ICD↔CPT crosswalk
CPT 51797: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 51797 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 51797 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 |
|---|---|
| A18.13 | Tuberculosis of other urinary organs |
| A52.10 | Symptomatic neurosyphilis, unspecified |
| A52.11 | Tabes dorsalis |
| A52.12 | Other cerebrospinal syphilis |
| A52.13 | Late syphilitic meningitis |
| A52.14 | Late syphilitic encephalitis |
| A52.15 | Late syphilitic neuropathy |
| A52.16 | Charcot's arthropathy (tabetic) |
| A52.17 | General paresis |
| A52.19 | Other symptomatic neurosyphilis |
| A52.3 | Neurosyphilis, unspecified |
| A80.9 | Acute poliomyelitis, unspecified |
| C61 | Malignant neoplasm of prostate |
| C70.1 | Malignant neoplasm of spinal meninges |
| C72.0 | Malignant neoplasm of spinal cord |
| C72.1 | Malignant neoplasm of cauda equina |
| C79.82 | Secondary malignant neoplasm of genital organs |
| D29.1 | Benign neoplasm of prostate |
| D33.4 | Benign neoplasm of spinal cord |
| D40.0 | Neoplasm of uncertain behavior of prostate |
| D49.4 | Neoplasm of unspecified behavior of bladder |
| D49.511 | Neoplasm of unspecified behavior of right kidney |
| D49.512 | Neoplasm of unspecified behavior of left kidney |
| D49.519 | Neoplasm of unspecified behavior of unspecified kidney |
| D49.59 | Neoplasm of unspecified behavior of other genitourinary organ |
| E10.21 | Type 1 diabetes mellitus with diabetic nephropathy |
| E10.22 | Type 1 diabetes mellitus with diabetic chronic kidney disease |
| E10.29 | Type 1 diabetes mellitus with other diabetic kidney complication |
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified |
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy |
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy |
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy |
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy |
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication |
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy |
| E10.65 | Type 1 diabetes mellitus with hyperglycemia |
| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy |
| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease |
| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication |
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy |
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy |
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy |
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy |
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication |
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy |
| E11.65 | Type 2 diabetes mellitus with hyperglycemia |
| E13.21 | Other specified diabetes mellitus with diabetic nephropathy |
| E13.22 | Other specified diabetes mellitus with diabetic chronic kidney disease |
| E13.29 | Other specified diabetes mellitus with other diabetic kidney complication |
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication |
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy |
| F45.8 | Other somatoform disorders |
| F98.0 | Enuresis not due to a substance or known physiological condition |
| G04.1 | Tropical spastic paraplegia |
| G04.90 | Encephalitis and encephalomyelitis, unspecified |
| G04.91 | Myelitis, unspecified |
| G12.21 | Amyotrophic lateral sclerosis |
| G20.A1 | Parkinson's disease without dyskinesia, without mention of fluctuations |
| G20.A2 | Parkinson's disease without dyskinesia, with fluctuations |
| G20.B1 | Parkinson's disease with dyskinesia, without mention of fluctuations |
| G20.B2 | Parkinson's disease with dyskinesia, with fluctuations |
| G20.C | Parkinsonism, unspecified |
| G21.4 | Vascular parkinsonism |
| G24.1 | Genetic torsion dystonia |
| G35.A | Relapsing-remitting multiple sclerosis |
| G35.B0 | Primary progressive multiple sclerosis, unspecified |
| G35.B1 | Active primary progressive multiple sclerosis |
| G35.B2 | Non-active primary progressive multiple sclerosis |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified |
| G35.C1 | Active secondary progressive multiple sclerosis |
| G35.C2 | Non-active secondary progressive multiple sclerosis |
| G35.D | Multiple sclerosis, unspecified |
| G37.4 | Subacute necrotizing myelitis of central nervous system |
| G60.9 | Hereditary and idiopathic neuropathy, unspecified |
| G82.20 | Paraplegia, unspecified |
| G82.21 | Paraplegia, complete |
| G82.22 | Paraplegia, incomplete |
| G82.50 | Quadriplegia, unspecified |
