Now available: AI Scribe & Transcription — clinical notes that write themselves.See it in action →
PlatformAI ScribePricingSpecialtiesFree ToolsBlogSupport
ICD↔CPT crosswalk

CPT 15822: ICD-10 codes that support medical necessity

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

These ICD-10-CM diagnoses support medical necessity for CPT 15822 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 15822 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
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
C44.1021Unspecified malignant neoplasm of skin of right upper eyelid, including canthus
C44.1022Unspecified malignant neoplasm of skin of right lower eyelid, including canthus
C44.1091Unspecified malignant neoplasm of skin of left upper eyelid, including canthus
C44.1092Unspecified malignant neoplasm of skin of left lower eyelid, including canthus
C44.1121Basal cell carcinoma of skin of right upper eyelid, including canthus
C44.1122Basal cell carcinoma of skin of right lower eyelid, including canthus
C44.1191Basal cell carcinoma of skin of left upper eyelid, including canthus
C44.1192Basal cell carcinoma of skin of left lower eyelid, including canthus
C44.1221Squamous cell carcinoma of skin of right upper eyelid, including canthus
C44.1222Squamous cell carcinoma of skin of right lower eyelid, including canthus
C44.1291Squamous cell carcinoma of skin of left upper eyelid, including canthus
C44.1292Squamous cell carcinoma of skin of left lower eyelid, including canthus
C44.131Sebaceous cell carcinoma of skin of unspecified eyelid, including canthus
C44.1321Sebaceous cell carcinoma of skin of right upper eyelid, including canthus
C44.1322Sebaceous cell carcinoma of skin of right lower eyelid, including canthus
C44.1391Sebaceous cell carcinoma of skin of left upper eyelid, including canthus
C44.1392Sebaceous cell carcinoma of skin of left lower eyelid, including canthus
C44.1921Other specified malignant neoplasm of skin of right upper eyelid, including canthus
C44.1922Other specified malignant neoplasm of skin of right lower eyelid, including canthus
C44.1991Other specified malignant neoplasm of skin of left upper eyelid, including canthus
C44.1992Other specified malignant neoplasm of skin of left lower eyelid, including canthus
C44.300Unspecified malignant neoplasm of skin of unspecified part of face
C44.301Unspecified malignant neoplasm of skin of nose
C44.309Unspecified malignant neoplasm of skin of other parts of face
C44.311Basal cell carcinoma of skin of nose
C44.319Basal cell carcinoma of skin of other parts of face
C44.321Squamous cell carcinoma of skin of nose
C44.329Squamous cell carcinoma of skin of other parts of face
C44.391Other specified malignant neoplasm of skin of nose
C44.399Other specified malignant neoplasm of skin of other parts of face
C44.90Unspecified malignant neoplasm of skin, unspecified
C44.91Basal cell carcinoma of skin, unspecified
C44.92Squamous cell carcinoma of skin, unspecified
C44.99Other specified malignant neoplasm of skin, unspecified
C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C49.0Malignant neoplasm of connective and soft tissue of head, face and neck
C4A.111Merkel cell carcinoma of right upper eyelid, including canthus
C4A.112Merkel cell carcinoma of right lower eyelid, including canthus
C4A.121Merkel cell carcinoma of left upper eyelid, including canthus
C4A.122Merkel cell carcinoma of left lower eyelid, including canthus
D03.111Melanoma in situ of right upper eyelid, including canthus
D03.112Melanoma in situ of right lower eyelid, including canthus
D03.121Melanoma in situ of left upper eyelid, including canthus
D03.122Melanoma in situ of left lower eyelid, including canthus
D04.111Carcinoma in situ of skin of right upper eyelid, including canthus
