CPT 15838: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 15838 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 15838 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 |
|---|---|
| A31.1 | Cutaneous mycobacterial infection |
| A43.1 | Cutaneous nocardiosis |
| A46 | Erysipelas |
| A48.0 | Gas gangrene |
| B20 | Human immunodeficiency virus [HIV] disease |
| B35.6 | Tinea cruris |
| B35.8 | Other dermatophytoses |
| B37.2 | Candidiasis of skin and nail |
| B95.0 | Streptococcus, group A, as the cause of diseases classified elsewhere |
| B95.1 | Streptococcus, group B, as the cause of diseases classified elsewhere |
| B95.2 | Enterococcus as the cause of diseases classified elsewhere |
| B95.3 | Streptococcus pneumoniae as the cause of diseases classified elsewhere |
| B95.4 | Other streptococcus as the cause of diseases classified elsewhere |
| B95.61 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B95.62 | Methicillin resistant Staphylococcus aureus infection as the cause of diseases classified elsewhere |
| B95.7 | Other staphylococcus as the cause of diseases classified elsewhere |
| B96.0 | Mycoplasma pneumoniae [M. pneumoniae] as the cause of diseases classified elsewhere |
| B96.1 | Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere |
| B96.3 | Hemophilus influenzae [H. influenzae] as the cause of diseases classified elsewhere |
| B96.4 | Proteus (mirabilis) (morganii) as the cause of diseases classified elsewhere |
| B96.5 | Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere |
| B96.6 | Bacteroides fragilis [B. fragilis] as the cause of diseases classified elsewhere |
| B96.7 | Clostridium perfringens [C. perfringens] as the cause of diseases classified elsewhere |
| B96.81 | Helicobacter pylori [H. pylori] as the cause of diseases classified elsewhere |
| B96.82 | Vibrio vulnificus as the cause of diseases classified elsewhere |
| B96.83 | Acinetobacter baumannii as the cause of diseases classified elsewhere |
| B96.89 | Other specified bacterial agents as the cause of diseases classified elsewhere |
| C30.0 | Malignant neoplasm of nasal cavity |
| C41.0 | Malignant neoplasm of bones of skull and face |
| C43.31 | Malignant melanoma of nose |
| C43.39 | Malignant melanoma of other parts of face |
| 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 |
| C44.501 | Unspecified malignant neoplasm of skin of breast |
| C44.511 | Basal cell carcinoma of skin of breast |
| C44.521 | Squamous cell carcinoma of skin of breast |
| C44.591 | Other specified malignant neoplasm of skin of breast |
| C50.011 | Malignant neoplasm of nipple and areola, right female breast |
| C50.012 | Malignant neoplasm of nipple and areola, left female breast |
| C50.021 | Malignant neoplasm of nipple and areola, right male breast |
| C50.022 | Malignant neoplasm of nipple and areola, left male breast |
| C50.111 | Malignant neoplasm of central portion of right female breast |
| C50.112 | Malignant neoplasm of central portion of left female breast |
| C50.121 | Malignant neoplasm of central portion of right male breast |
| C50.122 | Malignant neoplasm of central portion of left male breast |
| C50.211 | Malignant neoplasm of upper-inner quadrant of right female breast |
| C50.212 | Malignant neoplasm of upper-inner quadrant of left female breast |
| C50.221 | Malignant neoplasm of upper-inner quadrant of right male breast |
| C50.222 | Malignant neoplasm of upper-inner quadrant of left male breast |
| C50.311 | Malignant neoplasm of lower-inner quadrant of right female breast |
| C50.312 | Malignant neoplasm of lower-inner quadrant of left female breast |
| C50.321 | Malignant neoplasm of lower-inner quadrant of right male breast |
| C50.322 | Malignant neoplasm of lower-inner quadrant of left male breast |
| C50.411 | Malignant neoplasm of upper-outer quadrant of right female breast |
| C50.412 | Malignant neoplasm of upper-outer quadrant of left female breast |
| C50.421 | Malignant neoplasm of upper-outer quadrant of right male breast |
| C50.422 | Malignant neoplasm of upper-outer quadrant of left male breast |
| C50.511 | Malignant neoplasm of lower-outer quadrant of right female breast |
| C50.512 | Malignant neoplasm of lower-outer quadrant of left female breast |
| C50.521 | Malignant neoplasm of lower-outer quadrant of right male breast |
