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ICD↔CPT crosswalk

CPT 64455: ICD-10 codes that support medical necessity

2487 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 64455 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 64455 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
B02.22Postherpetic trigeminal neuralgia
B02.23Postherpetic polyneuropathy
B02.9Zoster without complications
C00.0Malignant neoplasm of external upper lip
C00.1Malignant neoplasm of external lower lip
C00.2Malignant neoplasm of external lip, unspecified
C00.3Malignant neoplasm of upper lip, inner aspect
C00.4Malignant neoplasm of lower lip, inner aspect
C00.5Malignant neoplasm of lip, unspecified, inner aspect
C00.6Malignant neoplasm of commissure of lip, unspecified
C00.8Malignant neoplasm of overlapping sites of lip
C00.9Malignant neoplasm of lip, unspecified
C01Malignant neoplasm of base of tongue
C02.0Malignant neoplasm of dorsal surface of tongue
C02.1Malignant neoplasm of border of tongue
C02.2Malignant neoplasm of ventral surface of tongue
C02.3Malignant neoplasm of anterior two-thirds of tongue, part unspecified
C02.4Malignant neoplasm of lingual tonsil
C02.8Malignant neoplasm of overlapping sites of tongue
C02.9Malignant neoplasm of tongue, unspecified
C03.0Malignant neoplasm of upper gum
C03.1Malignant neoplasm of lower gum
C03.9Malignant neoplasm of gum, unspecified
C04.0Malignant neoplasm of anterior floor of mouth
C04.1Malignant neoplasm of lateral floor of mouth
C04.8Malignant neoplasm of overlapping sites of floor of mouth
C04.9Malignant neoplasm of floor of mouth, unspecified
C05.0Malignant neoplasm of hard palate
C05.1Malignant neoplasm of soft palate
C05.2Malignant neoplasm of uvula
C05.8Malignant neoplasm of overlapping sites of palate
C05.9Malignant neoplasm of palate, unspecified
C06.0Malignant neoplasm of cheek mucosa
C06.1Malignant neoplasm of vestibule of mouth
C06.2Malignant neoplasm of retromolar area
C06.80Malignant neoplasm of overlapping sites of unspecified parts of mouth
C06.89Malignant neoplasm of overlapping sites of other parts of mouth
C06.9Malignant neoplasm of mouth, unspecified
C07Malignant neoplasm of parotid gland
C08.0Malignant neoplasm of submandibular gland
C08.1Malignant neoplasm of sublingual gland
C08.9Malignant neoplasm of major salivary gland, unspecified
C09.0Malignant neoplasm of tonsillar fossa
C09.1Malignant neoplasm of tonsillar pillar (anterior) (posterior)
C09.8Malignant neoplasm of overlapping sites of tonsil
C09.9Malignant neoplasm of tonsil, unspecified
C10.0Malignant neoplasm of vallecula
C10.1Malignant neoplasm of anterior surface of epiglottis
C10.2Malignant neoplasm of lateral wall of oropharynx
C10.3Malignant neoplasm of posterior wall of oropharynx
C10.4Malignant neoplasm of branchial cleft
C10.8Malignant neoplasm of overlapping sites of oropharynx
C10.9Malignant neoplasm of oropharynx, unspecified
C11.0Malignant neoplasm of superior wall of nasopharynx
C11.1Malignant neoplasm of posterior wall of nasopharynx
C11.2Malignant neoplasm of lateral wall of nasopharynx
C11.3Malignant neoplasm of anterior wall of nasopharynx
C11.8Malignant neoplasm of overlapping sites of nasopharynx
C11.9Malignant neoplasm of nasopharynx, unspecified
C12Malignant neoplasm of pyriform sinus
C13.0Malignant neoplasm of postcricoid region
C13.1Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect
C13.2Malignant neoplasm of posterior wall of hypopharynx
C13.8Malignant neoplasm of overlapping sites of hypopharynx
C13.9Malignant neoplasm of hypopharynx, unspecified
C14.0Malignant neoplasm of pharynx, unspecified
C14.2Malignant neoplasm of Waldeyer's ring
C14.8Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx
C15.3Malignant neoplasm of upper third of esophagus
C15.4Malignant neoplasm of middle third of esophagus
C15.5Malignant neoplasm of lower third of esophagus
C15.8Malignant neoplasm of overlapping sites of esophagus
