eye |
| H53.452 | Other localized visual field defect, left eye |
| H53.453 | Other localized visual field defect, bilateral |
| H53.71 | Glare sensitivity |
| H53.72 | Impaired contrast sensitivity |
| H53.8 | Other visual disturbances |
| H53.9 | Unspecified visual disturbance |
| H54.61 | Unqualified visual loss, right eye, normal vision left eye |
| H54.62 | Unqualified visual loss, left eye, normal vision right eye |
| H61.001 | Unspecified perichondritis of right external ear |
| H61.002 | Unspecified perichondritis of left external ear |
| H61.003 | Unspecified perichondritis of external ear, bilateral |
| H61.009 | Unspecified perichondritis of external ear, unspecified ear |
| H61.011 | Acute perichondritis of right external ear |
| H61.012 | Acute perichondritis of left external ear |
| H61.013 | Acute perichondritis of external ear, bilateral |
| H61.021 | Chronic perichondritis of right external ear |
| H61.022 | Chronic perichondritis of left external ear |
| H61.023 | Chronic perichondritis of external ear, bilateral |
| H61.031 | Chondritis of right external ear |
| H61.032 | Chondritis of left external ear |
| H61.033 | Chondritis of external ear, bilateral |
| I78.1 | Nevus, non-neoplastic |
| K09.8 | Other cysts of oral region, not elsewhere classified |
| K12.2 | Cellulitis and abscess of mouth |
| K13.21 | Leukoplakia of oral mucosa, including tongue |
| K13.3 | Hairy leukoplakia |
| K13.5 | Oral submucous fibrosis |
| K62.82 | Dysplasia of anus |
| K64.4 | Residual hemorrhoidal skin tags |
| L02.01 | Cutaneous abscess of face |
| L02.11 | Cutaneous abscess of neck |
| L02.211 | Cutaneous abscess of abdominal wall |
| L02.212 | Cutaneous abscess of back [any part, except buttock and flank] |
| L02.213 | Cutaneous abscess of chest wall |
| L02.214 | Cutaneous abscess of groin |
| L02.215 | Cutaneous abscess of perineum |
| L02.216 | Cutaneous abscess of umbilicus |
| L02.217 | Cutaneous abscess of flank |
| L02.227 | Furuncle of flank |
| L02.31 | Cutaneous abscess of buttock |
| L02.411 | Cutaneous abscess of right axilla |
| L02.412 | Cutaneous abscess of left axilla |
| L02.413 | Cutaneous abscess of right upper limb |
| L02.414 | Cutaneous abscess of left upper limb |
| L02.415 | Cutaneous abscess of right lower limb |
| L02.416 | Cutaneous abscess of left lower limb |
| L02.511 | Cutaneous abscess of right hand |
| L02.512 | Cutaneous abscess of left hand |
| L02.611 | Cutaneous abscess of right foot |
| L02.612 | Cutaneous abscess of left foot |
| L02.811 | Cutaneous abscess of head [any part, except face] |
| L02.818 | Cutaneous abscess of other sites |
| L03.111 | Cellulitis of right axilla |
| L03.112 | Cellulitis of left axilla |
| L03.113 | Cellulitis of right upper limb |
| L03.114 | Cellulitis of left upper limb |
Showing the first 400 of 590 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 11305?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 590 ICD-10 diagnosis codes that support medical necessity for CPT 11305. 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 11305 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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