| C50.522 | Malignant neoplasm of lower-outer quadrant of left male breast |
| C50.611 | Malignant neoplasm of axillary tail of right female breast |
| C50.612 | Malignant neoplasm of axillary tail of left female breast |
| C50.621 | Malignant neoplasm of axillary tail of right male breast |
| C50.622 | Malignant neoplasm of axillary tail of left male breast |
| C50.811 | Malignant neoplasm of overlapping sites of right female breast |
| C50.812 | Malignant neoplasm of overlapping sites of left female breast |
| C50.821 | Malignant neoplasm of overlapping sites of right male breast |
| C50.822 | Malignant neoplasm of overlapping sites of left male breast |
| C50.911 | Malignant neoplasm of unspecified site of right female breast |
| C50.912 | Malignant neoplasm of unspecified site of left female breast |
| C50.921 | Malignant neoplasm of unspecified site of right male breast |
| C50.922 | Malignant neoplasm of unspecified site of left male breast |
| C76.0 | Malignant neoplasm of head, face and neck |
| C79.2 | Secondary malignant neoplasm of skin |
| C79.81 | Secondary malignant neoplasm of breast |
| D03.39 | Melanoma in situ of other parts of face |
| D04.30 | Carcinoma in situ of skin of unspecified part of face |
| D04.39 | Carcinoma in situ of skin of other parts of face |
| D04.5 | Carcinoma in situ of skin of trunk |
| D04.8 | Carcinoma in situ of skin of other sites |
| D05.01 | Lobular carcinoma in situ of right breast |
| D05.02 | Lobular carcinoma in situ of left breast |
| D05.11 | Intraductal carcinoma in situ of right breast |
| D05.12 | Intraductal carcinoma in situ of left breast |
| D05.81 | Other specified type of carcinoma in situ of right breast |
| D05.82 | Other specified type of carcinoma in situ of left breast |
| D05.91 | Unspecified type of carcinoma in situ of right breast |
| D05.92 | Unspecified type of carcinoma in situ of left breast |
| D14.0 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses |
| D16.4 | Benign neoplasm of bones of skull and face |
| D22.30 | Melanocytic nevi of unspecified part of face |
| D22.39 | Melanocytic nevi of other parts of face |
| D23.30 | Other benign neoplasm of skin of unspecified part of face |
| D23.39 | Other benign neoplasm of skin of other parts of face |
| D24.1 | Benign neoplasm of right breast |
| D24.2 | Benign neoplasm of left breast |
| D48.5 | Neoplasm of uncertain behavior of skin |
| D48.61 | Neoplasm of uncertain behavior of right breast |
| D48.62 | Neoplasm of uncertain behavior of left breast |
| E65 | Localized adiposity |
| E88.11 | Partial lipodystrophy |
| E88.12 | Generalized lipodystrophy |
| E88.13 | Localized lipodystrophy |
| E88.14 | HIV-associated lipodystrophy |
| E88.19 | Other lipodystrophy, not elsewhere classified |
| F64.1 | Dual role transvestism |
| F64.2 | Gender identity disorder of childhood |
| F64.8 | Other gender identity disorders |
| F64.9 | Gender identity disorder, unspecified |
| I70.231 | Atherosclerosis of native arteries of right leg with ulceration of thigh |
| I70.238 | Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg |
| I70.241 | Atherosclerosis of native arteries of left leg with ulceration of thigh |
| I70.248 | Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg |
| I70.25 | Atherosclerosis of native arteries of other extremities with ulceration |
| I70.431 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh |
| I70.441 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh |
| I70.45 | Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration |
| I70.531 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh |
| I70.541 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh |
| I70.55 | Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration |
| I70.631 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh |
| I70.641 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh |
| I70.65 | Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration |
| I70.731 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh |
| I70.741 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh |
| I70.75 | Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration |
| J32.0 | Chronic maxillary sinusitis |
| J32.1 | Chronic frontal sinusitis |
| J32.2 | Chronic ethmoidal sinusitis |
| J32.3 | Chronic sphenoidal sinusitis |
| J32.4 | Chronic pansinusitis |
