ICD↔CPT crosswalk
CPT 22630: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 22630 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 22630 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 |
|---|---|
| C41.2 | Malignant neoplasm of vertebral column |
| C70.1 | Malignant neoplasm of spinal meninges |
| C72.0 | Malignant neoplasm of spinal cord |
| C72.1 | Malignant neoplasm of cauda equina |
| D32.1 | Benign neoplasm of spinal meninges |
| D33.4 | Benign neoplasm of spinal cord |
| D42.1 | Neoplasm of uncertain behavior of spinal meninges |
| D43.4 | Neoplasm of uncertain behavior of spinal cord |
| G06.1 | Intraspinal abscess and granuloma |
| G07 | Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere |
| M40.35 | Flatback syndrome, thoracolumbar region |
| M40.36 | Flatback syndrome, lumbar region |
| M40.37 | Flatback syndrome, lumbosacral region |
| M41.05 | Infantile idiopathic scoliosis, thoracolumbar region |
| M41.06 | Infantile idiopathic scoliosis, lumbar region |
| M41.07 | Infantile idiopathic scoliosis, lumbosacral region |
| M41.115 | Juvenile idiopathic scoliosis, thoracolumbar region |
| M41.116 | Juvenile idiopathic scoliosis, lumbar region |
| M41.117 | Juvenile idiopathic scoliosis, lumbosacral region |
| M41.125 | Adolescent idiopathic scoliosis, thoracolumbar region |
| M41.126 | Adolescent idiopathic scoliosis, lumbar region |
| M41.127 | Adolescent idiopathic scoliosis, lumbosacral region |
| M41.25 | Other idiopathic scoliosis, thoracolumbar region |
| M41.26 | Other idiopathic scoliosis, lumbar region |
| M41.27 | Other idiopathic scoliosis, lumbosacral region |
| M41.35 | Thoracogenic scoliosis, thoracolumbar region |
| M41.45 | Neuromuscular scoliosis, thoracolumbar region |
| M41.46 | Neuromuscular scoliosis, lumbar region |
| M41.47 | Neuromuscular scoliosis, lumbosacral region |
| M41.55 | Other secondary scoliosis, thoracolumbar region |
| M41.56 | Other secondary scoliosis, lumbar region |
| M41.57 | Other secondary scoliosis, lumbosacral region |
| M41.85 | Other forms of scoliosis, thoracolumbar region |
| M41.86 | Other forms of scoliosis, lumbar region |
| M41.87 | Other forms of scoliosis, lumbosacral region |
| M43.05 | Spondylolysis, thoracolumbar region |
| M43.06 | Spondylolysis, lumbar region |
| M43.07 | Spondylolysis, lumbosacral region |
| M43.09 | Spondylolysis, multiple sites in spine |
| M43.15 | Spondylolisthesis, thoracolumbar region |
| M43.16 | Spondylolisthesis, lumbar region |
| M43.17 | Spondylolisthesis, lumbosacral region |
| M43.5X5 | Other recurrent vertebral dislocation, thoracolumbar region |
| M43.5X6 | Other recurrent vertebral dislocation, lumbar region |
| M43.5X7 | Other recurrent vertebral dislocation, lumbosacral region |
| M43.8X5 | Other specified deforming dorsopathies, thoracolumbar region |
| M43.8X6 | Other specified deforming dorsopathies, lumbar region |
| M43.8X7 | Other specified deforming dorsopathies, lumbosacral region |
| M46.25 | Osteomyelitis of vertebra, thoracolumbar region |
| M46.26 | Osteomyelitis of vertebra, lumbar region |
| M46.27 | Osteomyelitis of vertebra, lumbosacral region |
| M46.35 | Infection of intervertebral disc (pyogenic), thoracolumbar region |
| M46.36 | Infection of intervertebral disc (pyogenic), lumbar region |
| M46.37 | Infection of intervertebral disc (pyogenic), lumbosacral region |
| M46.39 | Infection of intervertebral disc (pyogenic), multiple sites in spine |
| M46.45 | Discitis, unspecified, thoracolumbar region |
| M46.46 | Discitis, unspecified, lumbar region |
| M46.47 | Discitis, unspecified, lumbosacral region |
| M46.49 | Discitis, unspecified, multiple sites in spine |
| M46.55 | Other infective spondylopathies, thoracolumbar region |
| M46.56 | Other infective spondylopathies, lumbar region |
| M46.57 | Other infective spondylopathies, lumbosacral region |
| M46.59 | Other infective spondylopathies, multiple sites in spine |
| M47.15 | Other spondylosis with myelopathy, thoracolumbar region |
| M47.16 | Other spondylosis with myelopathy, lumbar region |
| M47.25 | Other spondylosis with radiculopathy, thoracolumbar region |
| M47.26 | Other spondylosis with radiculopathy, lumbar region |
| M47.27 | Other spondylosis with radiculopathy, lumbosacral region |
| M48.35 | Traumatic spondylopathy, thoracolumbar region |
| M48.36 | Traumatic spondylopathy, lumbar region |
| M48.37 | Traumatic spondylopathy, lumbosacral region |
| M48.45XA | Fatigue fracture of vertebra, thoracolumbar region, initial encounter for fracture |
| M48.45XD | Fatigue fracture of vertebra, thoracolumbar region, subsequent encounter for fracture with routine healing |
| M48.45XG | Fatigue fracture of vertebra, thoracolumbar region, subsequent encounter for fracture with delayed healing |
| M48.45XS | Fatigue fracture of vertebra, thoracolumbar region, sequela of fracture |
| M48.46XA | Fatigue fracture of vertebra, lumbar region, initial encounter for fracture |
| M48.46XD | Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with routine healing |
| M48.46XG | Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with delayed healing |
| M48.46XS | Fatigue fracture of vertebra, lumbar region, sequela of fracture |
| M48.47XA | Fatigue fracture of vertebra, lumbosacral region, initial encounter for fracture |
| M48.47XD | Fatigue fracture of vertebra, lumbosacral region, subsequent encounter for fracture with routine healing |
| M48.47XG | Fatigue fracture of vertebra, lumbosacral region, subsequent encounter for fracture with delayed healing |
| M48.47XS | Fatigue fracture of vertebra, lumbosacral region, sequela of fracture |