| G82.51 | Quadriplegia, C1-C4 complete |
| G82.52 | Quadriplegia, C1-C4 incomplete |
| G82.53 | Quadriplegia, C5-C7 complete |
| G82.54 | Quadriplegia, C5-C7 incomplete |
| G83.4 | Cauda equina syndrome |
| M46.41 | Discitis, unspecified, occipito-atlanto-axial region |
| M46.42 | Discitis, unspecified, cervical region |
| M46.43 | Discitis, unspecified, cervicothoracic region |
| M46.44 | Discitis, unspecified, thoracic region |
| M46.45 | Discitis, unspecified, thoracolumbar region |
| M46.46 | Discitis, unspecified, lumbar region |
| M46.47 | Discitis, unspecified, lumbosacral region |
| M50.80 | Other cervical disc disorders, unspecified cervical region |
| M50.81 | Other cervical disc disorders, high cervical region |
| M50.821 | Other cervical disc disorders at C4-C5 level |
| M50.822 | Other cervical disc disorders at C5-C6 level |
| M50.823 | Other cervical disc disorders at C6-C7 level |
| M50.83 | Other cervical disc disorders, cervicothoracic region |
| M50.90 | Cervical disc disorder, unspecified, unspecified cervical region |
| M50.91 | Cervical disc disorder, unspecified, high cervical region |
| M50.921 | Unspecified cervical disc disorder at C4-C5 level |
| M50.922 | Unspecified cervical disc disorder at C5-C6 level |
| M50.93 | Cervical disc disorder, unspecified, cervicothoracic region |
| M51.84 | Other intervertebral disc disorders, thoracic region |
| M51.85 | Other intervertebral disc disorders, thoracolumbar region |
| M51.86 | Other intervertebral disc disorders, lumbar region |
| M51.87 | Other intervertebral disc disorders, lumbosacral region |
| N13.0 | Hydronephrosis with ureteropelvic junction obstruction |
| N13.1 | Hydronephrosis with ureteral stricture, not elsewhere classified |
| N13.2 | Hydronephrosis with renal and ureteral calculous obstruction |
| N13.39 | Other hydronephrosis |
| N13.70 | Vesicoureteral-reflux, unspecified |
| N13.71 | Vesicoureteral-reflux without reflux nephropathy |
| N13.721 | Vesicoureteral-reflux with reflux nephropathy without hydroureter, unilateral |
| N13.731 | Vesicoureteral-reflux with reflux nephropathy with hydroureter, unilateral |
| N30.10 | Interstitial cystitis (chronic) without hematuria |
| N30.11 | Interstitial cystitis (chronic) with hematuria |
| N31.0 | Uninhibited neuropathic bladder, not elsewhere classified |
| N31.1 | Reflex neuropathic bladder, not elsewhere classified |
| N31.2 | Flaccid neuropathic bladder, not elsewhere classified |
| N31.8 | Other neuromuscular dysfunction of bladder |
| N31.9 | Neuromuscular dysfunction of bladder, unspecified |
| N32.0 | Bladder-neck obstruction |
| N32.81 | Overactive bladder |
| N35.010 | Post-traumatic urethral stricture, male, meatal |
| N35.011 | Post-traumatic bulbous urethral stricture |
| N35.012 | Post-traumatic membranous urethral stricture |
| N35.013 | Post-traumatic anterior urethral stricture |
| N35.014 | Post-traumatic urethral stricture, male, unspecified |
| N35.016 | Post-traumatic urethral stricture, male, overlapping sites |
| N35.021 | Urethral stricture due to childbirth |
| N35.028 | Other post-traumatic urethral stricture, female |
| N35.811 | Other urethral stricture, male, meatal |
| N35.812 | Other bulbous urethral stricture, male |
| N35.813 | Other membranous urethral stricture, male |
| N35.814 | Other anterior urethral stricture, male |
| N35.816 | Other urethral stricture, male, overlapping sites |
| N35.819 | Other urethral stricture, male, unspecified site |
| N35.82 | Other urethral stricture, female |
| N36.0 | Urethral fistula |
| N36.1 | Urethral diverticulum |
| N36.41 | Hypermobility of urethra |
| N36.42 | Intrinsic sphincter deficiency (ISD) |
| N36.43 | Combined hypermobility of urethra and intrinsic sphincter deficiency |
| N36.44 | Muscular disorders of urethra |
| N36.8 | Other specified disorders of urethra |
| N37 | Urethral disorders in diseases classified elsewhere |
| N39.3 | Stress incontinence (female) (male) |
| N39.41 | Urge incontinence |
| N39.42 | Incontinence without sensory awareness |
| N39.43 | Post-void dribbling |
| N39.44 | Nocturnal enuresis |
| N39.45 | Continuous leakage |
| N39.46 | Mixed incontinence |
| N39.490 | Overflow incontinence |
| N39.491 | Coital incontinence |
| N39.492 | Postural (urinary) incontinence |
| N39.498 | Other specified urinary incontinence |
| N40.1 | Benign prostatic hyperplasia with lower urinary tract symptoms |
| N40.3 | Nodular prostate with lower urinary tract symptoms |
| N42.81 | Prostatodynia syndrome |
