ICD↔CPT crosswalk
CPT 17260: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 17260 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 17260 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 |
|---|---|
| A63.0 | Anogenital (venereal) warts |
| B07.0 | Plantar wart |
| B07.8 | Other viral warts |
| B07.9 | Viral wart, unspecified |
| B08.1 | Molluscum contagiosum |
| C05.0 | Malignant neoplasm of hard palate |
| C05.1 | Malignant neoplasm of soft palate |
| C05.2 | Malignant neoplasm of uvula |
| C05.8 | Malignant neoplasm of overlapping sites of palate |
| C05.9 | Malignant neoplasm of palate, unspecified |
| C06.0 | Malignant neoplasm of cheek mucosa |
| C06.1 | Malignant neoplasm of vestibule of mouth |
| C06.2 | Malignant neoplasm of retromolar area |
| C06.80 | Malignant neoplasm of overlapping sites of unspecified parts of mouth |
| C06.89 | Malignant neoplasm of overlapping sites of other parts of mouth |
| C06.9 | Malignant neoplasm of mouth, unspecified |
| C43.0 | Malignant melanoma of lip |
| C43.10 | Malignant melanoma of unspecified eyelid, including canthus |
| 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 |
| C43.20 | Malignant melanoma of unspecified ear and external auricular canal |
| 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 |
| C43.60 | Malignant melanoma of unspecified upper limb, including shoulder |
| C43.61 | Malignant melanoma of right upper limb, including shoulder |
| C43.62 | Malignant melanoma of left upper limb, including shoulder |
| C43.70 | Malignant melanoma of unspecified lower limb, including hip |
| 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 |
| C44.1021 | 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 |
| C44.292 | 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 |
| C44.301 | Unspecified malignant neoplasm of skin of nose |
| C44.309 | Unspecified malignant neoplasm of skin of other parts of face |
| C44.311 | Basal cell carcinoma of skin of nose |
| C44.319 | Basal cell carcinoma of skin of other parts of face |
| C44.321 | Squamous cell carcinoma of skin of nose |
| C44.329 | Squamous cell carcinoma of skin of other 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 |
| C44.602 | 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 |
| C44.692 | 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 |
| C44.702 | 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 |
| C44.792 | 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 |
| C46.0 | Kaposi's sarcoma of skin |
| C46.1 | Kaposi's sarcoma of soft tissue |
| C46.2 | Kaposi's sarcoma of palate |
| C46.7 | Kaposi's sarcoma of other sites |
| C47.0 | Malignant neoplasm of peripheral nerves of head, face and neck |
| C47.10 | Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder |
| C47.11 | Malignant neoplasm of peripheral nerves of right upper limb, including shoulder |
| C47.12 | Malignant neoplasm of peripheral nerves of left upper limb, including shoulder |
| C47.20 | Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip |
| C47.21 | Malignant neoplasm of peripheral nerves of right lower limb, including hip |
| C47.22 | Malignant neoplasm of peripheral nerves of left lower limb, including hip |
| C47.3 | Malignant neoplasm of peripheral nerves of thorax |
| C47.4 | Malignant neoplasm of peripheral nerves of abdomen |
| C47.5 | Malignant neoplasm of peripheral nerves of pelvis |
| C47.6 | Malignant neoplasm of peripheral nerves of trunk, unspecified |
| C47.8 | Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system |
| C49.0 | Malignant neoplasm of connective and soft tissue of head, face and neck |
| C49.10 | Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder |
| 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 |
| C49.20 | Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip |
| 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 |
| C49.3 | Malignant neoplasm of connective and soft tissue of thorax |
| 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 |
| C49.8 | Malignant neoplasm of overlapping sites of connective and soft tissue |
| C4A.0 | Merkel cell carcinoma of lip |
| C4A.10 | Merkel cell carcinoma of unspecified eyelid, including canthus |
| 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.20 | Merkel cell carcinoma of unspecified ear and external auricular canal |
| 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.30 | Merkel cell carcinoma of unspecified part of face |
| 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.60 | Merkel cell carcinoma of unspecified upper limb, including shoulder |
| C4A.61 | Merkel cell carcinoma of right upper limb, including shoulder |