| M48.55XA | Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture |
| M48.55XD | Collapsed vertebra, not elsewhere classified, thoracolumbar region, subsequent encounter for fracture with routine healing |
| M48.55XG | Collapsed vertebra, not elsewhere classified, thoracolumbar region, subsequent encounter for fracture with delayed healing |
| M48.55XS | Collapsed vertebra, not elsewhere classified, thoracolumbar region, sequela of fracture |
| M48.56XA | Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture |
| M48.56XD | Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with routine healing |
| M48.56XG | Collapsed vertebra, not elsewhere classified, lumbar region, subsequent encounter for fracture with delayed healing |
| M48.56XS | Collapsed vertebra, not elsewhere classified, lumbar region, sequela of fracture |
| M48.57XA | Collapsed vertebra, not elsewhere classified, lumbosacral region, initial encounter for fracture |
| M48.57XD | Collapsed vertebra, not elsewhere classified, lumbosacral region, subsequent encounter for fracture with routine healing |
| M48.57XG | Collapsed vertebra, not elsewhere classified, lumbosacral region, subsequent encounter for fracture with delayed healing |
| M48.57XS | Collapsed vertebra, not elsewhere classified, lumbosacral region, sequela of fracture |
| M51.05 | Intervertebral disc disorders with myelopathy, thoracolumbar region |
| M51.06 | Intervertebral disc disorders with myelopathy, lumbar region |
| M51.15 | Intervertebral disc disorders with radiculopathy, thoracolumbar region |
| M51.16 | Intervertebral disc disorders with radiculopathy, lumbar region |
| M51.17 | Intervertebral disc disorders with radiculopathy, lumbosacral region |
| M53.2X5 | Spinal instabilities, thoracolumbar region |
| M53.2X6 | Spinal instabilities, lumbar region |
| M53.2X7 | Spinal instabilities, lumbosacral region |
| M54.15 | Radiculopathy, thoracolumbar region |
| M54.16 | Radiculopathy, lumbar region |
| M54.17 | Radiculopathy, lumbosacral region |
| M80.08XA | Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
| M80.08XD | Age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing |
| M80.08XG | Age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with delayed healing |
| M80.08XK | Age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with nonunion |
| M80.08XP | Age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with malunion |
| M80.08XS | Age-related osteoporosis with current pathological fracture, vertebra(e), sequela |
| M80.0AXA | Age-related osteoporosis with current pathological fracture, other site, initial encounter for fracture |
| M80.0AXD | Age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing |
| M80.0AXG | Age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing |
| M80.0AXK | Age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion |
| M80.0AXP | Age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion |
| M80.0AXS | Age-related osteoporosis with current pathological fracture, other site, sequela |
| M80.88XA | Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
| M80.88XD | Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing |
| M80.88XG | Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with delayed healing |
| M80.88XK | Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with nonunion |
| M80.88XP | Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with malunion |
| M80.88XS | Other osteoporosis with current pathological fracture, vertebra(e), sequela |
| M80.8AXA | Other osteoporosis with current pathological fracture, other site, initial encounter for fracture |
| M80.8AXD | Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing |
| M80.8AXG | Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing |
| M80.8AXK | Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion |
| M80.8AXP | Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion |
| M80.8AXS | Other osteoporosis with current pathological fracture, other site, sequela |
| M96.0 | Pseudarthrosis after fusion or arthrodesis |
| S32.010A | Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.010B | Wedge compression fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.010D | Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.010G | Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.010K | Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.010S | Wedge compression fracture of first lumbar vertebra, sequela |
| S32.011A | Stable burst fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.011B | Stable burst fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.011D | Stable burst fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.011G | Stable burst fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.011K | Stable burst fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.011S | Stable burst fracture of first lumbar vertebra, sequela |
| S32.012A | Unstable burst fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.012B | Unstable burst fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.012D | Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.012G | Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.012K | Unstable burst fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.012S | Unstable burst fracture of first lumbar vertebra, sequela |
| S32.018A | Other fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.018B | Other fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.018D | Other fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.018G | Other fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.018K | Other fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.018S | Other fracture of first lumbar vertebra, sequela |