D04.112Carcinoma in situ of skin of right lower eyelid, including canthus
D04.121Carcinoma in situ of skin of left upper eyelid, including canthus
D04.122Carcinoma in situ of skin of left lower eyelid, including canthus
D04.39Carcinoma in situ of skin of other parts of face
D22.111Melanocytic nevi of right upper eyelid, including canthus
D22.112Melanocytic nevi of right lower eyelid, including canthus
D22.121Melanocytic nevi of left upper eyelid, including canthus
D22.122Melanocytic nevi of left lower eyelid, including canthus
D22.30Melanocytic nevi of unspecified part of face
D22.39Melanocytic nevi of other parts of face
D23.111Other benign neoplasm of skin of right upper eyelid, including canthus
D23.112Other benign neoplasm of skin of right lower eyelid, including canthus
D23.121Other benign neoplasm of skin of left upper eyelid, including canthus
D23.122Other benign neoplasm of skin of left lower eyelid, including canthus
D23.30Other benign neoplasm of skin of unspecified part of face
D23.39Other benign neoplasm of skin of other parts of face
F64.1Dual role transvestism
F64.2Gender identity disorder of childhood
F64.8Other gender identity disorders
F64.9Gender identity disorder, unspecified
G24.5Blepharospasm
G51.0Bell's palsy
G51.2Melkersson's syndrome
G51.31Clonic hemifacial spasm, right
G51.32Clonic hemifacial spasm, left
G51.33Clonic hemifacial spasm, bilateral
G51.4Facial myokymia
G51.8Other disorders of facial nerve
G51.9Disorder of facial nerve, unspecified
G70.00Myasthenia gravis without (acute) exacerbation
G70.80Lambert-Eaton syndrome, unspecified
G70.81Lambert-Eaton syndrome in disease classified elsewhere
G73.1Lambert-Eaton syndrome in neoplastic disease
H01.001Unspecified blepharitis right upper eyelid
H01.002Unspecified blepharitis right lower eyelid
H01.004Unspecified blepharitis left upper eyelid
H01.005Unspecified blepharitis left lower eyelid
H01.00AUnspecified blepharitis right eye, upper and lower eyelids
H01.00BUnspecified blepharitis left eye, upper and lower eyelids
H01.011Ulcerative blepharitis right upper eyelid
H01.012Ulcerative blepharitis right lower eyelid
H01.014Ulcerative blepharitis left upper eyelid
H01.015Ulcerative blepharitis left lower eyelid
H01.01AUlcerative blepharitis right eye, upper and lower eyelids
H01.01BUlcerative blepharitis left eye, upper and lower eyelids
H01.021Squamous blepharitis right upper eyelid
H01.022Squamous blepharitis right lower eyelid
H01.024Squamous blepharitis left upper eyelid
H01.025Squamous blepharitis left lower eyelid
H01.02ASquamous blepharitis right eye, upper and lower eyelids
H01.02BSquamous blepharitis left eye, upper and lower eyelids
H02.001Unspecified entropion of right upper eyelid
H02.002Unspecified entropion of right lower eyelid
H02.004Unspecified entropion of left upper eyelid
H02.005Unspecified entropion of left lower eyelid
H02.011Cicatricial entropion of right upper eyelid
H02.012Cicatricial entropion of right lower eyelid
H02.014Cicatricial entropion of left upper eyelid
H02.015Cicatricial entropion of left lower eyelid
H02.021Mechanical entropion of right upper eyelid
H02.022Mechanical entropion of right lower eyelid
H02.024Mechanical entropion of left upper eyelid
H02.025Mechanical entropion of left lower eyelid
H02.031Senile entropion of right upper eyelid
H02.032Senile entropion of right lower eyelid
H02.034Senile entropion of left upper eyelid
H02.035Senile entropion of left lower eyelid
H02.041Spastic entropion of right upper eyelid
H02.042Spastic entropion of right lower eyelid
H02.044Spastic entropion of left upper eyelid
H02.045Spastic entropion of left lower eyelid
H02.051Trichiasis without entropion right upper eyelid
H02.052Trichiasis without entropion right lower eyelid
H02.054Trichiasis without entropion left upper eyelid
