ICD↔CPT crosswalk
CPT 20612: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 20612 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 20612 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 |
|---|---|
| G56.01 | Carpal tunnel syndrome, right upper limb |
| G56.02 | Carpal tunnel syndrome, left upper limb |
| G56.03 | Carpal tunnel syndrome, bilateral upper limbs |
| G57.51 | Tarsal tunnel syndrome, right lower limb |
| G57.52 | Tarsal tunnel syndrome, left lower limb |
| G57.53 | Tarsal tunnel syndrome, bilateral lower limbs |
| G57.61 | Lesion of plantar nerve, right lower limb |
| G57.62 | Lesion of plantar nerve, left lower limb |
| G57.63 | Lesion of plantar nerve, bilateral lower limbs |
| M20.11 | Hallux valgus (acquired), right foot |
| M20.12 | Hallux valgus (acquired), left foot |
| M24.211 | Disorder of ligament, right shoulder |
| M24.212 | Disorder of ligament, left shoulder |
| M24.221 | Disorder of ligament, right elbow |
| M24.222 | Disorder of ligament, left elbow |
| M24.231 | Disorder of ligament, right wrist |
| M24.232 | Disorder of ligament, left wrist |
| M24.241 | Disorder of ligament, right hand |
| M24.242 | Disorder of ligament, left hand |
| M24.251 | Disorder of ligament, right hip |
| M24.252 | Disorder of ligament, left hip |
| M24.271 | Disorder of ligament, right ankle |
| M24.272 | Disorder of ligament, left ankle |
| M24.274 | Disorder of ligament, right foot |
| M24.275 | Disorder of ligament, left foot |
| M25.711 | Osteophyte, right shoulder |
| M25.712 | Osteophyte, left shoulder |
| M25.721 | Osteophyte, right elbow |
| M25.722 | Osteophyte, left elbow |
| M25.731 | Osteophyte, right wrist |
| M25.732 | Osteophyte, left wrist |
| M25.741 | Osteophyte, right hand |
| M25.742 | Osteophyte, left hand |
| M25.751 | Osteophyte, right hip |
| M25.752 | Osteophyte, left hip |
| M25.761 | Osteophyte, right knee |
| M25.762 | Osteophyte, left knee |
| M25.771 | Osteophyte, right ankle |
| M25.772 | Osteophyte, left ankle |
| M25.774 | Osteophyte, right foot |
| M25.775 | Osteophyte, left foot |
| M46.01 | Spinal enthesopathy, occipito-atlanto-axial region |
| M46.02 | Spinal enthesopathy, cervical region |
| M46.03 | Spinal enthesopathy, cervicothoracic region |
| M46.04 | Spinal enthesopathy, thoracic region |
| M46.05 | Spinal enthesopathy, thoracolumbar region |
| M46.06 | Spinal enthesopathy, lumbar region |
| M46.07 | Spinal enthesopathy, lumbosacral region |
| M46.08 | Spinal enthesopathy, sacral and sacrococcygeal region |
| M46.09 | Spinal enthesopathy, multiple sites in spine |
| M53.3 | Sacrococcygeal disorders, not elsewhere classified |
| M65.111 | Other infective (teno)synovitis, right shoulder |
| M65.112 | Other infective (teno)synovitis, left shoulder |
| M65.121 | Other infective (teno)synovitis, right elbow |
| M65.122 | Other infective (teno)synovitis, left elbow |
| M65.131 | Other infective (teno)synovitis, right wrist |
| M65.132 | Other infective (teno)synovitis, left wrist |
| M65.141 | Other infective (teno)synovitis, right hand |
| M65.142 | Other infective (teno)synovitis, left hand |
| M65.151 | Other infective (teno)synovitis, right hip |
| M65.152 | Other infective (teno)synovitis, left hip |
| M65.161 | Other infective (teno)synovitis, right knee |
| M65.162 | Other infective (teno)synovitis, left knee |
| M65.171 | Other infective (teno)synovitis, right ankle and foot |
| M65.172 | Other infective (teno)synovitis, left ankle and foot |
| M65.18 | Other infective (teno)synovitis, other site |
| M65.19 | Other infective (teno)synovitis, multiple sites |
| M65.221 | Calcific tendinitis, right upper arm |
| M65.222 | Calcific tendinitis, left upper arm |
| M65.231 | Calcific tendinitis, right forearm |
| M65.232 | Calcific tendinitis, left forearm |
| M65.241 | Calcific tendinitis, right hand |
| M65.242 | Calcific tendinitis, left hand |
| M65.251 | Calcific tendinitis, right thigh |
| M65.252 | Calcific tendinitis, left thigh |
| M65.261 | Calcific tendinitis, right lower leg |
