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ICD↔CPT crosswalk

CPT 36224: ICD-10 codes that support medical necessity

1933 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 36224 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 36224 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-10Description
A18.84Tuberculosis of heart
A39.50Meningococcal carditis, unspecified
A39.51Meningococcal endocarditis
A39.52Meningococcal myocarditis
A52.02Syphilitic aortitis
A52.03Syphilitic endocarditis
A52.06Other syphilitic heart involvement
A54.83Gonococcal heart infection
A78Q fever
B33.20Viral carditis, unspecified
B33.21Viral endocarditis
B33.22Viral myocarditis
B37.6Candidal endocarditis
B39.4Histoplasmosis capsulati, unspecified
B39.5Histoplasmosis duboisii
B57.0Acute Chagas' disease with heart involvement
B57.2Chagas' disease (chronic) with heart involvement
C22.0Liver cell carcinoma
C22.1Intrahepatic bile duct carcinoma
C22.2Hepatoblastoma
C22.3Angiosarcoma of liver
C22.4Other sarcomas of liver
C22.7Other specified carcinomas of liver
C22.8Malignant neoplasm of liver, primary, unspecified as to type
C22.9Malignant neoplasm of liver, not specified as primary or secondary
C38.0Malignant neoplasm of heart
C41.2Malignant neoplasm of vertebral column
C45.2Mesothelioma of pericardium
C64.1Malignant neoplasm of right kidney, except renal pelvis
C64.2Malignant neoplasm of left kidney, except renal pelvis
C69.01Malignant neoplasm of right conjunctiva
C69.02Malignant neoplasm of left conjunctiva
C69.11Malignant neoplasm of right cornea
C69.12Malignant neoplasm of left cornea
C69.21Malignant neoplasm of right retina
C69.22Malignant neoplasm of left retina
C69.31Malignant neoplasm of right choroid
C69.32Malignant neoplasm of left choroid
C69.41Malignant neoplasm of right ciliary body
C69.42Malignant neoplasm of left ciliary body
C69.51Malignant neoplasm of right lacrimal gland and duct
C69.52Malignant neoplasm of left lacrimal gland and duct
C69.61Malignant neoplasm of right orbit
C69.62Malignant neoplasm of left orbit
C69.81Malignant neoplasm of overlapping sites of right eye and adnexa
C69.82Malignant neoplasm of overlapping sites of left eye and adnexa
C69.91Malignant neoplasm of unspecified site of right eye
C69.92Malignant neoplasm of unspecified site of left eye
C70.0Malignant neoplasm of cerebral meninges
C70.1Malignant neoplasm of spinal meninges
C71.0Malignant neoplasm of cerebrum, except lobes and ventricles
C71.1Malignant neoplasm of frontal lobe
C71.2Malignant neoplasm of temporal lobe
C71.3Malignant neoplasm of parietal lobe
C71.4Malignant neoplasm of occipital lobe
C71.5Malignant neoplasm of cerebral ventricle
C71.6Malignant neoplasm of cerebellum
C71.7Malignant neoplasm of brain stem
C71.8Malignant neoplasm of overlapping sites of brain
C71.9Malignant neoplasm of brain, unspecified
C72.0Malignant neoplasm of spinal cord
C72.1Malignant neoplasm of cauda equina
C72.21Malignant neoplasm of right olfactory nerve
C72.22Malignant neoplasm of left olfactory nerve
C72.31Malignant neoplasm of right optic nerve
C72.32Malignant neoplasm of left optic nerve
C72.41Malignant neoplasm of right acoustic nerve
C72.42Malignant neoplasm of left acoustic nerve
C72.50Malignant neoplasm of unspecified cranial nerve
C72.59Malignant neoplasm of other cranial nerves
C72.9Malignant neoplasm of central nervous system, unspecified
C73Malignant neoplasm of thyroid gland
C74.01Malignant neoplasm of cortex of right adrenal gland
C74.02Malignant neoplasm of cortex of left adrenal gland
C74.11Malignant neoplasm of medulla of right adrenal gland
C74.12Malignant neoplasm of medulla of left adrenal gland
C75.0Malignant neoplasm of parathyroid gland
C75.1Malignant neoplasm of pituitary gland
C75.2Malignant neoplasm of craniopharyngeal duct
C75.3Malignant neoplasm of pineal gland
C75.4Malignant neoplasm of carotid body
C78.7Secondary malignant neoplasm of liver and intrahepatic bile duct