| N42.82 | Prostatosis syndrome |
| N42.83 | Cyst of prostate |
| N42.89 | Other specified disorders of prostate |
| N81.0 | Urethrocele |
| N81.11 | Cystocele, midline |
| N81.12 | Cystocele, lateral |
| N81.2 | Incomplete uterovaginal prolapse |
| N81.3 | Complete uterovaginal prolapse |
| N81.6 | Rectocele |
| N81.81 | Perineocele |
| N81.89 | Other female genital prolapse |
| N81.9 | Female genital prolapse, unspecified |
| N82.0 | Vesicovaginal fistula |
| N82.1 | Other female urinary-genital tract fistulae |
| N99.110 | Postprocedural urethral stricture, male, meatal |
| N99.111 | Postprocedural bulbous urethral stricture, male |
| N99.112 | Postprocedural membranous urethral stricture, male |
| N99.113 | Postprocedural anterior bulbous urethral stricture, male |
| N99.116 | Postprocedural urethral stricture, male, overlapping sites |
| N99.12 | Postprocedural urethral stricture, female |
| Q05.0 | Cervical spina bifida with hydrocephalus |
| Q05.1 | Thoracic spina bifida with hydrocephalus |
| Q05.2 | Lumbar spina bifida with hydrocephalus |
| Q05.3 | Sacral spina bifida with hydrocephalus |
| Q05.5 | Cervical spina bifida without hydrocephalus |
| Q05.6 | Thoracic spina bifida without hydrocephalus |
| Q05.7 | Lumbar spina bifida without hydrocephalus |
| Q05.8 | Sacral spina bifida without hydrocephalus |
| Q07.00 | Arnold-Chiari syndrome without spina bifida or hydrocephalus |
| Q07.01 | Arnold-Chiari syndrome with spina bifida |
| Q07.02 | Arnold-Chiari syndrome with hydrocephalus |
| Q07.03 | Arnold-Chiari syndrome with spina bifida and hydrocephalus |
| Q62.11 | Congenital occlusion of ureteropelvic junction |
| Q62.12 | Congenital occlusion of ureterovesical orifice |
| Q62.2 | Congenital megaureter |
| Q62.39 | Other obstructive defects of renal pelvis and ureter |
| Q64.11 | Supravesical fissure of urinary bladder |
| Q64.2 | Congenital posterior urethral valves |
| Q64.31 | Congenital bladder neck obstruction |
| Q64.32 | Congenital stricture of urethra |
| Q64.33 | Congenital stricture of urinary meatus |
| Q64.39 | Other atresia and stenosis of urethra and bladder neck |
| Q64.5 | Congenital absence of bladder and urethra |
| Q64.6 | Congenital diverticulum of bladder |
| Q64.71 | Congenital prolapse of urethra |
| Q64.72 | Congenital prolapse of urinary meatus |
| Q64.73 | Congenital urethrorectal fistula |
| Q64.74 | Double urethra |
| Q64.75 | Double urinary meatus |
| Q64.79 | Other congenital malformations of bladder and urethra |
| R30.0 | Dysuria |
| R32 | Unspecified urinary incontinence |
| R33.0 | Drug induced retention of urine |
| R33.8 | Other retention of urine |
| R33.9 | Retention of urine, unspecified |
| R34 | Anuria and oliguria |
| R35.0 | Frequency of micturition |
| R35.1 | Nocturia |
| R39.11 | Hesitancy of micturition |
| R39.12 | Poor urinary stream |
| R39.13 | Splitting of urinary stream |
| R39.14 | Feeling of incomplete bladder emptying |
| R39.16 | Straining to void |
| S12.000A | Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.000B | Unspecified displaced fracture of first cervical vertebra, initial encounter for open fracture |
| S12.001A | Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.001B | Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for open fracture |
| S12.100A | Unspecified displaced fracture of second cervical vertebra, initial encounter for closed fracture |
| S12.100B | Unspecified displaced fracture of second cervical vertebra, initial encounter for open fracture |
| S12.101A | Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture |
| S12.101B | Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for open fracture |
| S12.200A | Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture |
| S12.200B | Unspecified displaced fracture of third cervical vertebra, initial encounter for open fracture |
| S12.201A | Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for closed fracture |
| S12.201B | Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for open fracture |
| S12.300A | Unspecified displaced fracture of fourth cervical vertebra, initial encounter for closed fracture |
| S12.300B | Unspecified displaced fracture of fourth cervical vertebra, initial encounter for open fracture |
| S12.301A | Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture |
| S12.301B | Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture |
| S12.400A | Unspecified displaced fracture of fifth cervical vertebra, initial encounter for closed fracture |