| M65.262 | Calcific tendinitis, left lower leg |
| M65.271 | Calcific tendinitis, right ankle and foot |
| M65.272 | Calcific tendinitis, left ankle and foot |
| M65.28 | Calcific tendinitis, other site |
| M65.29 | Calcific tendinitis, multiple sites |
| M65.311 | Trigger thumb, right thumb |
| M65.312 | Trigger thumb, left thumb |
| M65.321 | Trigger finger, right index finger |
| M65.322 | Trigger finger, left index finger |
| M65.331 | Trigger finger, right middle finger |
| M65.332 | Trigger finger, left middle finger |
| M65.341 | Trigger finger, right ring finger |
| M65.342 | Trigger finger, left ring finger |
| M65.351 | Trigger finger, right little finger |
| M65.352 | Trigger finger, left little finger |
| M65.4 | Radial styloid tenosynovitis [de Quervain] |
| M65.80 | Other synovitis and tenosynovitis, unspecified site |
| M65.811 | Other synovitis and tenosynovitis, right shoulder |
| M65.812 | Other synovitis and tenosynovitis, left shoulder |
| M65.821 | Other synovitis and tenosynovitis, right upper arm |
| M65.822 | Other synovitis and tenosynovitis, left upper arm |
| M65.831 | Other synovitis and tenosynovitis, right forearm |
| M65.832 | Other synovitis and tenosynovitis, left forearm |
| M65.841 | Other synovitis and tenosynovitis, right hand |
| M65.842 | Other synovitis and tenosynovitis, left hand |
| M65.851 | Other synovitis and tenosynovitis, right thigh |
| M65.852 | Other synovitis and tenosynovitis, left thigh |
| M65.861 | Other synovitis and tenosynovitis, right lower leg |
| M65.862 | Other synovitis and tenosynovitis, left lower leg |
| M65.871 | Other synovitis and tenosynovitis, right ankle and foot |
| M65.872 | Other synovitis and tenosynovitis, left ankle and foot |
| M65.88 | Other synovitis and tenosynovitis, other site |
| M65.89 | Other synovitis and tenosynovitis, multiple sites |
| M65.90 | Unspecified synovitis and tenosynovitis, unspecified site |
| M65.911 | Unspecified synovitis and tenosynovitis, right shoulder |
| M65.912 | Unspecified synovitis and tenosynovitis, left shoulder |
| M65.919 | Unspecified synovitis and tenosynovitis, unspecified shoulder |
| M65.921 | Unspecified synovitis and tenosynovitis, right upper arm |
| M65.922 | Unspecified synovitis and tenosynovitis, left upper arm |
| M65.929 | Unspecified synovitis and tenosynovitis, unspecified upper arm |
| M65.931 | Unspecified synovitis and tenosynovitis, right forearm |
| M65.932 | Unspecified synovitis and tenosynovitis, left forearm |
| M65.939 | Unspecified synovitis and tenosynovitis, unspecified forearm |
| M65.941 | Unspecified synovitis and tenosynovitis, right hand |
| M65.942 | Unspecified synovitis and tenosynovitis, left hand |
| M65.949 | Unspecified synovitis and tenosynovitis, unspecified hand |
| M65.951 | Unspecified synovitis and tenosynovitis, right thigh |
| M65.952 | Unspecified synovitis and tenosynovitis, left thigh |
| M65.959 | Unspecified synovitis and tenosynovitis, unspecified thigh |
| M65.961 | Unspecified synovitis and tenosynovitis, right lower leg |
| M65.962 | Unspecified synovitis and tenosynovitis, left lower leg |
| M65.969 | Unspecified synovitis and tenosynovitis, unspecified lower leg |
| M65.971 | Unspecified synovitis and tenosynovitis, right ankle and foot |
| M65.972 | Unspecified synovitis and tenosynovitis, left ankle and foot |
| M65.979 | Unspecified synovitis and tenosynovitis, unspecified ankle and foot |
| M65.98 | Unspecified synovitis and tenosynovitis, other site |
| M65.99 | Unspecified synovitis and tenosynovitis, multiple sites |
| M66.211 | Spontaneous rupture of extensor tendons, right shoulder |
| M66.212 | Spontaneous rupture of extensor tendons, left shoulder |
| M66.811 | Spontaneous rupture of other tendons, right shoulder |
| M66.812 | Spontaneous rupture of other tendons, left shoulder |
| M67.01 | Short Achilles tendon (acquired), right ankle |
| M67.02 | Short Achilles tendon (acquired), left ankle |
| M67.311 | Transient synovitis, right shoulder |
| M67.312 | Transient synovitis, left shoulder |