C79.01Secondary malignant neoplasm of right kidney and renal pelvis
C79.02Secondary malignant neoplasm of left kidney and renal pelvis
C79.31Secondary malignant neoplasm of brain
C79.32Secondary malignant neoplasm of cerebral meninges
C79.40Secondary malignant neoplasm of unspecified part of nervous system
C79.49Secondary malignant neoplasm of other parts of nervous system
C7B.02Secondary carcinoid tumors of liver
D15.1Benign neoplasm of heart
D17.71Benign lipomatous neoplasm of kidney
D18.02Hemangioma of intracranial structures
D18.09Hemangioma of other sites
D25.0Submucous leiomyoma of uterus
D25.1Intramural leiomyoma of uterus
D25.2Subserosal leiomyoma of uterus
D30.01Benign neoplasm of right kidney
D30.02Benign neoplasm of left kidney
D30.11Benign neoplasm of right renal pelvis
D30.12Benign neoplasm of left renal pelvis
D32.0Benign neoplasm of cerebral meninges
D32.9Benign neoplasm of meninges, unspecified
D33.0Benign neoplasm of brain, supratentorial
D33.1Benign neoplasm of brain, infratentorial
D33.2Benign neoplasm of brain, unspecified
D33.3Benign neoplasm of cranial nerves
D35.2Benign neoplasm of pituitary gland
D35.3Benign neoplasm of craniopharyngeal duct
D42.0Neoplasm of uncertain behavior of cerebral meninges
D42.1Neoplasm of uncertain behavior of spinal meninges
D43.0Neoplasm of uncertain behavior of brain, supratentorial
D43.1Neoplasm of uncertain behavior of brain, infratentorial
D43.2Neoplasm of uncertain behavior of brain, unspecified
D43.4Neoplasm of uncertain behavior of spinal cord
D44.3Neoplasm of uncertain behavior of pituitary gland
D44.4Neoplasm of uncertain behavior of craniopharyngeal duct
D44.5Neoplasm of uncertain behavior of pineal gland
D44.6Neoplasm of uncertain behavior of carotid body
D44.7Neoplasm of uncertain behavior of aortic body and other paraganglia
D49.511Neoplasm of unspecified behavior of right kidney
D49.512Neoplasm of unspecified behavior of left kidney
D49.6Neoplasm of unspecified behavior of brain
D86.85Sarcoid myocarditis
E22.0Acromegaly and pituitary gigantism
E22.1Hyperprolactinemia
E22.2Syndrome of inappropriate secretion of antidiuretic hormone
E22.8Other hyperfunction of pituitary gland
E22.9Hyperfunction of pituitary gland, unspecified
E23.0Hypopituitarism
E23.1Drug-induced hypopituitarism
E23.2Diabetes insipidus
E23.6Other disorders of pituitary gland
E24.1Nelson's syndrome
E34.4Constitutional tall stature
E51.11Dry beriberi
E51.12Wet beriberi
E64.9Sequelae of unspecified nutritional deficiency
E74.01von Gierke disease
E74.02Pompe disease
E74.03Cori disease
E74.04McArdle disease
E76.01Hurler's syndrome
E76.02Hurler-Scheie syndrome
E76.03Scheie's syndrome
E76.1Mucopolysaccharidosis, type II
E76.210Morquio A mucopolysaccharidoses
E76.211Morquio B mucopolysaccharidoses
E76.219Morquio mucopolysaccharidoses, unspecified
E76.22Sanfilippo mucopolysaccharidoses
E76.29Other mucopolysaccharidoses
E76.3Mucopolysaccharidosis, unspecified
E76.8Other disorders of glucosaminoglycan metabolism
E76.9Glucosaminoglycan metabolism disorder, unspecified
E84.0Cystic fibrosis with pulmonary manifestations
E85.1Neuropathic heredofamilial amyloidosis
E85.2Heredofamilial amyloidosis, unspecified
E85.3Secondary systemic amyloidosis
E85.4Organ-limited amyloidosis
E85.81Light chain (AL) amyloidosis
E85.82Wild-type transthyretin-related (ATTR) amyloidosis
E85.89Other amyloidosis
E85.9Amyloidosis, unspecified
E86.0Dehydration
E86.1Hypovolemia
E86.9Volume depletion, unspecified
E87.71Transfusion associated circulatory overload
E87.79Other fluid overload
E88.810Metabolic syndrome
E88.811Insulin resistance syndrome, Type A
E88.818Other insulin resistance
E88.82Obesity due to disruption of MC4R pathway
E88.9Metabolic disorder, unspecified
E89.3Postprocedural hypopituitarism
G08Intracranial and intraspinal phlebitis and thrombophlebitis
G11.10Early-onset cerebellar ataxia, unspecified
G11.11Friedreich ataxia