H02.055Trichiasis without entropion left lower eyelid
H02.101Unspecified ectropion of right upper eyelid
H02.102Unspecified ectropion of right lower eyelid
H02.104Unspecified ectropion of left upper eyelid
H02.105Unspecified ectropion of left lower eyelid
H02.111Cicatricial ectropion of right upper eyelid
H02.112Cicatricial ectropion of right lower eyelid
H02.114Cicatricial ectropion of left upper eyelid
H02.115Cicatricial ectropion of left lower eyelid
H02.121Mechanical ectropion of right upper eyelid
H02.122Mechanical ectropion of right lower eyelid
H02.124Mechanical ectropion of left upper eyelid
H02.125Mechanical ectropion of left lower eyelid
H02.131Senile ectropion of right upper eyelid
H02.132Senile ectropion of right lower eyelid
H02.134Senile ectropion of left upper eyelid
H02.135Senile ectropion of left lower eyelid
H02.141Spastic ectropion of right upper eyelid
H02.142Spastic ectropion of right lower eyelid
H02.144Spastic ectropion of left upper eyelid
H02.145Spastic ectropion of left lower eyelid
H02.151Paralytic ectropion of right upper eyelid
H02.152Paralytic ectropion of right lower eyelid
H02.154Paralytic ectropion of left upper eyelid
H02.155Paralytic ectropion of left lower eyelid
H02.156Paralytic ectropion of left eye, unspecified eyelid
H02.159Paralytic ectropion of unspecified eye, unspecified eyelid
H02.201Unspecified lagophthalmos right upper eyelid
H02.202Unspecified lagophthalmos right lower eyelid
H02.204Unspecified lagophthalmos left upper eyelid
H02.205Unspecified lagophthalmos left lower eyelid
H02.20AUnspecified lagophthalmos right eye, upper and lower eyelids
H02.20BUnspecified lagophthalmos left eye, upper and lower eyelids
H02.20CUnspecified lagophthalmos, bilateral, upper and lower eyelids
H02.211Cicatricial lagophthalmos right upper eyelid
H02.212Cicatricial lagophthalmos right lower eyelid
H02.214Cicatricial lagophthalmos left upper eyelid
H02.215Cicatricial lagophthalmos left lower eyelid
H02.21ACicatricial lagophthalmos right eye, upper and lower eyelids
H02.21BCicatricial lagophthalmos left eye, upper and lower eyelids
H02.21CCicatricial lagophthalmos, bilateral, upper and lower eyelids
H02.221Mechanical lagophthalmos right upper eyelid
H02.222Mechanical lagophthalmos right lower eyelid
H02.224Mechanical lagophthalmos left upper eyelid
H02.225Mechanical lagophthalmos left lower eyelid
H02.22AMechanical lagophthalmos right eye, upper and lower eyelids
H02.22BMechanical lagophthalmos left eye, upper and lower eyelids
H02.22CMechanical lagophthalmos, bilateral, upper and lower eyelids
H02.231Paralytic lagophthalmos right upper eyelid
H02.232Paralytic lagophthalmos right lower eyelid
H02.234Paralytic lagophthalmos left upper eyelid
H02.235Paralytic lagophthalmos left lower eyelid
H02.23AParalytic lagophthalmos right eye, upper and lower eyelids
H02.23BParalytic lagophthalmos left eye, upper and lower eyelids
H02.23CParalytic lagophthalmos, bilateral, upper and lower eyelids
H02.31Blepharochalasis right upper eyelid
H02.32Blepharochalasis right lower eyelid
H02.34Blepharochalasis left upper eyelid
H02.35Blepharochalasis left lower eyelid
H02.401Unspecified ptosis of right eyelid
H02.402Unspecified ptosis of left eyelid
H02.403Unspecified ptosis of bilateral eyelids
H02.411Mechanical ptosis of right eyelid
H02.412Mechanical ptosis of left eyelid
H02.413Mechanical ptosis of bilateral eyelids
H02.421Myogenic ptosis of right eyelid
H02.422Myogenic ptosis of left eyelid
H02.423Myogenic ptosis of bilateral eyelids
H02.431Paralytic ptosis of right eyelid
H02.432Paralytic ptosis of left eyelid
H02.433Paralytic ptosis of bilateral eyelids
H02.521Blepharophimosis right upper eyelid
H02.522Blepharophimosis right lower eyelid
H02.524Blepharophimosis left upper eyelid
H02.525Blepharophimosis left lower eyelid