| M67.321 | Transient synovitis, right elbow |
| M67.322 | Transient synovitis, left elbow |
| M67.331 | Transient synovitis, right wrist |
| M67.332 | Transient synovitis, left wrist |
| M67.341 | Transient synovitis, right hand |
| M67.342 | Transient synovitis, left hand |
| M67.351 | Transient synovitis, right hip |
| M67.352 | Transient synovitis, left hip |
| M67.361 | Transient synovitis, right knee |
| M67.362 | Transient synovitis, left knee |
| M67.371 | Transient synovitis, right ankle and foot |
| M67.372 | Transient synovitis, left ankle and foot |
| M67.38 | Transient synovitis, other site |
| M67.39 | Transient synovitis, multiple sites |
| M67.40 | Ganglion, unspecified site |
| M67.411 | Ganglion, right shoulder |
| M67.412 | Ganglion, left shoulder |
| M67.421 | Ganglion, right elbow |
| M67.422 | Ganglion, left elbow |
| M67.431 | Ganglion, right wrist |
| M67.432 | Ganglion, left wrist |
| M67.441 | Ganglion, right hand |
| M67.442 | Ganglion, left hand |
| M67.451 | Ganglion, right hip |
| M67.452 | Ganglion, left hip |
| M67.461 | Ganglion, right knee |
| M67.462 | Ganglion, left knee |
| M67.471 | Ganglion, right ankle and foot |
| M67.472 | Ganglion, left ankle and foot |
| M67.48 | Ganglion, other site |
| M67.49 | Ganglion, multiple sites |
| M67.51 | Plica syndrome, right knee |
| M67.52 | Plica syndrome, left knee |
| M67.813 | Other specified disorders of tendon, right shoulder |
| M67.814 | Other specified disorders of tendon, left shoulder |
| M67.823 | Other specified disorders of tendon, right elbow |
| M67.824 | Other specified disorders of tendon, left elbow |
| M67.833 | Other specified disorders of tendon, right wrist |
| M67.834 | Other specified disorders of tendon, left wrist |
| M67.843 | Other specified disorders of tendon, right hand |
| M67.844 | Other specified disorders of tendon, left hand |
| M67.853 | Other specified disorders of tendon, right hip |
| M67.854 | Other specified disorders of tendon, left hip |
| M67.863 | Other specified disorders of tendon, right knee |
| M67.864 | Other specified disorders of tendon, left knee |
| M67.873 | Other specified disorders of tendon, right ankle and foot |
| M67.874 | Other specified disorders of tendon, left ankle and foot |
| M67.88 | Other specified disorders of synovium and tendon, other site |
| M67.89 | Other specified disorders of synovium and tendon, multiple sites |
| M70.031 | Crepitant synovitis (acute) (chronic), right wrist |
| M70.032 | Crepitant synovitis (acute) (chronic), left wrist |
| M70.041 | Crepitant synovitis (acute) (chronic), right hand |
| M70.042 | Crepitant synovitis (acute) (chronic), left hand |
| M70.10 | Bursitis, unspecified hand |
| M70.11 | Bursitis, right hand |
| M70.12 | Bursitis, left hand |
| M70.21 | Olecranon bursitis, right elbow |
| M70.22 | Olecranon bursitis, left elbow |
| M70.31 | Other bursitis of elbow, right elbow |
| M70.32 | Other bursitis of elbow, left elbow |
| M70.41 | Prepatellar bursitis, right knee |
| M70.42 | Prepatellar bursitis, left knee |
| M70.51 | Other bursitis of knee, right knee |
| M70.52 | Other bursitis of knee, left knee |
| M70.61 | Trochanteric bursitis, right hip |
| M70.62 | Trochanteric bursitis, left hip |
| M70.71 | Other bursitis of hip, right hip |
| M70.72 | Other bursitis of hip, left hip |
| M71.111 | Other infective bursitis, right shoulder |
| M71.112 | Other infective bursitis, left shoulder |
| M71.121 | Other infective bursitis, right elbow |
| M71.122 | Other infective bursitis, left elbow |
| M71.131 | Other infective bursitis, right wrist |
| M71.132 | Other infective bursitis, left wrist |
| M71.141 | Other infective bursitis, right hand |
| M71.142 | Other infective bursitis, left hand |
| M71.151 | Other infective bursitis, right hip |
| M71.152 | Other infective bursitis, left hip |
| M71.161 | Other infective bursitis, right knee |
| M71.162 | Other infective bursitis, left knee |
| M71.171 | Other infective bursitis, right ankle and foot |
| M71.172 | Other infective bursitis, left ankle and foot |