G40.001Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus
G40.009Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus
G40.011Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus
G40.019Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus
G40.101Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus
G40.109Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus
G40.111Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus
G40.119Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
G40.201Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
G40.209Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
G40.211Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
G40.219Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
G40.301Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.309Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.311Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.319Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.401Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.409Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.411Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.419Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.501Epileptic seizures related to external causes, not intractable, with status epilepticus
G40.509Epileptic seizures related to external causes, not intractable, without status epilepticus
G40.801Other epilepsy, not intractable, with status epilepticus
G40.802Other epilepsy, not intractable, without status epilepticus
G40.803Other epilepsy, intractable, with status epilepticus
G40.804Other epilepsy, intractable, without status epilepticus
G40.811Lennox-Gastaut syndrome, not intractable, with status epilepticus
G40.812Lennox-Gastaut syndrome, not intractable, without status epilepticus
G40.813Lennox-Gastaut syndrome, intractable, with status epilepticus
G40.814Lennox-Gastaut syndrome, intractable, without status epilepticus
G40.821Epileptic spasms, not intractable, with status epilepticus
G40.822Epileptic spasms, not intractable, without status epilepticus
G40.823Epileptic spasms, intractable, with status epilepticus
G40.824Epileptic spasms, intractable, without status epilepticus
G40.89Other seizures
G40.A01Absence epileptic syndrome, not intractable, with status epilepticus
G40.A09Absence epileptic syndrome, not intractable, without status epilepticus
G40.A11Absence epileptic syndrome, intractable, with status epilepticus
G40.A19Absence epileptic syndrome, intractable, without status epilepticus
G40.B01Juvenile myoclonic epilepsy, not intractable, with status epilepticus
G40.B09Juvenile myoclonic epilepsy, not intractable, without status epilepticus
G40.B11Juvenile myoclonic epilepsy, intractable, with status epilepticus
G40.B19Juvenile myoclonic epilepsy, intractable, without status epilepticus
G45.0Vertebro-basilar artery syndrome
G45.1Carotid artery syndrome (hemispheric)
G45.2Multiple and bilateral precerebral artery syndromes
G45.3Amaurosis fugax
G45.8Other transient cerebral ischemic attacks and related syndromes
G45.9Transient cerebral ischemic attack, unspecified
G46.0Middle cerebral artery syndrome
G46.1Anterior cerebral artery syndrome
G46.2Posterior cerebral artery syndrome
G50.0Trigeminal neuralgia
G54.0Brachial plexus disorders
G71.00Muscular dystrophy, unspecified
G71.01Duchenne or Becker muscular dystrophy
G71.02Facioscapulohumeral muscular dystrophy
G71.031Autosomal dominant limb girdle muscular dystrophy
G71.032Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction
G71.033Limb girdle muscular dystrophy due to dysferlin dysfunction
G71.0340Limb girdle muscular dystrophy due to sarcoglycan dysfunction, unspecified
G71.0341Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction
G71.0342Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction
G71.0349Limb girdle muscular dystrophy due to other sarcoglycan dysfunction