| S12.400B | Unspecified displaced fracture of fifth cervical vertebra, initial encounter for open fracture |
| S12.401A | Unspecified nondisplaced fracture of fifth cervical vertebra, initial encounter for closed fracture |
| S12.401B | Unspecified nondisplaced fracture of fifth cervical vertebra, initial encounter for open fracture |
| S12.500A | Unspecified displaced fracture of sixth cervical vertebra, initial encounter for closed fracture |
| S12.500B | Unspecified displaced fracture of sixth cervical vertebra, initial encounter for open fracture |
| S12.501A | Unspecified nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture |
| S12.501B | Unspecified nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture |
| S12.600A | Unspecified displaced fracture of seventh cervical vertebra, initial encounter for closed fracture |
| S12.600B | Unspecified displaced fracture of seventh cervical vertebra, initial encounter for open fracture |
| S12.601A | Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture |
| S12.601B | Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture |
| S14.0XXA | Concussion and edema of cervical spinal cord, initial encounter |
| S14.0XXD | Concussion and edema of cervical spinal cord, subsequent encounter |
| S14.0XXS | Concussion and edema of cervical spinal cord, sequela |
| S14.101A | Unspecified injury at C1 level of cervical spinal cord, initial encounter |
| S14.101D | Unspecified injury at C1 level of cervical spinal cord, subsequent encounter |
| S14.101S | Unspecified injury at C1 level of cervical spinal cord, sequela |
| S14.102A | Unspecified injury at C2 level of cervical spinal cord, initial encounter |
| S14.102D | Unspecified injury at C2 level of cervical spinal cord, subsequent encounter |
| S14.102S | Unspecified injury at C2 level of cervical spinal cord, sequela |
| S14.103A | Unspecified injury at C3 level of cervical spinal cord, initial encounter |
| S14.103D | Unspecified injury at C3 level of cervical spinal cord, subsequent encounter |
| S14.103S | Unspecified injury at C3 level of cervical spinal cord, sequela |
| S14.104A | Unspecified injury at C4 level of cervical spinal cord, initial encounter |
| S14.104D | Unspecified injury at C4 level of cervical spinal cord, subsequent encounter |
| S14.104S | Unspecified injury at C4 level of cervical spinal cord, sequela |
| S14.105A | Unspecified injury at C5 level of cervical spinal cord, initial encounter |
| S14.105D | Unspecified injury at C5 level of cervical spinal cord, subsequent encounter |
| S14.105S | Unspecified injury at C5 level of cervical spinal cord, sequela |
| S14.106A | Unspecified injury at C6 level of cervical spinal cord, initial encounter |
| S14.106D | Unspecified injury at C6 level of cervical spinal cord, subsequent encounter |
| S14.106S | Unspecified injury at C6 level of cervical spinal cord, sequela |
| S14.107A | Unspecified injury at C7 level of cervical spinal cord, initial encounter |
| S14.107D | Unspecified injury at C7 level of cervical spinal cord, subsequent encounter |
| S14.107S | Unspecified injury at C7 level of cervical spinal cord, sequela |
| S14.108A | Unspecified injury at C8 level of cervical spinal cord, initial encounter |
| S14.108D | Unspecified injury at C8 level of cervical spinal cord, subsequent encounter |
| S14.108S | Unspecified injury at C8 level of cervical spinal cord, sequela |
| S14.109A | Unspecified injury at unspecified level of cervical spinal cord, initial encounter |
| S14.109D | Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter |
| S14.109S | Unspecified injury at unspecified level of cervical spinal cord, sequela |
| S14.111A | Complete lesion at C1 level of cervical spinal cord, initial encounter |
| S14.111D | Complete lesion at C1 level of cervical spinal cord, subsequent encounter |
| S14.111S | Complete lesion at C1 level of cervical spinal cord, sequela |
| S14.112A | Complete lesion at C2 level of cervical spinal cord, initial encounter |
| S14.112D | Complete lesion at C2 level of cervical spinal cord, subsequent encounter |
| S14.112S | Complete lesion at C2 level of cervical spinal cord, sequela |
| S14.113A | Complete lesion at C3 level of cervical spinal cord, initial encounter |
| S14.113D | Complete lesion at C3 level of cervical spinal cord, subsequent encounter |
| S14.113S | Complete lesion at C3 level of cervical spinal cord, sequela |
| S14.114A | Complete lesion at C4 level of cervical spinal cord, initial encounter |