| J34.0 | Abscess, furuncle and carbuncle of nose |
| J34.1 | Cyst and mucocele of nose and nasal sinus |
| J34.2 | Deviated nasal septum |
| J34.8201 | Internal nasal valve collapse, static |
| J34.8202 | Internal nasal valve collapse, dynamic |
| J34.8211 | External nasal valve collapse, static |
| J34.8212 | External nasal valve collapse, dynamic |
| J34.89 | Other specified disorders of nose and nasal sinuses |
| L03.311 | Cellulitis of abdominal wall |
| L08.1 | Erythrasma |
| L26 | Exfoliative dermatitis |
| L30.4 | Erythema intertrigo |
| L53.8 | Other specified erythematous conditions |
| L54 | Erythema in diseases classified elsewhere |
| L57.0 | Actinic keratosis |
| L71.0 | Perioral dermatitis |
| L71.1 | Rhinophyma |
| L71.8 | Other rosacea |
| L81.8 | Other specified disorders of pigmentation |
| L81.9 | Disorder of pigmentation, unspecified |
| L92.0 | Granuloma annulare |
| L95.1 | Erythema elevatum diutinum |
| L97.111 | Non-pressure chronic ulcer of right thigh limited to breakdown of skin |
| L97.112 | Non-pressure chronic ulcer of right thigh with fat layer exposed |
| L97.113 | Non-pressure chronic ulcer of right thigh with necrosis of muscle |
| L97.114 | Non-pressure chronic ulcer of right thigh with necrosis of bone |
| L97.121 | Non-pressure chronic ulcer of left thigh limited to breakdown of skin |
| L97.122 | Non-pressure chronic ulcer of left thigh with fat layer exposed |
| L97.123 | Non-pressure chronic ulcer of left thigh with necrosis of muscle |
| L97.124 | Non-pressure chronic ulcer of left thigh with necrosis of bone |
| L98.2 | Febrile neutrophilic dermatosis [Sweet] |
| L98.411 | Non-pressure chronic ulcer of buttock limited to breakdown of skin |
| L98.412 | Non-pressure chronic ulcer of buttock with fat layer exposed |
| L98.413 | Non-pressure chronic ulcer of buttock with necrosis of muscle |
| L98.414 | Non-pressure chronic ulcer of buttock with necrosis of bone |
| L98.421 | Non-pressure chronic ulcer of back limited to breakdown of skin |
| L98.422 | Non-pressure chronic ulcer of back with fat layer exposed |
| L98.423 | Non-pressure chronic ulcer of back with necrosis of muscle |
| L98.424 | Non-pressure chronic ulcer of back with necrosis of bone |
| L98.491 | Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin |
| L98.492 | Non-pressure chronic ulcer of skin of other sites with fat layer exposed |
| L98.493 | Non-pressure chronic ulcer of skin of other sites with necrosis of muscle |
| L98.494 | Non-pressure chronic ulcer of skin of other sites with necrosis of bone |
| L98.7 | Excessive and redundant skin and subcutaneous tissue |
| L98.9 | Disorder of the skin and subcutaneous tissue, unspecified |
| M25.511 | Pain in right shoulder |
| M25.512 | Pain in left shoulder |
| M40.04 | Postural kyphosis, thoracic region |
| M53.81 | Other specified dorsopathies, occipito-atlanto-axial region |
| M53.82 | Other specified dorsopathies, cervical region |
| M53.83 | Other specified dorsopathies, cervicothoracic region |
| M53.84 | Other specified dorsopathies, thoracic region |
| M54.2 | Cervicalgia |
| M54.6 | Pain in thoracic spine |
| M54.89 | Other dorsalgia |
| M54.9 | Dorsalgia, unspecified |
| M79.3 | Panniculitis, unspecified |
| M95.4 | Acquired deformity of chest and rib |
| N60.01 | Solitary cyst of right breast |
| N60.02 | Solitary cyst of left breast |
| N60.11 | Diffuse cystic mastopathy of right breast |
| N60.12 | Diffuse cystic mastopathy of left breast |
| N60.21 | Fibroadenosis of right breast |
| N60.22 | Fibroadenosis of left breast |
| N60.31 | Fibrosclerosis of right breast |
| N60.32 | Fibrosclerosis of left breast |
| N60.41 | Mammary duct ectasia of right breast |
| N60.42 | Mammary duct ectasia of left breast |
| N60.81 | Other benign mammary dysplasias of right breast |
| N60.82 | Other benign mammary dysplasias of left breast |
| N60.91 | Unspecified benign mammary dysplasia of right breast |
| N60.92 | Unspecified benign mammary dysplasia of left breast |
| N62 | Hypertrophy of breast |
| N64.1 | Fat necrosis of breast |
| N64.4 | Mastodynia |
| N64.81 | Ptosis of breast |
| N65.0 | Deformity of reconstructed breast |
| N65.1 | Disproportion of reconstructed breast |
| O91.211 | Nonpurulent mastitis associated with pregnancy, first trimester |
| O91.212 | Nonpurulent mastitis associated with pregnancy, second trimester |
