ICD↔CPT crosswalk
CPT 27130: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 27130 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 27130 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 |
|---|---|
| C40.20 | Malignant neoplasm of long bones of unspecified lower limb |
| C40.21 | Malignant neoplasm of long bones of right lower limb |
| C40.22 | Malignant neoplasm of long bones of left lower limb |
| 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 |
| 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 |
| D16.20 | Benign neoplasm of long bones of unspecified lower limb |
| D16.21 | Benign neoplasm of long bones of right lower limb |
| D16.22 | Benign neoplasm of long bones of left lower limb |
| D21.20 | Benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip |
| 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 |
| L40.50 | Arthropathic psoriasis, unspecified |
| L40.52 | Psoriatic arthritis mutilans |
| L40.53 | Psoriatic spondylitis |
| L40.54 | Psoriatic juvenile arthropathy |
| L40.59 | Other psoriatic arthropathy |
| M05.00 | Felty's syndrome, unspecified site |
| M05.051 | Felty's syndrome, right hip |
| M05.052 | Felty's syndrome, left hip |
| M05.061 | Felty's syndrome, right knee |
| M05.062 | Felty's syndrome, left knee |
| M05.069 | Felty's syndrome, unspecified knee |
| M05.09 | Felty's syndrome, multiple sites |
| M05.40 | Rheumatoid myopathy with rheumatoid arthritis of unspecified site |
| M05.451 | Rheumatoid myopathy with rheumatoid arthritis of right hip |
| M05.452 | Rheumatoid myopathy with rheumatoid arthritis of left hip |
| M05.459 | Rheumatoid myopathy with rheumatoid arthritis of unspecified hip |
| M05.461 | Rheumatoid myopathy with rheumatoid arthritis of right knee |
| M05.462 | Rheumatoid myopathy with rheumatoid arthritis of left knee |
| M05.469 | Rheumatoid myopathy with rheumatoid arthritis of unspecified knee |
| M05.49 | Rheumatoid myopathy with rheumatoid arthritis of multiple sites |
| M05.50 | Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site |
| M05.551 | Rheumatoid polyneuropathy with rheumatoid arthritis of right hip |
| M05.552 | Rheumatoid polyneuropathy with rheumatoid arthritis of left hip |
| M05.559 | Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip |
| M05.561 | Rheumatoid polyneuropathy with rheumatoid arthritis of right knee |
| M05.562 | Rheumatoid polyneuropathy with rheumatoid arthritis of left knee |
| M05.569 | Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee |
| M05.59 | Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites |
| M05.70 | Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement |
| M05.751 | Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement |
| M05.752 | Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement |
| M05.759 | Rheumatoid arthritis with rheumatoid factor of unspecified hip without organ or systems involvement |
| M05.761 | Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement |
| M05.762 | Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement |
| M05.769 | Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement |
| M05.79 | Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement |
| M05.80 | Other rheumatoid arthritis with rheumatoid factor of unspecified site |
| M05.851 | Other rheumatoid arthritis with rheumatoid factor of right hip |
| M05.852 | Other rheumatoid arthritis with rheumatoid factor of left hip |
| M05.859 | Other rheumatoid arthritis with rheumatoid factor of unspecified hip |
| M05.861 | Other rheumatoid arthritis with rheumatoid factor of right knee |
| M05.862 | Other rheumatoid arthritis with rheumatoid factor of left knee |
| M05.869 | Other rheumatoid arthritis with rheumatoid factor of unspecified knee |
| M05.89 | Other rheumatoid arthritis with rheumatoid factor of multiple sites |
| M05.9 | Rheumatoid arthritis with rheumatoid factor, unspecified |
| M06.00 | Rheumatoid arthritis without rheumatoid factor, unspecified site |
| M06.051 | Rheumatoid arthritis without rheumatoid factor, right hip |
| M06.052 | Rheumatoid arthritis without rheumatoid factor, left hip |
| M06.059 | Rheumatoid arthritis without rheumatoid factor, unspecified hip |
| M06.061 | Rheumatoid arthritis without rheumatoid factor, right knee |
| M06.062 | Rheumatoid arthritis without rheumatoid factor, left knee |
| M06.069 | Rheumatoid arthritis without rheumatoid factor, unspecified knee |
| M06.09 | Rheumatoid arthritis without rheumatoid factor, multiple sites |
| M06.251 | Rheumatoid bursitis, right hip |
| M06.252 | Rheumatoid bursitis, left hip |
| M06.259 | Rheumatoid bursitis, unspecified hip |
| M06.261 | Rheumatoid bursitis, right knee |
| M06.262 | Rheumatoid bursitis, left knee |
| M06.269 | Rheumatoid bursitis, unspecified knee |
| M06.351 | Rheumatoid nodule, right hip |
| M06.352 | Rheumatoid nodule, left hip |
| M06.359 | Rheumatoid nodule, unspecified hip |