| S32.019A | Unspecified fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.019B | Unspecified fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.019D | Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.019G | Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.019K | Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.019S | Unspecified fracture of first lumbar vertebra, sequela |
| S32.020A | Wedge compression fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.020B | Wedge compression fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.020D | Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.020G | Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.020K | Wedge compression fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.020S | Wedge compression fracture of second lumbar vertebra, sequela |
| S32.021A | Stable burst fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.021B | Stable burst fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.021D | Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.021G | Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.021K | Stable burst fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.021S | Stable burst fracture of second lumbar vertebra, sequela |
| S32.022A | Unstable burst fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.022B | Unstable burst fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.022D | Unstable burst fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.022G | Unstable burst fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.022K | Unstable burst fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.022S | Unstable burst fracture of second lumbar vertebra, sequela |
| S32.028A | Other fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.028B | Other fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.028D | Other fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.028G | Other fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.028K | Other fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.028S | Other fracture of second lumbar vertebra, sequela |
| S32.029A | Unspecified fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.029B | Unspecified fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.029D | Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.029G | Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.029K | Unspecified fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.029S | Unspecified fracture of second lumbar vertebra, sequela |
| S32.030A | Wedge compression fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.030B | Wedge compression fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.030D | Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.030G | Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.030K | Wedge compression fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.030S | Wedge compression fracture of third lumbar vertebra, sequela |
| S32.031A | Stable burst fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.031B | Stable burst fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.031D | Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.031G | Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.031K | Stable burst fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.031S | Stable burst fracture of third lumbar vertebra, sequela |
| S32.032A | Unstable burst fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.032B | Unstable burst fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.032D | Unstable burst fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.032G | Unstable burst fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.032K | Unstable burst fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.032S | Unstable burst fracture of third lumbar vertebra, sequela |
| S32.038A | Other fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.038B | Other fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.038D | Other fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.038G | Other fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.038K | Other fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.038S | Other fracture of third lumbar vertebra, sequela |
| S32.039A | Unspecified fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.039B | Unspecified fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.039D | Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.039G | Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.039K | Unspecified fracture of third lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.039S | Unspecified fracture of third lumbar vertebra, sequela |
| S32.040A | Wedge compression fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.040B | Wedge compression fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.040D | Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.040G | Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.040K | Wedge compression fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.040S | Wedge compression fracture of fourth lumbar vertebra, sequela |
| S32.041A | Stable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.041B | Stable burst fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.041D | Stable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.041G | Stable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.041K | Stable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.041S | Stable burst fracture of fourth lumbar vertebra, sequela |