| O91.213 | Nonpurulent mastitis associated with pregnancy, third trimester |
| Q30.0 | Choanal atresia |
| Q30.8 | Other congenital malformations of nose |
| Q35.1 | Cleft hard palate |
| Q35.3 | Cleft soft palate |
| Q35.5 | Cleft hard palate with cleft soft palate |
| Q35.7 | Cleft uvula |
| Q36.0 | Cleft lip, bilateral |
| Q36.1 | Cleft lip, median |
| Q36.9 | Cleft lip, unilateral |
| Q37.0 | Cleft hard palate with bilateral cleft lip |
| Q37.1 | Cleft hard palate with unilateral cleft lip |
| Q37.2 | Cleft soft palate with bilateral cleft lip |
| Q37.3 | Cleft soft palate with unilateral cleft lip |
| Q37.4 | Cleft hard and soft palate with bilateral cleft lip |
| Q37.5 | Cleft hard and soft palate with unilateral cleft lip |
| Q67.0 | Congenital facial asymmetry |
| Q67.1 | Congenital compression facies |
| Q67.4 | Other congenital deformities of skull, face and jaw |
| R04.0 | Epistaxis |
| R09.81 | Nasal congestion |
| R20.2 | Paresthesia of skin |
| R21 | Rash and other nonspecific skin eruption |
| R26.2 | Difficulty in walking, not elsewhere classified |
| S02.2XXA | Fracture of nasal bones, initial encounter for closed fracture |
| S02.2XXB | Fracture of nasal bones, initial encounter for open fracture |
| S02.2XXD | Fracture of nasal bones, subsequent encounter for fracture with routine healing |
| S02.2XXG | Fracture of nasal bones, subsequent encounter for fracture with delayed healing |
| S02.2XXK | Fracture of nasal bones, subsequent encounter for fracture with nonunion |
| S02.2XXS | Fracture of nasal bones, sequela |
| S09.10XA | Unspecified injury of muscle and tendon of head, initial encounter |
| S09.11XA | Strain of muscle and tendon of head, initial encounter |
| S09.19XA | Other specified injury of muscle and tendon of head, initial encounter |
| S09.8XXA | Other specified injuries of head, initial encounter |
| T20.06XA | Burn of unspecified degree of forehead and cheek, initial encounter |
| T20.06XD | Burn of unspecified degree of forehead and cheek, subsequent encounter |
| T20.06XS | Burn of unspecified degree of forehead and cheek, sequela |
| T20.16XA | Burn of first degree of forehead and cheek, initial encounter |
| T20.16XD | Burn of first degree of forehead and cheek, subsequent encounter |
| T20.16XS | Burn of first degree of forehead and cheek, sequela |
| T20.26XA | Burn of second degree of forehead and cheek, initial encounter |
| T20.311A | Burn of third degree of right ear [any part, except ear drum], initial encounter |
| T20.311D | Burn of third degree of right ear [any part, except ear drum], subsequent encounter |
| T20.311S | Burn of third degree of right ear [any part, except ear drum], sequela |
| T20.312A | Burn of third degree of left ear [any part, except ear drum], initial encounter |
| T20.312D | Burn of third degree of left ear [any part, except ear drum], subsequent encounter |
| T20.312S | Burn of third degree of left ear [any part, except ear drum], sequela |
| T20.32XA | Burn of third degree of lip(s), initial encounter |
| T20.32XD | Burn of third degree of lip(s), subsequent encounter |
| T20.32XS | Burn of third degree of lip(s), sequela |
| T20.33XA | Burn of third degree of chin, initial encounter |
| T20.33XD | Burn of third degree of chin, subsequent encounter |
| T20.33XS | Burn of third degree of chin, sequela |
| T20.34XA | Burn of third degree of nose (septum), initial encounter |
| T20.34XD | Burn of third degree of nose (septum), subsequent encounter |
| T20.34XS | Burn of third degree of nose (septum), sequela |
| T20.35XA | Burn of third degree of scalp [any part], initial encounter |
| T20.35XD | Burn of third degree of scalp [any part], subsequent encounter |
| T20.35XS | Burn of third degree of scalp [any part], sequela |
| T20.36XA | Burn of third degree of forehead and cheek, initial encounter |
| T20.36XD | Burn of third degree of forehead and cheek, subsequent encounter |
| T20.36XS | Burn of third degree of forehead and cheek, sequela |
| T20.37XA | Burn of third degree of neck, initial encounter |
| T20.37XD | Burn of third degree of neck, subsequent encounter |
| T20.37XS | Burn of third degree of neck, sequela |
| T20.39XA | Burn of third degree of multiple sites of head, face, and neck, initial encounter |
| T20.39XD | Burn of third degree of multiple sites of head, face, and neck, subsequent encounter |