| M06.361 | Rheumatoid nodule, right knee |
| M06.362 | Rheumatoid nodule, left knee |
| M06.369 | Rheumatoid nodule, unspecified knee |
| M06.851 | Other specified rheumatoid arthritis, right hip |
| M06.852 | Other specified rheumatoid arthritis, left hip |
| M06.859 | Other specified rheumatoid arthritis, unspecified hip |
| M06.861 | Other specified rheumatoid arthritis, right knee |
| M06.862 | Other specified rheumatoid arthritis, left knee |
| M06.869 | Other specified rheumatoid arthritis, unspecified knee |
| M06.89 | Other specified rheumatoid arthritis, multiple sites |
| M06.9 | Rheumatoid arthritis, unspecified |
| M07.651 | Enteropathic arthropathies, right hip |
| M07.652 | Enteropathic arthropathies, left hip |
| M07.659 | Enteropathic arthropathies, unspecified hip |
| M08.051 | Unspecified juvenile rheumatoid arthritis, right hip |
| M08.052 | Unspecified juvenile rheumatoid arthritis, left hip |
| M08.059 | Unspecified juvenile rheumatoid arthritis, unspecified hip |
| M08.061 | Unspecified juvenile rheumatoid arthritis, right knee |
| M08.062 | Unspecified juvenile rheumatoid arthritis, left knee |
| M08.069 | Unspecified juvenile rheumatoid arthritis, unspecified knee |
| M08.09 | Unspecified juvenile rheumatoid arthritis, multiple sites |
| M08.251 | Juvenile rheumatoid arthritis with systemic onset, right hip |
| M08.252 | Juvenile rheumatoid arthritis with systemic onset, left hip |
| M08.259 | Juvenile rheumatoid arthritis with systemic onset, unspecified hip |
| M08.261 | Juvenile rheumatoid arthritis with systemic onset, right knee |
| M08.262 | Juvenile rheumatoid arthritis with systemic onset, left knee |
| M08.269 | Juvenile rheumatoid arthritis with systemic onset, unspecified knee |
| M08.29 | Juvenile rheumatoid arthritis with systemic onset, multiple sites |
| M08.3 | Juvenile rheumatoid polyarthritis (seronegative) |
| M08.40 | Pauciarticular juvenile rheumatoid arthritis, unspecified site |
| M08.451 | Pauciarticular juvenile rheumatoid arthritis, right hip |
| M08.452 | Pauciarticular juvenile rheumatoid arthritis, left hip |
| M08.459 | Pauciarticular juvenile rheumatoid arthritis, unspecified hip |
| M08.461 | Pauciarticular juvenile rheumatoid arthritis, right knee |
| M08.462 | Pauciarticular juvenile rheumatoid arthritis, left knee |
| M08.469 | Pauciarticular juvenile rheumatoid arthritis, unspecified knee |
| M08.851 | Other juvenile arthritis, right hip |
| M08.852 | Other juvenile arthritis, left hip |
| M08.859 | Other juvenile arthritis, unspecified hip |
| M08.861 | Other juvenile arthritis, right knee |
| M08.862 | Other juvenile arthritis, left knee |
| M08.869 | Other juvenile arthritis, unspecified knee |
| M08.89 | Other juvenile arthritis, multiple sites |
| M08.951 | Juvenile arthritis, unspecified, right hip |
| M08.952 | Juvenile arthritis, unspecified, left hip |
| M08.959 | Juvenile arthritis, unspecified, unspecified hip |
| M08.961 | Juvenile arthritis, unspecified, right knee |
| M08.962 | Juvenile arthritis, unspecified, left knee |
| M08.969 | Juvenile arthritis, unspecified, unspecified knee |
| M08.99 | Juvenile arthritis, unspecified, multiple sites |
| M12.00 | Chronic postrheumatic arthropathy [Jaccoud], unspecified site |
| M12.051 | Chronic postrheumatic arthropathy [Jaccoud], right hip |
| M12.052 | Chronic postrheumatic arthropathy [Jaccoud], left hip |
| M12.061 | Chronic postrheumatic arthropathy [Jaccoud], right knee |
| M12.062 | Chronic postrheumatic arthropathy [Jaccoud], left knee |
| M12.069 | Chronic postrheumatic arthropathy [Jaccoud], unspecified knee |
| M12.09 | Chronic postrheumatic arthropathy [Jaccoud], multiple sites |
| M12.351 | Palindromic rheumatism, right hip |
| M12.352 | Palindromic rheumatism, left hip |
| M12.359 | Palindromic rheumatism, unspecified hip |
| M12.451 | Intermittent hydrarthrosis, right hip |
| M12.452 | Intermittent hydrarthrosis, left hip |
| M12.459 | Intermittent hydrarthrosis, unspecified hip |
| M12.551 | Traumatic arthropathy, right hip |
| M12.552 | Traumatic arthropathy, left hip |
| M12.559 | Traumatic arthropathy, unspecified hip |
| M12.561 | Traumatic arthropathy, right knee |
| M12.562 | Traumatic arthropathy, left knee |
| M12.569 | Traumatic arthropathy, unspecified knee |
| M12.851 | Other specific arthropathies, not elsewhere classified, right hip |
| M12.852 | Other specific arthropathies, not elsewhere classified, left hip |
| M12.859 | Other specific arthropathies, not elsewhere classified, unspecified hip |
| M12.9 | Arthropathy, unspecified |
| M13.0 | Polyarthritis, unspecified |
| M13.151 | Monoarthritis, not elsewhere classified, right hip |
| M13.152 | Monoarthritis, not elsewhere classified, left hip |
| M13.159 | Monoarthritis, not elsewhere classified, unspecified hip |
| M13.851 | Other specified arthritis, right hip |