C15.9Malignant neoplasm of esophagus, unspecified
C16.0Malignant neoplasm of cardia
C16.1Malignant neoplasm of fundus of stomach
C16.2Malignant neoplasm of body of stomach
C16.3Malignant neoplasm of pyloric antrum
C16.4Malignant neoplasm of pylorus
C16.5Malignant neoplasm of lesser curvature of stomach, unspecified
C16.6Malignant neoplasm of greater curvature of stomach, unspecified
C16.8Malignant neoplasm of overlapping sites of stomach
C16.9Malignant neoplasm of stomach, unspecified
C17.0Malignant neoplasm of duodenum
C17.1Malignant neoplasm of jejunum
C17.2Malignant neoplasm of ileum
C17.3Meckel's diverticulum, malignant
C17.8Malignant neoplasm of overlapping sites of small intestine
C17.9Malignant neoplasm of small intestine, unspecified
C18.0Malignant neoplasm of cecum
C18.1Malignant neoplasm of appendix
C18.2Malignant neoplasm of ascending colon
C18.3Malignant neoplasm of hepatic flexure
C18.4Malignant neoplasm of transverse colon
C18.5Malignant neoplasm of splenic flexure
C18.6Malignant neoplasm of descending colon
C18.7Malignant neoplasm of sigmoid colon
C18.8Malignant neoplasm of overlapping sites of colon
C18.9Malignant neoplasm of colon, unspecified
C19Malignant neoplasm of rectosigmoid junction
C20Malignant neoplasm of rectum
C21.0Malignant neoplasm of anus, unspecified
C21.1Malignant neoplasm of anal canal
C21.2Malignant neoplasm of cloacogenic zone
C21.8Malignant neoplasm of overlapping sites of rectum, anus and anal canal
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
C23Malignant neoplasm of gallbladder
C24.0Malignant neoplasm of extrahepatic bile duct
C24.1Malignant neoplasm of ampulla of Vater
C24.8Malignant neoplasm of overlapping sites of biliary tract
C24.9Malignant neoplasm of biliary tract, unspecified
C25.0Malignant neoplasm of head of pancreas
C25.1Malignant neoplasm of body of pancreas
C25.2Malignant neoplasm of tail of pancreas
C25.3Malignant neoplasm of pancreatic duct
C25.4Malignant neoplasm of endocrine pancreas
C25.7Malignant neoplasm of other parts of pancreas
C25.8Malignant neoplasm of overlapping sites of pancreas
C25.9Malignant neoplasm of pancreas, unspecified
C26.0Malignant neoplasm of intestinal tract, part unspecified
C26.1Malignant neoplasm of spleen
C26.9Malignant neoplasm of ill-defined sites within the digestive system
C30.0Malignant neoplasm of nasal cavity
C30.1Malignant neoplasm of middle ear
C31.0Malignant neoplasm of maxillary sinus
C31.1Malignant neoplasm of ethmoidal sinus
C31.2Malignant neoplasm of frontal sinus
C31.3Malignant neoplasm of sphenoid sinus
C31.8Malignant neoplasm of overlapping sites of accessory sinuses
C31.9Malignant neoplasm of accessory sinus, unspecified
C32.0Malignant neoplasm of glottis
C32.1Malignant neoplasm of supraglottis
C32.2Malignant neoplasm of subglottis
C32.3Malignant neoplasm of laryngeal cartilage
C32.8Malignant neoplasm of overlapping sites of larynx
C32.9Malignant neoplasm of larynx, unspecified
C33Malignant neoplasm of trachea
C34.00Malignant neoplasm of unspecified main bronchus
C34.01Malignant neoplasm of right main bronchus
C34.02Malignant neoplasm of left main bronchus
C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lung
C34.11Malignant neoplasm of upper lobe, right bronchus or lung
C34.12Malignant neoplasm of upper lobe, left bronchus or lung
C34.2Malignant neoplasm of middle lobe, bronchus or lung
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung
C34.31Malignant neoplasm of lower lobe, right bronchus or lung
C34.32Malignant neoplasm of lower lobe, left bronchus or lung
C34.80Malignant neoplasm of overlapping sites of unspecified bronchus and lung
C34.81Malignant neoplasm of overlapping sites of right bronchus and lung
C34.82Malignant neoplasm of overlapping sites of left bronchus and lung
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
C34.91Malignant neoplasm of unspecified part of right bronchus or lung