| T20.39XS | Burn of third degree of multiple sites of head, face, and neck, sequela |
| T20.66XA | Corrosion of second degree of forehead and cheek, initial encounter |
| T20.711A | Corrosion of third degree of right ear [any part, except ear drum], initial encounter |
| T20.711D | Corrosion of third degree of right ear [any part, except ear drum], subsequent encounter |
| T20.711S | Corrosion of third degree of right ear [any part, except ear drum], sequela |
| T20.712A | Corrosion of third degree of left ear [any part, except ear drum], initial encounter |
| T20.712D | Corrosion of third degree of left ear [any part, except ear drum], subsequent encounter |
| T20.712S | Corrosion of third degree of left ear [any part, except ear drum], sequela |
| T20.72XA | Corrosion of third degree of lip(s), initial encounter |
| T20.72XD | Corrosion of third degree of lip(s), subsequent encounter |
| T20.72XS | Corrosion of third degree of lip(s), sequela |
| T20.73XA | Corrosion of third degree of chin, initial encounter |
| T20.73XD | Corrosion of third degree of chin, subsequent encounter |
| T20.73XS | Corrosion of third degree of chin, sequela |
| T20.74XA | Corrosion of third degree of nose (septum), initial encounter |
| T20.74XD | Corrosion of third degree of nose (septum), subsequent encounter |
| T20.74XS | Corrosion of third degree of nose (septum), sequela |
| T20.75XA | Corrosion of third degree of scalp [any part], initial encounter |
| T20.75XD | Corrosion of third degree of scalp [any part], subsequent encounter |
| T20.75XS | Corrosion of third degree of scalp [any part], sequela |
| T20.76XA | Corrosion of third degree of forehead and cheek, initial encounter |
| T20.76XD | Corrosion of third degree of forehead and cheek, subsequent encounter |
| T20.76XS | Corrosion of third degree of forehead and cheek, sequela |
| T20.77XA | Corrosion of third degree of neck, initial encounter |
| T20.77XD | Corrosion of third degree of neck, subsequent encounter |
| T20.77XS | Corrosion of third degree of neck, sequela |
| T20.79XA | Corrosion of third degree of multiple sites of head, face, and neck, initial encounter |
| T20.79XD | Corrosion of third degree of multiple sites of head, face, and neck, subsequent encounter |
| T20.79XS | Corrosion of third degree of multiple sites of head, face, and neck, sequela |
| T21.31XA | Burn of third degree of chest wall, initial encounter |
| T21.31XD | Burn of third degree of chest wall, subsequent encounter |
| T21.31XS | Burn of third degree of chest wall, sequela |
| T21.32XA | Burn of third degree of abdominal wall, initial encounter |
| T21.32XD | Burn of third degree of abdominal wall, subsequent encounter |
| T21.32XS | Burn of third degree of abdominal wall, sequela |
| T21.33XA | Burn of third degree of upper back, initial encounter |
| T21.33XD | Burn of third degree of upper back, subsequent encounter |
| T21.33XS | Burn of third degree of upper back, sequela |
| T21.34XA | Burn of third degree of lower back, initial encounter |
| T21.34XD | Burn of third degree of lower back, subsequent encounter |
| T21.34XS | Burn of third degree of lower back, sequela |
| T21.35XA | Burn of third degree of buttock, initial encounter |
| T21.35XD | Burn of third degree of buttock, subsequent encounter |
| T21.35XS | Burn of third degree of buttock, sequela |
| T21.36XA | Burn of third degree of male genital region, initial encounter |
| T21.36XD | Burn of third degree of male genital region, subsequent encounter |
| T21.36XS | Burn of third degree of male genital region, sequela |
| T21.37XA | Burn of third degree of female genital region, initial encounter |
| T21.37XD | Burn of third degree of female genital region, subsequent encounter |
| T21.37XS | Burn of third degree of female genital region, sequela |
| T21.39XA | Burn of third degree of other site of trunk, initial encounter |
| T21.39XD | Burn of third degree of other site of trunk, subsequent encounter |
| T21.39XS | Burn of third degree of other site of trunk, sequela |
| T21.71XA | Corrosion of third degree of chest wall, initial encounter |
| T21.71XD | Corrosion of third degree of chest wall, subsequent encounter |
| T21.71XS | Corrosion of third degree of chest wall, sequela |
| T21.72XA | Corrosion of third degree of abdominal wall, initial encounter |