| M13.852 | Other specified arthritis, left hip |
| M13.859 | Other specified arthritis, unspecified hip |
| M16.0 | Bilateral primary osteoarthritis of hip |
| M16.10 | Unilateral primary osteoarthritis, unspecified hip |
| M16.11 | Unilateral primary osteoarthritis, right hip |
| M16.12 | Unilateral primary osteoarthritis, left hip |
| M16.2 | Bilateral osteoarthritis resulting from hip dysplasia |
| M16.30 | Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip |
| M16.31 | Unilateral osteoarthritis resulting from hip dysplasia, right hip |
| M16.32 | Unilateral osteoarthritis resulting from hip dysplasia, left hip |
| M16.4 | Bilateral post-traumatic osteoarthritis of hip |
| M16.50 | Unilateral post-traumatic osteoarthritis, unspecified hip |
| M16.51 | Unilateral post-traumatic osteoarthritis, right hip |
| M16.52 | Unilateral post-traumatic osteoarthritis, left hip |
| M16.6 | Other bilateral secondary osteoarthritis of hip |
| M16.7 | Other unilateral secondary osteoarthritis of hip |
| M16.9 | Osteoarthritis of hip, unspecified |
| M17.0 | Bilateral primary osteoarthritis of knee |
| M17.10 | Unilateral primary osteoarthritis, unspecified knee |
| M17.11 | Unilateral primary osteoarthritis, right knee |
| M17.12 | Unilateral primary osteoarthritis, left knee |
| M17.2 | Bilateral post-traumatic osteoarthritis of knee |
| M17.30 | Unilateral post-traumatic osteoarthritis, unspecified knee |
| M17.31 | Unilateral post-traumatic osteoarthritis, right knee |
| M17.32 | Unilateral post-traumatic osteoarthritis, left knee |
| M17.4 | Other bilateral secondary osteoarthritis of knee |
| M17.5 | Other unilateral secondary osteoarthritis of knee |
| M17.9 | Osteoarthritis of knee, unspecified |
| M23.50 | Chronic instability of knee, unspecified knee |
| M23.51 | Chronic instability of knee, right knee |
| M23.52 | Chronic instability of knee, left knee |
| M24.651 | Ankylosis, right hip |
| M24.652 | Ankylosis, left hip |
| M24.659 | Ankylosis, unspecified hip |
| M24.661 | Ankylosis, right knee |
| M24.662 | Ankylosis, left knee |
| M24.669 | Ankylosis, unspecified knee |
| M24.7 | Protrusio acetabuli |
| M24.851 | Other specific joint derangements of right hip, not elsewhere classified |
| M24.852 | Other specific joint derangements of left hip, not elsewhere classified |
| M24.859 | Other specific joint derangements of unspecified hip, not elsewhere classified |
| M24.9 | Joint derangement, unspecified |
| M25.251 | Flail joint, right hip |
| M25.252 | Flail joint, left hip |
| M25.259 | Flail joint, unspecified hip |
| M25.261 | Flail joint, right knee |
| M25.262 | Flail joint, left knee |
| M25.269 | Flail joint, unspecified knee |
| M25.351 | Other instability, right hip |
| M25.352 | Other instability, left hip |
| M25.359 | Other instability, unspecified hip |
| M25.361 | Other instability, right knee |
| M25.362 | Other instability, left knee |
| M25.369 | Other instability, unspecified knee |
| M25.551 | Pain in right hip |
| M25.552 | Pain in left hip |
| M25.559 | Pain in unspecified hip |
| M25.561 | Pain in right knee |
| M25.562 | Pain in left knee |
| M25.569 | Pain in unspecified knee |
| M25.861 | Other specified joint disorders, right knee |
| M25.862 | Other specified joint disorders, left knee |
| M25.869 | Other specified joint disorders, unspecified knee |
| M25.9 | Joint disorder, unspecified |
| M80.051A | Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
| M80.051D | Age-related osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with routine healing |
| M80.051G | Age-related osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with delayed healing |
| M80.051K | Age-related osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with nonunion |
| M80.051P | Age-related osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with malunion |
| M80.051S | Age-related osteoporosis with current pathological fracture, right femur, sequela |
| M80.052A | Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
| M80.052D | Age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with routine healing |
| M80.052G | Age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with delayed healing |
| M80.052K | Age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with nonunion |
| M80.052P | Age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with malunion |
| M80.052S | Age-related osteoporosis with current pathological fracture, left femur, sequela |
| M80.059A | Age-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture |
| M80.059D | Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with routine healing |
| M80.059G | Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with delayed healing |
| M80.059K | Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with nonunion |
| M80.059P | Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with malunion |