C34.92Malignant neoplasm of unspecified part of left bronchus or lung
C37Malignant neoplasm of thymus
C38.0Malignant neoplasm of heart
C38.1Malignant neoplasm of anterior mediastinum
C38.2Malignant neoplasm of posterior mediastinum
C38.3Malignant neoplasm of mediastinum, part unspecified
C38.4Malignant neoplasm of pleura
C38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleura
C39.0Malignant neoplasm of upper respiratory tract, part unspecified
C39.9Malignant neoplasm of lower respiratory tract, part unspecified
C40.00Malignant neoplasm of scapula and long bones of unspecified upper limb
C40.01Malignant neoplasm of scapula and long bones of right upper limb
C40.02Malignant neoplasm of scapula and long bones of left upper limb
C40.10Malignant neoplasm of short bones of unspecified upper limb
C40.11Malignant neoplasm of short bones of right upper limb
C40.12Malignant neoplasm of short bones of left upper limb
C40.20Malignant neoplasm of long bones of unspecified lower limb
C40.21Malignant neoplasm of long bones of right lower limb
C40.22Malignant neoplasm of long bones of left lower limb
C40.30Malignant neoplasm of short bones of unspecified lower limb
C40.31Malignant neoplasm of short bones of right lower limb
C40.32Malignant neoplasm of short bones of left lower limb
C40.80Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb
C40.81Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb
C40.82Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb
C40.90Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb
C40.91Malignant neoplasm of unspecified bones and articular cartilage of right limb
C40.92Malignant neoplasm of unspecified bones and articular cartilage of left limb
C41.0Malignant neoplasm of bones of skull and face
C41.1Malignant neoplasm of mandible
C41.2Malignant neoplasm of vertebral column
C41.3Malignant neoplasm of ribs, sternum and clavicle
C41.4Malignant neoplasm of pelvic bones, sacrum and coccyx
C41.9Malignant neoplasm of bone and articular cartilage, unspecified
C43.0Malignant melanoma of lip
C43.10Malignant melanoma of unspecified eyelid, including canthus
C43.111Malignant melanoma of right upper eyelid, including canthus
C43.112Malignant melanoma of right lower eyelid, including canthus
C43.121Malignant melanoma of left upper eyelid, including canthus
C43.122Malignant melanoma of left lower eyelid, including canthus
C43.20Malignant melanoma of unspecified ear and external auricular canal
C43.21Malignant melanoma of right ear and external auricular canal
C43.22Malignant melanoma of left ear and external auricular canal
C43.30Malignant melanoma of unspecified part of face
C43.31Malignant melanoma of nose
C43.39Malignant melanoma of other parts of face
C43.4Malignant melanoma of scalp and neck
C43.51Malignant melanoma of anal skin
C43.52Malignant melanoma of skin of breast
C43.59Malignant melanoma of other part of trunk
C43.60Malignant melanoma of unspecified upper limb, including shoulder
C43.61Malignant melanoma of right upper limb, including shoulder
C43.62Malignant melanoma of left upper limb, including shoulder
C43.70Malignant melanoma of unspecified lower limb, including hip
C43.71Malignant melanoma of right lower limb, including hip
C43.72Malignant melanoma of left lower limb, including hip
C43.8Malignant melanoma of overlapping sites of skin
C43.9Malignant melanoma of skin, unspecified
C44.00Unspecified malignant neoplasm of skin of lip
C44.01Basal cell carcinoma of skin of lip
C44.02Squamous cell carcinoma of skin of lip
C44.09Other specified malignant neoplasm of skin of lip
C44.101Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus
C44.1021Unspecified malignant neoplasm of skin of right upper eyelid, including canthus
C44.1022Unspecified malignant neoplasm of skin of right lower eyelid, including canthus
C44.1091Unspecified malignant neoplasm of skin of left upper eyelid, including canthus