| C4A.62 | Merkel cell carcinoma of left upper limb, including shoulder |
| C4A.70 | Merkel cell carcinoma of unspecified lower limb, including hip |
| 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 |
| 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 |
| C76.0 | Malignant neoplasm of head, face and neck |
| C76.1 | Malignant neoplasm of thorax |
| C76.2 | Malignant neoplasm of abdomen |
| C76.3 | Malignant neoplasm of pelvis |
| C76.40 | Malignant neoplasm of unspecified upper limb |
| C76.41 | Malignant neoplasm of right upper limb |
| C76.42 | Malignant neoplasm of left upper limb |
| C76.50 | Malignant neoplasm of unspecified lower limb |
| C76.51 | Malignant neoplasm of right lower limb |
| C76.52 | Malignant neoplasm of left lower limb |
| C76.8 | Malignant neoplasm of other specified ill-defined sites |
| 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 |
| D03.10 | Melanoma in situ of unspecified eyelid, including canthus |
| 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 |
| D03.20 | Melanoma in situ of unspecified ear and external auricular canal |
| D03.21 | Melanoma in situ of right ear and external auricular canal |
| D03.22 | Melanoma in situ of left ear and external auricular canal |
| D03.30 | Melanoma in situ of unspecified part of face |
| 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 |
| D03.60 | Melanoma in situ of unspecified upper limb, including shoulder |
| D03.61 | Melanoma in situ of right upper limb, including shoulder |
| D03.62 | Melanoma in situ of left upper limb, including shoulder |
| D03.70 | Melanoma in situ of unspecified lower limb, including hip |
| 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 |
| D04.10 | Carcinoma in situ of skin of unspecified eyelid, including canthus |
| 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 |
| D04.20 | Carcinoma in situ of skin of unspecified ear and external auricular canal |
| 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 |
| D04.60 | Carcinoma in situ of skin of unspecified upper limb, including shoulder |
| 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 |
| D04.70 | Carcinoma in situ of skin of unspecified lower limb, including hip |
| 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 |
| D07.1 | Carcinoma in situ of vulva |
| D07.4 | Carcinoma in situ of penis |
| D09.20 | Carcinoma in situ of unspecified eye |
| D09.21 | Carcinoma in situ of right eye |
| D09.22 | Carcinoma in situ of left eye |
| D10.0 | Benign neoplasm of lip |
| 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 |
| 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 |
| D23.71 | Other benign neoplasm of skin of right lower limb, including hip |
| D23.72 | Other benign neoplasm of skin of left lower limb, including hip |
| D28.0 | Benign neoplasm of vulva |
| D29.0 | Benign neoplasm of penis |
| D29.4 | Benign neoplasm of scrotum |
| D47.01 | Cutaneous mastocytosis |
| D48.5 | Neoplasm of uncertain behavior of skin |
| I78.1 | Nevus, non-neoplastic |
| L56.5 | Disseminated superficial actinic porokeratosis (DSAP) |
| L56.8 | Other specified acute skin changes due to ultraviolet radiation |
| L57.0 | Actinic keratosis |
| L57.8 | Other skin changes due to chronic exposure to nonionizing radiation |
| L72.0 | Epidermal cyst |
| L72.11 | Pilar cyst |
| L72.2 | Steatocystoma multiplex |
| L72.3 | Sebaceous cyst |
| L72.8 | Other follicular cysts of the skin and subcutaneous tissue |
| L72.9 | Follicular cyst of the skin and subcutaneous tissue, unspecified |
| L82.0 | Inflamed seborrheic keratosis |
| L82.1 | Other seborrheic keratosis |
| L83 | Acanthosis nigricans |
| L90.0 | Lichen sclerosus et atrophicus |
| L92.8 | Other granulomatous disorders of the skin and subcutaneous tissue |
| L94.0 | Localized scleroderma [morphea] |
| L94.1 | Linear scleroderma |
| L94.3 | Sclerodactyly |
| L98.0 | Pyogenic granuloma |
| N84.3 | Polyp of vulva |
| N90.0 | Mild vulvar dysplasia |
| N90.1 | Moderate vulvar dysplasia |
| N90.4 | Leukoplakia of vulva |
| N90.7 | Vulvar cyst |
| Z85.820 | Personal history of malignant melanoma of skin |
| Z85.828 | Personal history of other malignant neoplasm of skin |
| Z86.006 | Personal history of melanoma in-situ |
| Z86.007 | Personal history of in-situ neoplasm of skin |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 17260?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 316 ICD-10 diagnosis codes that support medical necessity for CPT 17260. 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 17260 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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