| S14.114D | Complete lesion at C4 level of cervical spinal cord, subsequent encounter |
| S14.114S | Complete lesion at C4 level of cervical spinal cord, sequela |
| S14.115A | Complete lesion at C5 level of cervical spinal cord, initial encounter |
| S14.115D | Complete lesion at C5 level of cervical spinal cord, subsequent encounter |
| S14.115S | Complete lesion at C5 level of cervical spinal cord, sequela |
| S14.116A | Complete lesion at C6 level of cervical spinal cord, initial encounter |
| S14.116D | Complete lesion at C6 level of cervical spinal cord, subsequent encounter |
| S14.116S | Complete lesion at C6 level of cervical spinal cord, sequela |
| S14.117A | Complete lesion at C7 level of cervical spinal cord, initial encounter |
| S14.117D | Complete lesion at C7 level of cervical spinal cord, subsequent encounter |
| S14.117S | Complete lesion at C7 level of cervical spinal cord, sequela |
| S14.118A | Complete lesion at C8 level of cervical spinal cord, initial encounter |
| S14.118D | Complete lesion at C8 level of cervical spinal cord, subsequent encounter |
| S14.118S | Complete lesion at C8 level of cervical spinal cord, sequela |
| S14.119A | Complete lesion at unspecified level of cervical spinal cord, initial encounter |
| S14.119D | Complete lesion at unspecified level of cervical spinal cord, subsequent encounter |
| S14.119S | Complete lesion at unspecified level of cervical spinal cord, sequela |
| S14.121A | Central cord syndrome at C1 level of cervical spinal cord, initial encounter |
| S14.121D | Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter |
| S14.121S | Central cord syndrome at C1 level of cervical spinal cord, sequela |
| S14.122A | Central cord syndrome at C2 level of cervical spinal cord, initial encounter |
| S14.122D | Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter |
| S14.122S | Central cord syndrome at C2 level of cervical spinal cord, sequela |
| S14.123A | Central cord syndrome at C3 level of cervical spinal cord, initial encounter |
| S14.123D | Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter |
| S14.123S | Central cord syndrome at C3 level of cervical spinal cord, sequela |
| S14.124A | Central cord syndrome at C4 level of cervical spinal cord, initial encounter |
| S14.124D | Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter |
| S14.124S | Central cord syndrome at C4 level of cervical spinal cord, sequela |
| S14.125A | Central cord syndrome at C5 level of cervical spinal cord, initial encounter |
| S14.125D | Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter |
| S14.125S | Central cord syndrome at C5 level of cervical spinal cord, sequela |
| S14.126A | Central cord syndrome at C6 level of cervical spinal cord, initial encounter |
| S14.126D | Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter |
| S14.126S | Central cord syndrome at C6 level of cervical spinal cord, sequela |
| S14.127A | Central cord syndrome at C7 level of cervical spinal cord, initial encounter |
| S14.127D | Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter |
| S14.127S | Central cord syndrome at C7 level of cervical spinal cord, sequela |
| S14.128A | Central cord syndrome at C8 level of cervical spinal cord, initial encounter |
| S14.128D | Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter |
| S14.128S | Central cord syndrome at C8 level of cervical spinal cord, sequela |
| S14.129A | Central cord syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14.129D | Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter |
| S14.129S | Central cord syndrome at unspecified level of cervical spinal cord, sequela |
| S14.131A | Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter |
| S14.131D | Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter |
| S14.131S | Anterior cord syndrome at C1 level of cervical spinal cord, sequela |
| S14.132A | Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter |
| S14.132D | Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter |
| S14.132S | Anterior cord syndrome at C2 level of cervical spinal cord, sequela |
| S14.133A | Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter |
| S14.133D | Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter |
| S14.133S | Anterior cord syndrome at C3 level of cervical spinal cord, sequela |
| S14.134A | Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter |
| S14.134D | Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter |
| S14.134S | Anterior cord syndrome at C4 level of cervical spinal cord, sequela |