C44.1092Unspecified malignant neoplasm of skin of left lower eyelid, including canthus
C44.111Basal cell carcinoma of skin of unspecified eyelid, including canthus
C44.1121Basal cell carcinoma of skin of right upper eyelid, including canthus
C44.1122Basal cell carcinoma of skin of right lower eyelid, including canthus
C44.1191Basal cell carcinoma of skin of left upper eyelid, including canthus
C44.1192Basal cell carcinoma of skin of left lower eyelid, including canthus
C44.121Squamous cell carcinoma of skin of unspecified eyelid, including canthus
C44.1221Squamous cell carcinoma of skin of right upper eyelid, including canthus
C44.1222Squamous cell carcinoma of skin of right lower eyelid, including canthus
C44.1291Squamous cell carcinoma of skin of left upper eyelid, including canthus
C44.1292Squamous cell carcinoma of skin of left lower eyelid, including canthus
C44.131Sebaceous cell carcinoma of skin of unspecified eyelid, including canthus
C44.1321Sebaceous cell carcinoma of skin of right upper eyelid, including canthus
C44.1322Sebaceous cell carcinoma of skin of right lower eyelid, including canthus
C44.1391Sebaceous cell carcinoma of skin of left upper eyelid, including canthus
C44.1392Sebaceous cell carcinoma of skin of left lower eyelid, including canthus
C44.191Other specified malignant neoplasm of skin of unspecified eyelid, including canthus
C44.1921Other specified malignant neoplasm of skin of right upper eyelid, including canthus
C44.1922Other specified malignant neoplasm of skin of right lower eyelid, including canthus
C44.1991Other specified malignant neoplasm of skin of left upper eyelid, including canthus
C44.1992Other specified malignant neoplasm of skin of left lower eyelid, including canthus
C44.201Unspecified malignant neoplasm of skin of unspecified ear and external auricular canal
C44.202Unspecified malignant neoplasm of skin of right ear and external auricular canal
C44.209Unspecified malignant neoplasm of skin of left ear and external auricular canal
C44.211Basal cell carcinoma of skin of unspecified ear and external auricular canal
C44.212Basal cell carcinoma of skin of right ear and external auricular canal
C44.219Basal cell carcinoma of skin of left ear and external auricular canal
C44.221Squamous cell carcinoma of skin of unspecified ear and external auricular canal
C44.222Squamous cell carcinoma of skin of right ear and external auricular canal
C44.229Squamous cell carcinoma of skin of left ear and external auricular canal
C44.291Other specified malignant neoplasm of skin of unspecified ear and external auricular canal
C44.292Other specified malignant neoplasm of skin of right ear and external auricular canal
C44.299Other specified malignant neoplasm of skin of left ear and external auricular canal
C44.300Unspecified malignant neoplasm of skin of unspecified part of face
C44.301Unspecified malignant neoplasm of skin of nose
C44.309Unspecified malignant neoplasm of skin of other parts of face
C44.310Basal cell carcinoma of skin of unspecified parts of face
C44.311Basal cell carcinoma of skin of nose
C44.319Basal cell carcinoma of skin of other parts of face
C44.320Squamous cell carcinoma of skin of unspecified parts of face
C44.321Squamous cell carcinoma of skin of nose
C44.329Squamous cell carcinoma of skin of other parts of face
C44.390Other specified malignant neoplasm of skin of unspecified parts of face
C44.391Other specified malignant neoplasm of skin of nose
C44.399Other specified malignant neoplasm of skin of other parts of face
C44.40Unspecified malignant neoplasm of skin of scalp and neck
C44.41Basal cell carcinoma of skin of scalp and neck
C44.42Squamous cell carcinoma of skin of scalp and neck
C44.49Other specified malignant neoplasm of skin of scalp and neck
C44.500Unspecified malignant neoplasm of anal skin
C44.501Unspecified malignant neoplasm of skin of breast
C44.509Unspecified malignant neoplasm of skin of other part of trunk