| M80.059S | Age-related osteoporosis with current pathological fracture, unspecified femur, sequela |
| M80.061A | Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture |
| M80.061D | Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with routine healing |
| M80.061G | Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with delayed healing |
| M80.061K | Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with nonunion |
| M80.061P | Age-related osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with malunion |
| M80.061S | Age-related osteoporosis with current pathological fracture, right lower leg, sequela |
| M80.062A | Age-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture |
| M80.062D | Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with routine healing |
| M80.062G | Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with delayed healing |
| M80.062K | Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with nonunion |
| M80.062P | Age-related osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with malunion |
| M80.062S | Age-related osteoporosis with current pathological fracture, left lower leg, sequela |
| M80.0B1A | Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture |
| M80.0B1D | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing |
| M80.0B1G | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B1K | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion |
| M80.0B1P | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion |
| M80.0B1S | Age-related osteoporosis with current pathological fracture, right pelvis, sequela |
| M80.0B2A | Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture |
| M80.0B2D | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing |
| M80.0B2G | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B2K | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion |
| M80.0B2P | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion |
| M80.0B2S | Age-related osteoporosis with current pathological fracture, left pelvis, sequela |
| M80.851A | Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
| M80.851D | Other osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with routine healing |
| M80.851G | Other osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with delayed healing |
| M80.851K | Other osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with nonunion |
| M80.851P | Other osteoporosis with current pathological fracture, right femur, subsequent encounter for fracture with malunion |
| M80.851S | Other osteoporosis with current pathological fracture, right femur, sequela |
| M80.852A | Other osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
| M80.852D | Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with routine healing |
| M80.852G | Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with delayed healing |
| M80.852K | Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with nonunion |
| M80.852P | Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with malunion |
| M80.852S | Other osteoporosis with current pathological fracture, left femur, sequela |
| M80.859A | Other osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture |
| M80.859D | Other osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with routine healing |
| M80.859G | Other osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with delayed healing |
| M80.859K | Other osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with nonunion |
| M80.859P | Other osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with malunion |
| M80.859S | Other osteoporosis with current pathological fracture, unspecified femur, sequela |
| M80.861A | Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture |
| M80.861D | Other osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with routine healing |
| M80.861G | Other osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with delayed healing |
| M80.861K | Other osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with nonunion |
| M80.861P | Other osteoporosis with current pathological fracture, right lower leg, subsequent encounter for fracture with malunion |
| M80.861S | Other osteoporosis with current pathological fracture, right lower leg, sequela |
| M80.862A | Other osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture |
| M80.862D | Other osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with routine healing |
| M80.862G | Other osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with delayed healing |
| M80.862K | Other osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with nonunion |
| M80.862P | Other osteoporosis with current pathological fracture, left lower leg, subsequent encounter for fracture with malunion |
| M80.862S | Other osteoporosis with current pathological fracture, left lower leg, sequela |
| M80.8B1A | Other osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture |
| M80.8B1D | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing |
| M80.8B1G | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B1K | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion |
| M80.8B1P | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion |
| M80.8B1S | Other osteoporosis with current pathological fracture, right pelvis, sequela |
| M80.8B2A | Other osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture |
| M80.8B2D | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing |
| M80.8B2G | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B2K | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion |
| M80.8B2P | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion |
| M80.8B2S | Other osteoporosis with current pathological fracture, left pelvis, sequela |
| M84.350A | Stress fracture, pelvis, initial encounter for fracture |
| M84.350D | Stress fracture, pelvis, subsequent encounter for fracture with routine healing |
| M84.350G | Stress fracture, pelvis, subsequent encounter for fracture with delayed healing |
| M84.350K | Stress fracture, pelvis, subsequent encounter for fracture with nonunion |
| M84.350P | Stress fracture, pelvis, subsequent encounter for fracture with malunion |
| M84.350S | Stress fracture, pelvis, sequela |
| M84.351A | Stress fracture, right femur, initial encounter for fracture |
| M84.351D | Stress fracture, right femur, subsequent encounter for fracture with routine healing |
| M84.351G | Stress fracture, right femur, subsequent encounter for fracture with delayed healing |
| M84.351K | Stress fracture, right femur, subsequent encounter for fracture with nonunion |
| M84.351P | Stress fracture, right femur, subsequent encounter for fracture with malunion |
| M84.351S | Stress fracture, right femur, sequela |
| M84.352A | Stress fracture, left femur, initial encounter for fracture |
| M84.352D | Stress fracture, left femur, subsequent encounter for fracture with routine healing |
| M84.352G | Stress fracture, left femur, subsequent encounter for fracture with delayed healing |
| M84.352K | Stress fracture, left femur, subsequent encounter for fracture with nonunion |
| M84.352P | Stress fracture, left femur, subsequent encounter for fracture with malunion |
| M84.352S | Stress fracture, left femur, sequela |
| M84.353A | Stress fracture, unspecified femur, initial encounter for fracture |
| M84.353D | Stress fracture, unspecified femur, subsequent encounter for fracture with routine healing |
| M84.353G | Stress fracture, unspecified femur, subsequent encounter for fracture with delayed healing |
| M84.353K | Stress fracture, unspecified femur, subsequent encounter for fracture with nonunion |
| M84.353P | Stress fracture, unspecified femur, subsequent encounter for fracture with malunion |
| M84.353S | Stress fracture, unspecified femur, sequela |
| M84.359A | Stress fracture, hip, unspecified, initial encounter for fracture |
| M84.359D | Stress fracture, hip, unspecified, subsequent encounter for fracture with routine healing |
| M84.359G | Stress fracture, hip, unspecified, subsequent encounter for fracture with delayed healing |
| M84.359K | Stress fracture, hip, unspecified, subsequent encounter for fracture with nonunion |
| M84.359P | Stress fracture, hip, unspecified, subsequent encounter for fracture with malunion |
| M84.359S | Stress fracture, hip, unspecified, sequela |
| M84.451A | Pathological fracture, right femur, initial encounter for fracture |
| M84.451D | Pathological fracture, right femur, subsequent encounter for fracture with routine healing |
| M84.451G | Pathological fracture, right femur, subsequent encounter for fracture with delayed healing |
| M84.451K | Pathological fracture, right femur, subsequent encounter for fracture with nonunion |
| M84.451P | Pathological fracture, right femur, subsequent encounter for fracture with malunion |
| M84.451S | Pathological fracture, right femur, sequela |
| M84.452A | Pathological fracture, left femur, initial encounter for fracture |
| M84.452D | Pathological fracture, left femur, subsequent encounter for fracture with routine healing |
| M84.452G | Pathological fracture, left femur, subsequent encounter for fracture with delayed healing |
| M84.452K | Pathological fracture, left femur, subsequent encounter for fracture with nonunion |
| M84.452P | Pathological fracture, left femur, subsequent encounter for fracture with malunion |
| M84.452S | Pathological fracture, left femur, sequela |
| M84.453A | Pathological fracture, unspecified femur, initial encounter for fracture |
| M84.453D | Pathological fracture, unspecified femur, subsequent encounter for fracture with routine healing |
| M84.453G | Pathological fracture, unspecified femur, subsequent encounter for fracture with delayed healing |
| M84.453K | Pathological fracture, unspecified femur, subsequent encounter for fracture with nonunion |