| S32.042A | Unstable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.042B | Unstable burst fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.042D | Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.042G | Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.042K | Unstable burst fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.042S | Unstable burst fracture of fourth lumbar vertebra, sequela |
| S32.048A | Other fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.048B | Other fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.048D | Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.048G | Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.048K | Other fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.048S | Other fracture of fourth lumbar vertebra, sequela |
| S32.049A | Unspecified fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.049B | Unspecified fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.049D | Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.049G | Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.049K | Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.049S | Unspecified fracture of fourth lumbar vertebra, sequela |
| S32.050A | Wedge compression fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.050B | Wedge compression fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.050D | Wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.050G | Wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.050K | Wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.050S | Wedge compression fracture of fifth lumbar vertebra, sequela |
| S32.051A | Stable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.051B | Stable burst fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.051D | Stable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.051G | Stable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.051K | Stable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.051S | Stable burst fracture of fifth lumbar vertebra, sequela |
| S32.052A | Unstable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.052B | Unstable burst fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.052D | Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.052G | Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.052K | Unstable burst fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.052S | Unstable burst fracture of fifth lumbar vertebra, sequela |
| S32.058A | Other fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.058B | Other fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.058D | Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.058G | Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.058K | Other fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.058S | Other fracture of fifth lumbar vertebra, sequela |
| S32.059A | Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.059B | Unspecified fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.059D | Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing |
| S32.059G | Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with delayed healing |
| S32.059K | Unspecified fracture of fifth lumbar vertebra, subsequent encounter for fracture with nonunion |
| S32.059S | Unspecified fracture of fifth lumbar vertebra, sequela |
| S33.0XXA | Traumatic rupture of lumbar intervertebral disc, initial encounter |
| S33.0XXD | Traumatic rupture of lumbar intervertebral disc, subsequent encounter |
| S33.0XXS | Traumatic rupture of lumbar intervertebral disc, sequela |
| S33.110A | Subluxation of L1/L2 lumbar vertebra, initial encounter |
| S33.110D | Subluxation of L1/L2 lumbar vertebra, subsequent encounter |
| S33.110S | Subluxation of L1/L2 lumbar vertebra, sequela |
| S33.111A | Dislocation of L1/L2 lumbar vertebra, initial encounter |
| S33.111D | Dislocation of L1/L2 lumbar vertebra, subsequent encounter |
| S33.111S | Dislocation of L1/L2 lumbar vertebra, sequela |
| S33.120A | Subluxation of L2/L3 lumbar vertebra, initial encounter |
| S33.120D | Subluxation of L2/L3 lumbar vertebra, subsequent encounter |
| S33.120S | Subluxation of L2/L3 lumbar vertebra, sequela |
| S33.121A | Dislocation of L2/L3 lumbar vertebra, initial encounter |
| S33.121D | Dislocation of L2/L3 lumbar vertebra, subsequent encounter |
| S33.121S | Dislocation of L2/L3 lumbar vertebra, sequela |
| S33.130A | Subluxation of L3/L4 lumbar vertebra, initial encounter |
| S33.130D | Subluxation of L3/L4 lumbar vertebra, subsequent encounter |
| S33.130S | Subluxation of L3/L4 lumbar vertebra, sequela |
| S33.131A | Dislocation of L3/L4 lumbar vertebra, initial encounter |
| S33.131D | Dislocation of L3/L4 lumbar vertebra, subsequent encounter |
| S33.131S | Dislocation of L3/L4 lumbar vertebra, sequela |
| S33.140A | Subluxation of L4/L5 lumbar vertebra, initial encounter |
| S33.140D | Subluxation of L4/L5 lumbar vertebra, subsequent encounter |
| S33.140S | Subluxation of L4/L5 lumbar vertebra, sequela |
| S33.141A | Dislocation of L4/L5 lumbar vertebra, initial encounter |
| S33.141D | Dislocation of L4/L5 lumbar vertebra, subsequent encounter |
| S33.141S | Dislocation of L4/L5 lumbar vertebra, sequela |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 22630?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 308 ICD-10 diagnosis codes that support medical necessity for CPT 22630. 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 22630 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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