G71.035Limb girdle muscular dystrophy due to anoctamin-5 dysfunction
G71.036Limb girdle muscular dystrophy due to fukutin related protein dysfunction
G71.038Other limb girdle muscular dystrophy
G71.09Other specified muscular dystrophies
G71.11Myotonic muscular dystrophy
G81.01Flaccid hemiplegia affecting right dominant side
G81.02Flaccid hemiplegia affecting left dominant side
G81.03Flaccid hemiplegia affecting right nondominant side
G81.04Flaccid hemiplegia affecting left nondominant side
G81.11Spastic hemiplegia affecting right dominant side
G81.12Spastic hemiplegia affecting left dominant side
G81.13Spastic hemiplegia affecting right nondominant side
G81.14Spastic hemiplegia affecting left nondominant side
G81.91Hemiplegia, unspecified affecting right dominant side
G81.92Hemiplegia, unspecified affecting left dominant side
G81.93Hemiplegia, unspecified affecting right nondominant side
G81.94Hemiplegia, unspecified affecting left nondominant side
G95.11Acute infarction of spinal cord (embolic) (nonembolic)
G95.19Other vascular myelopathies
G97.31Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure
G97.32Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure
H34.01Transient retinal artery occlusion, right eye
H34.02Transient retinal artery occlusion, left eye
H34.03Transient retinal artery occlusion, bilateral
H34.11Central retinal artery occlusion, right eye
H34.12Central retinal artery occlusion, left eye
H34.13Central retinal artery occlusion, bilateral
H34.211Partial retinal artery occlusion, right eye
H34.212Partial retinal artery occlusion, left eye
H34.213Partial retinal artery occlusion, bilateral
H34.231Retinal artery branch occlusion, right eye
H34.232Retinal artery branch occlusion, left eye
H34.233Retinal artery branch occlusion, bilateral
H34.8110Central retinal vein occlusion, right eye, with macular edema
H34.8111Central retinal vein occlusion, right eye, with retinal neovascularization
H34.8112Central retinal vein occlusion, right eye, stable
H34.8120Central retinal vein occlusion, left eye, with macular edema
H34.8121Central retinal vein occlusion, left eye, with retinal neovascularization
H34.8122Central retinal vein occlusion, left eye, stable
H34.8130Central retinal vein occlusion, bilateral, with macular edema
H34.8131Central retinal vein occlusion, bilateral, with retinal neovascularization
H34.8132Central retinal vein occlusion, bilateral, stable
H34.821Venous engorgement, right eye
H34.822Venous engorgement, left eye
H34.823Venous engorgement, bilateral
H34.8310Tributary (branch) retinal vein occlusion, right eye, with macular edema
H34.8311Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
H34.8312Tributary (branch) retinal vein occlusion, right eye, stable
H34.8320Tributary (branch) retinal vein occlusion, left eye, with macular edema
H34.8321Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization
H34.8322Tributary (branch) retinal vein occlusion, left eye, stable
H34.8330Tributary (branch) retinal vein occlusion, bilateral, with macular edema
H34.8331Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
H34.8332Tributary (branch) retinal vein occlusion, bilateral, stable
H34.9Unspecified retinal vascular occlusion
H35.071Retinal telangiectasis, right eye
H35.072Retinal telangiectasis, left eye
H35.073Retinal telangiectasis, bilateral
H49.01Third [oculomotor] nerve palsy, right eye
H49.02Third [oculomotor] nerve palsy, left eye
H49.03Third [oculomotor] nerve palsy, bilateral
H49.11Fourth [trochlear] nerve palsy, right eye
H49.12Fourth [trochlear] nerve palsy, left eye
H49.13Fourth [trochlear] nerve palsy, bilateral
H49.21Sixth [abducent] nerve palsy, right eye
H49.22Sixth [abducent] nerve palsy, left eye
H49.23Sixth [abducent] nerve palsy, bilateral
H49.31Total (external) ophthalmoplegia, right eye
H49.32Total (external) ophthalmoplegia, left eye
H49.33Total (external) ophthalmoplegia, bilateral
H49.41Progressive external ophthalmoplegia, right eye