| M71.18 | Other infective bursitis, other site |
| M71.19 | Other infective bursitis, multiple sites |
| M71.30 | Other bursal cyst, unspecified site |
| M71.521 | Other bursitis, not elsewhere classified, right elbow |
| M71.522 | Other bursitis, not elsewhere classified, left elbow |
| M71.531 | Other bursitis, not elsewhere classified, right wrist |
| M71.532 | Other bursitis, not elsewhere classified, left wrist |
| M71.541 | Other bursitis, not elsewhere classified, right hand |
| M71.542 | Other bursitis, not elsewhere classified, left hand |
| M71.551 | Other bursitis, not elsewhere classified, right hip |
| M71.552 | Other bursitis, not elsewhere classified, left hip |
| M71.561 | Other bursitis, not elsewhere classified, right knee |
| M71.562 | Other bursitis, not elsewhere classified, left knee |
| M71.571 | Other bursitis, not elsewhere classified, right ankle and foot |
| M71.572 | Other bursitis, not elsewhere classified, left ankle and foot |
| M71.58 | Other bursitis, not elsewhere classified, other site |
| M72.0 | Palmar fascial fibromatosis [Dupuytren] |
| M72.2 | Plantar fascial fibromatosis |
| M72.4 | Pseudosarcomatous fibromatosis |
| M72.9 | Fibroblastic disorder, unspecified |
| M75.01 | Adhesive capsulitis of right shoulder |
| M75.02 | Adhesive capsulitis of left shoulder |
| M75.101 | Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic |
| M75.102 | Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic |
| M75.111 | Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic |
| M75.112 | Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic |
| M75.21 | Bicipital tendinitis, right shoulder |
| M75.22 | Bicipital tendinitis, left shoulder |
| M75.30 | Calcific tendinitis of unspecified shoulder |
| M75.31 | Calcific tendinitis of right shoulder |
| M75.32 | Calcific tendinitis of left shoulder |
| M75.41 | Impingement syndrome of right shoulder |
| M75.42 | Impingement syndrome of left shoulder |
| M75.51 | Bursitis of right shoulder |
| M75.52 | Bursitis of left shoulder |
| M75.81 | Other shoulder lesions, right shoulder |
| M75.82 | Other shoulder lesions, left shoulder |
| M75.91 | Shoulder lesion, unspecified, right shoulder |
| M75.92 | Shoulder lesion, unspecified, left shoulder |
| M76.01 | Gluteal tendinitis, right hip |
| M76.02 | Gluteal tendinitis, left hip |
| M76.11 | Psoas tendinitis, right hip |
| M76.12 | Psoas tendinitis, left hip |
| M76.21 | Iliac crest spur, right hip |
| M76.22 | Iliac crest spur, left hip |
| M76.31 | Iliotibial band syndrome, right leg |
| M76.32 | Iliotibial band syndrome, left leg |
| M76.41 | Tibial collateral bursitis [Pellegrini-Stieda], right leg |
| M76.42 | Tibial collateral bursitis [Pellegrini-Stieda], left leg |
| M76.51 | Patellar tendinitis, right knee |
| M76.52 | Patellar tendinitis, left knee |
| M76.61 | Achilles tendinitis, right leg |
| M76.62 | Achilles tendinitis, left leg |
| M76.71 | Peroneal tendinitis, right leg |
| M76.72 | Peroneal tendinitis, left leg |
| M76.811 | Anterior tibial syndrome, right leg |
| M76.812 | Anterior tibial syndrome, left leg |
| M76.821 | Posterior tibial tendinitis, right leg |
| M76.822 | Posterior tibial tendinitis, left leg |
| M76.891 | Other specified enthesopathies of right lower limb, excluding foot |
| M76.892 | Other specified enthesopathies of left lower limb, excluding foot |
| M76.899 | Other specified enthesopathies of unspecified lower limb, excluding foot |
| M76.9 | Unspecified enthesopathy, lower limb, excluding foot |
| M77.01 | Medial epicondylitis, right elbow |
| M77.02 | Medial epicondylitis, left elbow |
| M77.11 | Lateral epicondylitis, right elbow |
| M77.12 | Lateral epicondylitis, left elbow |
| M77.21 | Periarthritis, right wrist |
| M77.22 | Periarthritis, left wrist |
| M77.30 | Calcaneal spur, unspecified foot |
| M77.31 | Calcaneal spur, right foot |
| M77.32 | Calcaneal spur, left foot |
| M77.41 | Metatarsalgia, right foot |
| M77.42 | Metatarsalgia, left foot |
| M77.51 | Other enthesopathy of right foot and ankle |