| S14.135A | Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter |
| S14.135D | Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter |
| S14.135S | Anterior cord syndrome at C5 level of cervical spinal cord, sequela |
| S14.136A | Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter |
| S14.136D | Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter |
| S14.136S | Anterior cord syndrome at C6 level of cervical spinal cord, sequela |
| S14.137A | Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter |
| S14.137D | Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter |
| S14.137S | Anterior cord syndrome at C7 level of cervical spinal cord, sequela |
| S14.138A | Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter |
| S14.138D | Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter |
| S14.138S | Anterior cord syndrome at C8 level of cervical spinal cord, sequela |
| S14.139A | Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14.139D | Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter |
| S14.139S | Anterior cord syndrome at unspecified level of cervical spinal cord, sequela |
| S14.141A | Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter |
| S14.141D | Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter |
| S14.141S | Brown-Sequard syndrome at C1 level of cervical spinal cord, sequela |
| S14.142A | Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter |
| S14.142D | Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter |
| S14.142S | Brown-Sequard syndrome at C2 level of cervical spinal cord, sequela |
| S14.143A | Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter |
| S14.143D | Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter |
| S14.143S | Brown-Sequard syndrome at C3 level of cervical spinal cord, sequela |
| S14.144A | Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter |
| S14.144D | Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter |
| S14.144S | Brown-Sequard syndrome at C4 level of cervical spinal cord, sequela |
| S14.145A | Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter |
| S14.145D | Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter |
| S14.145S | Brown-Sequard syndrome at C5 level of cervical spinal cord, sequela |
| S14.146A | Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter |
| S14.146D | Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter |
| S14.146S | Brown-Sequard syndrome at C6 level of cervical spinal cord, sequela |
| S14.147A | Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter |
| S14.147D | Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter |
| S14.147S | Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela |
| S14.148A | Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter |
| S14.148D | Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter |
| S14.148S | Brown-Sequard syndrome at C8 level of cervical spinal cord, sequela |
| S14.149A | Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter |
| S14.149D | Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter |
| S14.149S | Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequela |
| S14.151A | Other incomplete lesion at C1 level of cervical spinal cord, initial encounter |
| S14.151D | Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter |
| S14.151S | Other incomplete lesion at C1 level of cervical spinal cord, sequela |
| S14.152A | Other incomplete lesion at C2 level of cervical spinal cord, initial encounter |
| S14.152D | Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter |
| S14.152S | Other incomplete lesion at C2 level of cervical spinal cord, sequela |
| S14.153A | Other incomplete lesion at C3 level of cervical spinal cord, initial encounter |
| S14.153D | Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter |
| S14.153S | Other incomplete lesion at C3 level of cervical spinal cord, sequela |
| S14.154A | Other incomplete lesion at C4 level of cervical spinal cord, initial encounter |
| S14.154D | Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter |
| S14.154S | Other incomplete lesion at C4 level of cervical spinal cord, sequela |
Showing the first 400 of 597 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 51797?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 597 ICD-10 diagnosis codes that support medical necessity for CPT 51797. 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 51797 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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