H49.42Progressive external ophthalmoplegia, left eye
H49.43Progressive external ophthalmoplegia, bilateral
H49.881Other paralytic strabismus, right eye
H49.882Other paralytic strabismus, left eye
H49.883Other paralytic strabismus, bilateral
H49.9Unspecified paralytic strabismus
H53.121Transient visual loss, right eye
H53.122Transient visual loss, left eye
H53.123Transient visual loss, bilateral
H53.461Homonymous bilateral field defects, right side
H53.462Homonymous bilateral field defects, left side
H53.47Heteronymous bilateral field defects
H53.71Glare sensitivity
H53.72Impaired contrast sensitivity
H53.8Other visual disturbances
I01.0Acute rheumatic pericarditis
I01.1Acute rheumatic endocarditis
I01.2Acute rheumatic myocarditis
I05.0Rheumatic mitral stenosis
I05.1Rheumatic mitral insufficiency
I05.2Rheumatic mitral stenosis with insufficiency
I05.8Other rheumatic mitral valve diseases
I05.9Rheumatic mitral valve disease, unspecified
I06.0Rheumatic aortic stenosis
I06.1Rheumatic aortic insufficiency
I06.2Rheumatic aortic stenosis with insufficiency
I06.8Other rheumatic aortic valve diseases
I06.9Rheumatic aortic valve disease, unspecified
I07.0Rheumatic tricuspid stenosis
I07.1Rheumatic tricuspid insufficiency
I07.2Rheumatic tricuspid stenosis and insufficiency
I08.0Rheumatic disorders of both mitral and aortic valves
I08.1Rheumatic disorders of both mitral and tricuspid valves
I08.2Rheumatic disorders of both aortic and tricuspid valves
I08.3Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8Other rheumatic multiple valve diseases
I08.9Rheumatic multiple valve disease, unspecified
I09.0Rheumatic myocarditis
I09.1Rheumatic diseases of endocardium, valve unspecified
I09.2Chronic rheumatic pericarditis
I09.81Rheumatic heart failure
I09.89Other specified rheumatic heart diseases
I10Essential (primary) hypertension
I11.0Hypertensive heart disease with heart failure
I11.9Hypertensive heart disease without heart failure
I12.0Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0Renovascular hypertension
I15.1Hypertension secondary to other renal disorders
I1A.0Resistant hypertension
I20.0Unstable angina
I20.1Angina pectoris with documented spasm
I20.81Angina pectoris with coronary microvascular dysfunction
I20.89Other forms of angina pectoris
I21.01ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29ST elevation (STEMI) myocardial infarction involving other sites
I21.3ST elevation (STEMI) myocardial infarction of unspecified site
I21.4Non-ST elevation (NSTEMI) myocardial infarction
I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I23.0Hemopericardium as current complication following acute myocardial infarction
I23.1Atrial septal defect as current complication following acute myocardial infarction
I23.2Ventricular septal defect as current complication following acute myocardial infarction
I23.3Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
I23.4Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5Rupture of papillary muscle as current complication following acute myocardial infarction
I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I23.7Postinfarction angina
I24.0Acute coronary thrombosis not resulting in myocardial infarction
I24.1Dressler's syndrome
I24.81Acute coronary microvascular dysfunction
I24.89Other forms of acute ischemic heart disease
I24.9Acute ischemic heart disease, unspecified
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.112Atherosclerotic heart disease of native coronary artery with refractory angina pectoris

Showing the first 400 of 1933 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 36224?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 1933 ICD-10 diagnosis codes that support medical necessity for CPT 36224. 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 36224 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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