C44.510Basal cell carcinoma of anal skin
C44.511Basal cell carcinoma of skin of breast
C44.519Basal cell carcinoma of skin of other part of trunk
C44.520Squamous cell carcinoma of anal skin
C44.521Squamous cell carcinoma of skin of breast
C44.529Squamous cell carcinoma of skin of other part of trunk
C44.590Other specified malignant neoplasm of anal skin
C44.591Other specified malignant neoplasm of skin of breast
C44.599Other specified malignant neoplasm of skin of other part of trunk
C44.601Unspecified malignant neoplasm of skin of unspecified upper limb, including shoulder
C44.602Unspecified malignant neoplasm of skin of right upper limb, including shoulder
C44.609Unspecified malignant neoplasm of skin of left upper limb, including shoulder
C44.611Basal cell carcinoma of skin of unspecified upper limb, including shoulder
C44.612Basal cell carcinoma of skin of right upper limb, including shoulder
C44.619Basal cell carcinoma of skin of left upper limb, including shoulder
C44.621Squamous cell carcinoma of skin of unspecified upper limb, including shoulder
C44.622Squamous cell carcinoma of skin of right upper limb, including shoulder
C44.629Squamous cell carcinoma of skin of left upper limb, including shoulder
C44.691Other specified malignant neoplasm of skin of unspecified upper limb, including shoulder
C44.692Other specified malignant neoplasm of skin of right upper limb, including shoulder
C44.699Other specified malignant neoplasm of skin of left upper limb, including shoulder
C44.701Unspecified malignant neoplasm of skin of unspecified lower limb, including hip
C44.702Unspecified malignant neoplasm of skin of right lower limb, including hip
C44.709Unspecified malignant neoplasm of skin of left lower limb, including hip
C44.711Basal cell carcinoma of skin of unspecified lower limb, including hip
C44.712Basal cell carcinoma of skin of right lower limb, including hip
C44.719Basal cell carcinoma of skin of left lower limb, including hip
C44.721Squamous cell carcinoma of skin of unspecified lower limb, including hip
C44.722Squamous cell carcinoma of skin of right lower limb, including hip
C44.729Squamous cell carcinoma of skin of left lower limb, including hip
C44.791Other specified malignant neoplasm of skin of unspecified lower limb, including hip
C44.792Other specified malignant neoplasm of skin of right lower limb, including hip
C44.799Other specified malignant neoplasm of skin of left lower limb, including hip
C44.80Unspecified malignant neoplasm of overlapping sites of skin
C44.81Basal cell carcinoma of overlapping sites of skin
C44.82Squamous cell carcinoma of overlapping sites of skin
C44.89Other specified malignant neoplasm of overlapping sites of skin
C44.90Unspecified malignant neoplasm of skin, unspecified
C44.91Basal cell carcinoma of skin, unspecified
C44.92Squamous cell carcinoma of skin, unspecified
C44.99Other specified malignant neoplasm of skin, unspecified
C45.0Mesothelioma of pleura
C45.1Mesothelioma of peritoneum
C45.2Mesothelioma of pericardium
C45.7Mesothelioma of other sites
C45.9Mesothelioma, unspecified
C46.0Kaposi's sarcoma of skin
C46.1Kaposi's sarcoma of soft tissue
C46.2Kaposi's sarcoma of palate
C46.3Kaposi's sarcoma of lymph nodes
C46.4Kaposi's sarcoma of gastrointestinal sites
C46.50Kaposi's sarcoma of unspecified lung
C46.51Kaposi's sarcoma of right lung
C46.52Kaposi's sarcoma of left lung
C46.7Kaposi's sarcoma of other sites
C46.9Kaposi's sarcoma, unspecified
C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C47.10Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder
C47.11Malignant neoplasm of peripheral nerves of right upper limb, including shoulder
C47.12Malignant neoplasm of peripheral nerves of left upper limb, including shoulder
C47.20Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip
C47.21Malignant neoplasm of peripheral nerves of right lower limb, including hip