H02.531Eyelid retraction right upper eyelid
H02.532Eyelid retraction right lower eyelid
H02.534Eyelid retraction left upper eyelid
H02.535Eyelid retraction left lower eyelid
H02.70Unspecified degenerative disorders of eyelid and periocular area
H02.831Dermatochalasis of right upper eyelid
H02.832Dermatochalasis of right lower eyelid
H02.834Dermatochalasis of left upper eyelid
H02.835Dermatochalasis of left lower eyelid
H02.881Meibomian gland dysfunction right upper eyelid
H02.882Meibomian gland dysfunction right lower eyelid
H02.884Meibomian gland dysfunction left upper eyelid
H02.885Meibomian gland dysfunction left lower eyelid
H02.88AMeibomian gland dysfunction right eye, upper and lower eyelids
H02.88BMeibomian gland dysfunction left eye, upper and lower eyelids
H02.89Other specified disorders of eyelid
H02.9Unspecified disorder of eyelid
H04.521Eversion of right lacrimal punctum
H04.522Eversion of left lacrimal punctum
H04.523Eversion of bilateral lacrimal punctum
H50.89Other specified strabismus
H57.811Brow ptosis, right
H57.812Brow ptosis, left
H57.813Brow ptosis, bilateral
H57.8A1Foreign body sensation, right eye
H57.8A2Foreign body sensation, left eye
H57.8A3Foreign body sensation, bilateral eyes
L11.8Other specified acantholytic disorders
L11.9Acantholytic disorder, unspecified
L57.2Cutis rhomboidalis nuchae
L57.4Cutis laxa senilis
L66.4Folliculitis ulerythematosa reticulata
L85.8Other specified epidermal thickening
L87.1Reactive perforating collagenosis
L87.8Other transepidermal elimination disorders
L90.3Atrophoderma of Pasini and Pierini
L90.4Acrodermatitis chronica atrophicans
L90.8Other atrophic disorders of skin
L91.8Other hypertrophic disorders of the skin
L92.2Granuloma faciale [eosinophilic granuloma of skin]
L94.8Other specified localized connective tissue disorders
L98.5Mucinosis of the skin
L98.6Other infiltrative disorders of the skin and subcutaneous tissue
L99Other disorders of skin and subcutaneous tissue in diseases classified elsewhere
P11.3Birth injury to facial nerve
Q10.0Congenital ptosis
Q10.1Congenital ectropion
Q10.2Congenital entropion
Q10.3Other congenital malformations of eyelid
Q11.1Other anophthalmos
Q15.9Congenital malformation of eye, unspecified
Q18.8Other specified congenital malformations of face and neck
S00.10XAContusion of unspecified eyelid and periocular area, initial encounter
S00.11XAContusion of right eyelid and periocular area, initial encounter
S00.12XAContusion of left eyelid and periocular area, initial encounter
S01.101AUnspecified open wound of right eyelid and periocular area, initial encounter
S01.102AUnspecified open wound of left eyelid and periocular area, initial encounter
S01.111ALaceration without foreign body of right eyelid and periocular area, initial encounter
S01.112ALaceration without foreign body of left eyelid and periocular area, initial encounter
S01.119ALaceration without foreign body of unspecified eyelid and periocular area, initial encounter
S01.121ALaceration with foreign body of right eyelid and periocular area, initial encounter
S01.122ALaceration with foreign body of left eyelid and periocular area, initial encounter
S01.129ALaceration with foreign body of unspecified eyelid and periocular area, initial encounter
S01.131APuncture wound without foreign body of right eyelid and periocular area, initial encounter
S01.132APuncture wound without foreign body of left eyelid and periocular area, initial encounter
S01.139APuncture wound without foreign body of unspecified eyelid and periocular area, initial encounter
S01.141APuncture wound with foreign body of right eyelid and periocular area, initial encounter
S01.142APuncture wound with foreign body of left eyelid and periocular area, initial encounter