| M77.52 | Other enthesopathy of left foot and ankle |
| M77.8 | Other enthesopathies, not elsewhere classified |
| S03.41XA | Sprain of jaw, right side, initial encounter |
| S03.41XD | Sprain of jaw, right side, subsequent encounter |
| S03.41XS | Sprain of jaw, right side, sequela |
| S03.42XA | Sprain of jaw, left side, initial encounter |
| S03.42XD | Sprain of jaw, left side, subsequent encounter |
| S03.42XS | Sprain of jaw, left side, sequela |
| S03.43XA | Sprain of jaw, bilateral, initial encounter |
| S03.43XD | Sprain of jaw, bilateral, subsequent encounter |
| S03.43XS | Sprain of jaw, bilateral, sequela |
| S03.8XXA | Sprain of joints and ligaments of other parts of head, initial encounter |
| S03.8XXD | Sprain of joints and ligaments of other parts of head, subsequent encounter |
| S03.8XXS | Sprain of joints and ligaments of other parts of head, sequela |
| S13.4XXA | Sprain of ligaments of cervical spine, initial encounter |
| S13.4XXD | Sprain of ligaments of cervical spine, subsequent encounter |
| S13.4XXS | Sprain of ligaments of cervical spine, sequela |
| S13.8XXA | Sprain of joints and ligaments of other parts of neck, initial encounter |
| S13.8XXD | Sprain of joints and ligaments of other parts of neck, subsequent encounter |
| S13.8XXS | Sprain of joints and ligaments of other parts of neck, sequela |
| S16.1XXA | Strain of muscle, fascia and tendon at neck level, initial encounter |
| S16.1XXD | Strain of muscle, fascia and tendon at neck level, subsequent encounter |
| S16.1XXS | Strain of muscle, fascia and tendon at neck level, sequela |
| S23.3XXA | Sprain of ligaments of thoracic spine, initial encounter |
| S23.3XXD | Sprain of ligaments of thoracic spine, subsequent encounter |
| S23.3XXS | Sprain of ligaments of thoracic spine, sequela |
| S23.41XA | Sprain of ribs, initial encounter |
| S23.41XD | Sprain of ribs, subsequent encounter |
| S23.41XS | Sprain of ribs, sequela |
| S23.420A | Sprain of sternoclavicular (joint) (ligament), initial encounter |
| S23.420D | Sprain of sternoclavicular (joint) (ligament), subsequent encounter |
| S23.420S | Sprain of sternoclavicular (joint) (ligament), sequela |
| S29.011A | Strain of muscle and tendon of front wall of thorax, initial encounter |
| S29.011D | Strain of muscle and tendon of front wall of thorax, subsequent encounter |
| S29.011S | Strain of muscle and tendon of front wall of thorax, sequela |
| S29.012A | Strain of muscle and tendon of back wall of thorax, initial encounter |
| S29.012D | Strain of muscle and tendon of back wall of thorax, subsequent encounter |
| S29.012S | Strain of muscle and tendon of back wall of thorax, sequela |
| S33.5XXA | Sprain of ligaments of lumbar spine, initial encounter |
| S33.5XXD | Sprain of ligaments of lumbar spine, subsequent encounter |
| S33.5XXS | Sprain of ligaments of lumbar spine, sequela |
| S39.011A | Strain of muscle, fascia and tendon of abdomen, initial encounter |
| S39.011D | Strain of muscle, fascia and tendon of abdomen, subsequent encounter |
| S39.011S | Strain of muscle, fascia and tendon of abdomen, sequela |
| S39.012A | Strain of muscle, fascia and tendon of lower back, initial encounter |
| S39.012D | Strain of muscle, fascia and tendon of lower back, subsequent encounter |
| S39.012S | Strain of muscle, fascia and tendon of lower back, sequela |
| S39.013A | Strain of muscle, fascia and tendon of pelvis, initial encounter |
| S39.013D | Strain of muscle, fascia and tendon of pelvis, subsequent encounter |
| S39.013S | Strain of muscle, fascia and tendon of pelvis, sequela |
| S43.411A | Sprain of right coracohumeral (ligament), initial encounter |
| S43.411D | Sprain of right coracohumeral (ligament), subsequent encounter |
| S43.411S | Sprain of right coracohumeral (ligament), sequela |
| S43.412A | Sprain of left coracohumeral (ligament), initial encounter |
| S43.412D | Sprain of left coracohumeral (ligament), subsequent encounter |
| S43.412S | Sprain of left coracohumeral (ligament), sequela |