C47.22Malignant neoplasm of peripheral nerves of left lower limb, including hip
C47.3Malignant neoplasm of peripheral nerves of thorax
C47.4Malignant neoplasm of peripheral nerves of abdomen
C47.5Malignant neoplasm of peripheral nerves of pelvis
C47.6Malignant neoplasm of peripheral nerves of trunk, unspecified
C47.8Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
C47.9Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.2Malignant neoplasm of peritoneum, unspecified
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C49.0Malignant neoplasm of connective and soft tissue of head, face and neck
C49.10Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder
C49.11Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder
C49.12Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder
C49.20Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip
C49.21Malignant neoplasm of connective and soft tissue of right lower limb, including hip
C49.22Malignant neoplasm of connective and soft tissue of left lower limb, including hip
C49.3Malignant neoplasm of connective and soft tissue of thorax
C49.4Malignant neoplasm of connective and soft tissue of abdomen
C49.5Malignant neoplasm of connective and soft tissue of pelvis
C49.6Malignant neoplasm of connective and soft tissue of trunk, unspecified
C49.8Malignant neoplasm of overlapping sites of connective and soft tissue
C49.9Malignant neoplasm of connective and soft tissue, unspecified
C49.A0Gastrointestinal stromal tumor, unspecified site
C49.A1Gastrointestinal stromal tumor of esophagus
C49.A2Gastrointestinal stromal tumor of stomach
C49.A3Gastrointestinal stromal tumor of small intestine
C49.A4Gastrointestinal stromal tumor of large intestine
C49.A5Gastrointestinal stromal tumor of rectum
C49.A9Gastrointestinal stromal tumor of other sites
C4A.0Merkel cell carcinoma of lip
C4A.10Merkel cell carcinoma of unspecified eyelid, including canthus
C4A.111Merkel cell carcinoma of right upper eyelid, including canthus
C4A.112Merkel cell carcinoma of right lower eyelid, including canthus
C4A.121Merkel cell carcinoma of left upper eyelid, including canthus
C4A.122Merkel cell carcinoma of left lower eyelid, including canthus
C4A.20Merkel cell carcinoma of unspecified ear and external auricular canal
C4A.21Merkel cell carcinoma of right ear and external auricular canal
C4A.22Merkel cell carcinoma of left ear and external auricular canal
C4A.30Merkel cell carcinoma of unspecified part of face
C4A.31Merkel cell carcinoma of nose
C4A.39Merkel cell carcinoma of other parts of face
C4A.4Merkel cell carcinoma of scalp and neck
C4A.51Merkel cell carcinoma of anal skin
C4A.52Merkel cell carcinoma of skin of breast
C4A.59Merkel cell carcinoma of other part of trunk
C4A.60Merkel cell carcinoma of unspecified upper limb, including shoulder
C4A.61Merkel cell carcinoma of right upper limb, including shoulder
C4A.62Merkel cell carcinoma of left upper limb, including shoulder
C4A.70Merkel cell carcinoma of unspecified lower limb, including hip
C4A.71Merkel cell carcinoma of right lower limb, including hip
C4A.72Merkel cell carcinoma of left lower limb, including hip
C4A.8Merkel cell carcinoma of overlapping sites
C4A.9Merkel cell carcinoma, unspecified
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.019Malignant neoplasm of nipple and areola, unspecified female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.029Malignant neoplasm of nipple and areola, unspecified male breast
C50.111Malignant neoplasm of central portion of right female breast

Showing the first 400 of 2487 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 64455?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2487 ICD-10 diagnosis codes that support medical necessity for CPT 64455. 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 64455 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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