S01.149APuncture wound with foreign body of unspecified eyelid and periocular area, initial encounter
S01.151AOpen bite of right eyelid and periocular area, initial encounter
S01.152AOpen bite of left eyelid and periocular area, initial encounter
S01.159AOpen bite of unspecified eyelid and periocular area, initial encounter
S04.51XAInjury of facial nerve, right side, initial encounter
S04.51XDInjury of facial nerve, right side, subsequent encounter
S04.51XSInjury of facial nerve, right side, sequela
S04.52XAInjury of facial nerve, left side, initial encounter
S04.52XDInjury of facial nerve, left side, subsequent encounter
S04.52XSInjury of facial nerve, left side, sequela
S05.20XAOcular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter
S05.21XAOcular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter
S05.22XAOcular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter
S09.92XAUnspecified injury of nose, initial encounter
S09.93XAUnspecified injury of face, initial encounter
S16.8XXAOther specified injury of muscle, fascia and tendon at neck level, initial encounter
S16.9XXAUnspecified injury of muscle, fascia and tendon at neck level, initial encounter
S19.80XAOther specified injuries of unspecified part of neck, initial encounter
S19.81XAOther specified injuries of larynx, initial encounter
S19.82XAOther specified injuries of cervical trachea, initial encounter
S19.83XAOther specified injuries of vocal cord, initial encounter
S19.84XAOther specified injuries of thyroid gland, initial encounter
S19.85XAOther specified injuries of pharynx and cervical esophagus, initial encounter
S19.89XAOther specified injuries of other specified part of neck, initial encounter
S19.9XXAUnspecified injury of neck, initial encounter
T26.00XABurn of unspecified eyelid and periocular area, initial encounter
T26.01XABurn of right eyelid and periocular area, initial encounter
T26.02XABurn of left eyelid and periocular area, initial encounter
T26.20XABurn with resulting rupture and destruction of unspecified eyeball, initial encounter
T26.21XABurn with resulting rupture and destruction of right eyeball, initial encounter
T26.22XABurn with resulting rupture and destruction of left eyeball, initial encounter
T26.40XABurn of unspecified eye and adnexa, part unspecified, initial encounter
T26.41XABurn of right eye and adnexa, part unspecified, initial encounter
T26.42XABurn of left eye and adnexa, part unspecified, initial encounter
T26.50XACorrosion of unspecified eyelid and periocular area, initial encounter
T26.51XACorrosion of right eyelid and periocular area, initial encounter
T26.52XACorrosion of left eyelid and periocular area, initial encounter
T85.21XABreakdown (mechanical) of intraocular lens, initial encounter
T85.22XADisplacement of intraocular lens, initial encounter
T85.29XAOther mechanical complication of intraocular lens, initial encounter
Z44.21Encounter for fitting and adjustment of artificial right eye
Z44.22Encounter for fitting and adjustment of artificial left eye
Z87.8901Personal history of social gender transition
Z87.8902Personal history of medical gender transition
Z87.8903Personal history of surgical gender transition
Z87.8904Personal history of intersex surgery
Z87.8909Personal history of unspecified gender transition
Z90.01Acquired absence of eye

Frequently asked questions

Which ICD-10 codes support medical necessity for CPT 15822?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 314 ICD-10 diagnosis codes that support medical necessity for CPT 15822. 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 15822 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.

Bill it right the first time

Join providers across the country delivering modern virtual care with CareNiva. Free to start, ready in minutes.

100% Satisfaction Guaranteed — try it risk-free