CPT 36005: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 36005 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 36005 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 |
|---|---|
| I70.401 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg |
| I70.402 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg |
| I70.403 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs |
| I70.408 | Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity |
| I70.411 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.412 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.413 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.418 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.421 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg |
| I70.422 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg |
| I70.423 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.428 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity |
| I70.431 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh |
| I70.432 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf |
| I70.433 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle |
| I70.434 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.435 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.441 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh |
| I70.442 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf |
| I70.443 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle |
| I70.444 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.445 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.45 | Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration |
| I70.461 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg |
| I70.462 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg |
| I70.463 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.468 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, other extremity |
| I70.491 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg |
| I70.492 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg |
| I70.493 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs |
| I70.498 | Other atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity |
| I70.501 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg |
| I70.502 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg |
| I70.503 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs |
| I70.508 | Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity |
| I70.511 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg |
| I70.512 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, left leg |
| I70.513 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, bilateral legs |
| I70.518 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, other extremity |
| I70.521 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg |
| I70.522 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, left leg |
| I70.523 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs |
| I70.528 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity |
| I70.531 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh |
| I70.532 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf |
| I70.533 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle |
| I70.534 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.535 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.541 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh |
| I70.542 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf |
| I70.543 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle |
| I70.544 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.545 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.55 | Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration |
| I70.561 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg |
| I70.562 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg |
| I70.563 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.568 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity |
| I70.591 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg |
| I70.592 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg |
| I70.593 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs |
| I70.598 | Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity |
| I72.1 | Aneurysm of artery of upper extremity |
| I72.4 | Aneurysm of artery of lower extremity |
| I74.2 | Embolism and thrombosis of arteries of the upper extremities |
| I74.3 | Embolism and thrombosis of arteries of the lower extremities |
| I77.0 | Arteriovenous fistula, acquired |
| I77.1 | Stricture of artery |
| I80.8 | Phlebitis and thrombophlebitis of other sites |
| I82.611 | Acute embolism and thrombosis of superficial veins of right upper extremity |
| I82.612 | Acute embolism and thrombosis of superficial veins of left upper extremity |
| I82.613 | Acute embolism and thrombosis of superficial veins of upper extremity, bilateral |
| I87.1 | Compression of vein |
| I97.89 | Other postprocedural complications and disorders of the circulatory system, not elsewhere classified |
| M79.89 | Other specified soft tissue disorders |
| N18.6 | End stage renal disease |
| T82.310A | Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter |
| T82.311A | Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter |
| T82.312A | Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter |
| T82.318A | Breakdown (mechanical) of other vascular grafts, initial encounter |
| T82.320A | Displacement of aortic (bifurcation) graft (replacement), initial encounter |
| T82.321A | Displacement of carotid arterial graft (bypass), initial encounter |
| T82.322A | Displacement of femoral arterial graft (bypass), initial encounter |
| T82.328A | Displacement of other vascular grafts, initial encounter |
| T82.330A | Leakage of aortic (bifurcation) graft (replacement), initial encounter |
| T82.331A | Leakage of carotid arterial graft (bypass), initial encounter |
| T82.332A | Leakage of femoral arterial graft (bypass), initial encounter |
| T82.338A | Leakage of other vascular grafts, initial encounter |
| T82.390A | Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter |
| T82.391A | Other mechanical complication of carotid arterial graft (bypass), initial encounter |
| T82.392A | Other mechanical complication of femoral arterial graft (bypass), initial encounter |
| T82.398A | Other mechanical complication of other vascular grafts, initial encounter |
| T82.41XA | Breakdown (mechanical) of vascular dialysis catheter, initial encounter |
| T82.42XA | Displacement of vascular dialysis catheter, initial encounter |
| T82.43XA | Leakage of vascular dialysis catheter, initial encounter |
| T82.49XA | Other complication of vascular dialysis catheter, initial encounter |
| T82.510A | Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter |
| T82.511A | Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter |
| T82.513A | Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter |
| T82.514A | Breakdown (mechanical) of infusion catheter, initial encounter |
| T82.515A | Breakdown (mechanical) of umbrella device, initial encounter |
| T82.518A | Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter |
| T82.520A | Displacement of surgically created arteriovenous fistula, initial encounter |
| T82.521A | Displacement of surgically created arteriovenous shunt, initial encounter |
| T82.523A | Displacement of balloon (counterpulsation) device, initial encounter |
| T82.524A | Displacement of infusion catheter, initial encounter |
| T82.525A | Displacement of umbrella device, initial encounter |
| T82.528A | Displacement of other cardiac and vascular devices and implants, initial encounter |
| T82.529A | Displacement of unspecified cardiac and vascular devices and implants, initial encounter |
| T82.530A | Leakage of surgically created arteriovenous fistula, initial encounter |
| T82.531A | Leakage of surgically created arteriovenous shunt, initial encounter |
| T82.533A | Leakage of balloon (counterpulsation) device, initial encounter |
| T82.534A | Leakage of infusion catheter, initial encounter |
| T82.535A | Leakage of umbrella device, initial encounter |
| T82.538A | Leakage of other cardiac and vascular devices and implants, initial encounter |
| T82.590A | Other mechanical complication of surgically created arteriovenous fistula, initial encounter |
| T82.591A | Other mechanical complication of surgically created arteriovenous shunt, initial encounter |
| T82.593A | Other mechanical complication of balloon (counterpulsation) device, initial encounter |
| T82.594A | Other mechanical complication of infusion catheter, initial encounter |
| T82.595A | Other mechanical complication of umbrella device, initial encounter |
| T82.598A | Other mechanical complication of other cardiac and vascular devices and implants, initial encounter |
| T82.7XXA | Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter |
| T82.818A | Embolism due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.818S | Embolism due to vascular prosthetic devices, implants and grafts, sequela |
| T82.828A | Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.828S | Fibrosis due to vascular prosthetic devices, implants and grafts, sequela |
| T82.838A | Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.838S | Hemorrhage due to vascular prosthetic devices, implants and grafts, sequela |
| T82.848A | Pain due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.848S | Pain due to vascular prosthetic devices, implants and grafts, sequela |
| T82.858A | Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter |
| T82.858S | Stenosis of other vascular prosthetic devices, implants and grafts, sequela |
| T82.868A | Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter |
| T82.868S | Thrombosis due to vascular prosthetic devices, implants and grafts, sequela |
| T82.898A | Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter |
| T82.898S | Other specified complication of vascular prosthetic devices, implants and grafts, sequela |
| Z99.2 | Dependence on renal dialysis |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 36005?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 137 ICD-10 diagnosis codes that support medical necessity for CPT 36005. 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 36005 view of that relationship.
More free billing tools: all crosswalks · NCCI edits · Medicare fees · denial codes
Informational only, not coding, billing, or legal advice. Based on CMS Medicare Coverage Database data; verify the current LCD/NCD for your MAC before billing.
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