| S43.421A | Sprain of right rotator cuff capsule, initial encounter |
| S43.421D | Sprain of right rotator cuff capsule, subsequent encounter |
| S43.421S | Sprain of right rotator cuff capsule, sequela |
| S43.422A | Sprain of left rotator cuff capsule, initial encounter |
| S43.422D | Sprain of left rotator cuff capsule, subsequent encounter |
| S43.422S | Sprain of left rotator cuff capsule, sequela |
| S43.81XA | Sprain of other specified parts of right shoulder girdle, initial encounter |
| S43.81XD | Sprain of other specified parts of right shoulder girdle, subsequent encounter |
| S43.81XS | Sprain of other specified parts of right shoulder girdle, sequela |
| S43.82XA | Sprain of other specified parts of left shoulder girdle, initial encounter |
| S43.82XD | Sprain of other specified parts of left shoulder girdle, subsequent encounter |
| S43.82XS | Sprain of other specified parts of left shoulder girdle, sequela |
| S46.011A | Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter |
| S46.011D | Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter |
| S46.011S | Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela |
| S46.012A | Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter |
| S46.012D | Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter |
| S46.012S | Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela |
| S46.111A | Strain of muscle, fascia and tendon of long head of biceps, right arm, initial encounter |
| S46.111D | Strain of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter |
| S46.111S | Strain of muscle, fascia and tendon of long head of biceps, right arm, sequela |
| S46.112A | Strain of muscle, fascia and tendon of long head of biceps, left arm, initial encounter |
| S46.112D | Strain of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter |
| S46.112S | Strain of muscle, fascia and tendon of long head of biceps, left arm, sequela |
| S46.211A | Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter |
| S46.211D | Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter |
| S46.211S | Strain of muscle, fascia and tendon of other parts of biceps, right arm, sequela |
| S46.212A | Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter |
| S46.212D | Strain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter |
| S46.212S | Strain of muscle, fascia and tendon of other parts of biceps, left arm, sequela |
| S46.311A | Strain of muscle, fascia and tendon of triceps, right arm, initial encounter |
| S46.311D | Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounter |
| S46.311S | Strain of muscle, fascia and tendon of triceps, right arm, sequela |
| S46.312A | Strain of muscle, fascia and tendon of triceps, left arm, initial encounter |
| S46.312D | Strain of muscle, fascia and tendon of triceps, left arm, subsequent encounter |
| S46.312S | Strain of muscle, fascia and tendon of triceps, left arm, sequela |
| S46.811A | Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter |
| S46.811D | Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter |
| S46.811S | Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela |
| S46.812A | Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter |
| S46.812D | Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter |
| S46.812S | Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela |
| S53.431A | Radial collateral ligament sprain of right elbow, initial encounter |
| S53.431D | Radial collateral ligament sprain of right elbow, subsequent encounter |
| S53.431S | Radial collateral ligament sprain of right elbow, sequela |
| S53.432A | Radial collateral ligament sprain of left elbow, initial encounter |
Showing the first 400 of 813 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 20612?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 813 ICD-10 diagnosis codes that support medical necessity for CPT 20612. 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 20612 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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