| M84.453P | Pathological fracture, unspecified femur, subsequent encounter for fracture with malunion |
| M84.453S | Pathological fracture, unspecified femur, sequela |
| M84.454A | Pathological fracture, pelvis, initial encounter for fracture |
| M84.454D | Pathological fracture, pelvis, subsequent encounter for fracture with routine healing |
| M84.454G | Pathological fracture, pelvis, subsequent encounter for fracture with delayed healing |
| M84.454K | Pathological fracture, pelvis, subsequent encounter for fracture with nonunion |
| M84.454P | Pathological fracture, pelvis, subsequent encounter for fracture with malunion |
| M84.454S | Pathological fracture, pelvis, sequela |
| M84.459A | Pathological fracture, hip, unspecified, initial encounter for fracture |
| M84.459D | Pathological fracture, hip, unspecified, subsequent encounter for fracture with routine healing |
| M84.459G | Pathological fracture, hip, unspecified, subsequent encounter for fracture with delayed healing |
| M84.459K | Pathological fracture, hip, unspecified, subsequent encounter for fracture with nonunion |
| M84.459P | Pathological fracture, hip, unspecified, subsequent encounter for fracture with malunion |
| M84.459S | Pathological fracture, hip, unspecified, sequela |
| M84.461A | Pathological fracture, right tibia, initial encounter for fracture |
| M84.461G | Pathological fracture, right tibia, subsequent encounter for fracture with delayed healing |
| M84.461K | Pathological fracture, right tibia, subsequent encounter for fracture with nonunion |
| M84.461S | Pathological fracture, right tibia, sequela |
| M84.462A | Pathological fracture, left tibia, initial encounter for fracture |
| M84.462G | Pathological fracture, left tibia, subsequent encounter for fracture with delayed healing |
| M84.462K | Pathological fracture, left tibia, subsequent encounter for fracture with nonunion |
| M84.462S | Pathological fracture, left tibia, sequela |
| M84.550A | Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture |
| M84.550D | Pathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with routine healing |
| M84.550G | Pathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with delayed healing |
| M84.550K | Pathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with nonunion |
| M84.550P | Pathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with malunion |
| M84.550S | Pathological fracture in neoplastic disease, pelvis, sequela |
| M84.551A | Pathological fracture in neoplastic disease, right femur, initial encounter for fracture |
| M84.551D | Pathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with routine healing |
| M84.551G | Pathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with delayed healing |
| M84.551K | Pathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with nonunion |
| M84.551P | Pathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with malunion |
| M84.551S | Pathological fracture in neoplastic disease, right femur, sequela |
| M84.552A | Pathological fracture in neoplastic disease, left femur, initial encounter for fracture |
| M84.552D | Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with routine healing |
| M84.552G | Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with delayed healing |
| M84.552K | Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with nonunion |
| M84.552P | Pathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with malunion |
| M84.552S | Pathological fracture in neoplastic disease, left femur, sequela |
| M84.553A | Pathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture |
| M84.553D | Pathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with routine healing |
| M84.553G | Pathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with delayed healing |
| M84.553K | Pathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with nonunion |
| M84.553P | Pathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with malunion |
| M84.553S | Pathological fracture in neoplastic disease, unspecified femur, sequela |
| M84.559A | Pathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture |
| M84.559D | Pathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with routine healing |
| M84.559G | Pathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with delayed healing |
| M84.559K | Pathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with nonunion |
| M84.559P | Pathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with malunion |
Showing the first 400 of 2916 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 27130?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2916 ICD-10 diagnosis codes that support medical necessity for CPT 27130. 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 27130 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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