| T21.72XD | Corrosion of third degree of abdominal wall, subsequent encounter |
| T21.72XS | Corrosion of third degree of abdominal wall, sequela |
| T21.73XA | Corrosion of third degree of upper back, initial encounter |
| T21.73XD | Corrosion of third degree of upper back, subsequent encounter |
| T21.73XS | Corrosion of third degree of upper back, sequela |
| T21.74XA | Corrosion of third degree of lower back, initial encounter |
| T21.74XD | Corrosion of third degree of lower back, subsequent encounter |
| T21.74XS | Corrosion of third degree of lower back, sequela |
| T21.75XA | Corrosion of third degree of buttock, initial encounter |
| T21.75XD | Corrosion of third degree of buttock, subsequent encounter |
| T21.75XS | Corrosion of third degree of buttock, sequela |
| T21.76XA | Corrosion of third degree of male genital region, initial encounter |
| T21.76XD | Corrosion of third degree of male genital region, subsequent encounter |
| T21.76XS | Corrosion of third degree of male genital region, sequela |
| T21.77XA | Corrosion of third degree of female genital region, initial encounter |
| T21.77XD | Corrosion of third degree of female genital region, subsequent encounter |
| T21.77XS | Corrosion of third degree of female genital region, sequela |
| T21.79XA | Corrosion of third degree of other site of trunk, initial encounter |
| T21.79XD | Corrosion of third degree of other site of trunk, subsequent encounter |
| T21.79XS | Corrosion of third degree of other site of trunk, sequela |
| T22.311A | Burn of third degree of right forearm, initial encounter |
| T22.311D | Burn of third degree of right forearm, subsequent encounter |
| T22.311S | Burn of third degree of right forearm, sequela |
| T22.312A | Burn of third degree of left forearm, initial encounter |
| T22.312D | Burn of third degree of left forearm, subsequent encounter |
| T22.312S | Burn of third degree of left forearm, sequela |
| T22.321A | Burn of third degree of right elbow, initial encounter |
| T22.321D | Burn of third degree of right elbow, subsequent encounter |
| T22.321S | Burn of third degree of right elbow, sequela |
| T22.322A | Burn of third degree of left elbow, initial encounter |
| T22.322D | Burn of third degree of left elbow, subsequent encounter |
| T22.322S | Burn of third degree of left elbow, sequela |
| T22.331A | Burn of third degree of right upper arm, initial encounter |
| T22.331D | Burn of third degree of right upper arm, subsequent encounter |
| T22.331S | Burn of third degree of right upper arm, sequela |
| T22.332A | Burn of third degree of left upper arm, initial encounter |
| T22.332D | Burn of third degree of left upper arm, subsequent encounter |
| T22.332S | Burn of third degree of left upper arm, sequela |
| T22.341A | Burn of third degree of right axilla, initial encounter |
| T22.341D | Burn of third degree of right axilla, subsequent encounter |
| T22.341S | Burn of third degree of right axilla, sequela |
| T22.342A | Burn of third degree of left axilla, initial encounter |
| T22.342D | Burn of third degree of left axilla, subsequent encounter |
| T22.342S | Burn of third degree of left axilla, sequela |
| T22.351A | Burn of third degree of right shoulder, initial encounter |
| T22.351D | Burn of third degree of right shoulder, subsequent encounter |
| T22.351S | Burn of third degree of right shoulder, sequela |
| T22.352A | Burn of third degree of left shoulder, initial encounter |
| T22.352D | Burn of third degree of left shoulder, subsequent encounter |
| T22.352S | Burn of third degree of left shoulder, sequela |
| T22.361A | Burn of third degree of right scapular region, initial encounter |
| T22.361D | Burn of third degree of right scapular region, subsequent encounter |
| T22.361S | Burn of third degree of right scapular region, sequela |
| T22.362A | Burn of third degree of left scapular region, initial encounter |
Showing the first 400 of 694 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 15838?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 694 ICD-10 diagnosis codes that support medical necessity for CPT 15838. 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 15838 view of that relationship.
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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