CPT 64570: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 64570 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 64570 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 |
|---|---|
| B02.0 | Zoster encephalitis |
| B02.22 | Postherpetic trigeminal neuralgia |
| B02.23 | Postherpetic polyneuropathy |
| B02.29 | Other postherpetic nervous system involvement |
| E08.41 | Diabetes mellitus due to underlying condition with diabetic mononeuropathy |
| E09.41 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy |
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy |
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy |
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy |
| G43.011 | Migraine without aura, intractable, with status migrainosus |
| G43.019 | Migraine without aura, intractable, without status migrainosus |
| G43.111 | Migraine with aura, intractable, with status migrainosus |
| G43.811 | Other migraine, intractable, with status migrainosus |
| G43.819 | Other migraine, intractable, without status migrainosus |
| G43.A1 | Cyclical vomiting, in migraine, intractable |
| G43.B1 | Ophthalmoplegic migraine, intractable |
| G43.C1 | Periodic headache syndromes in child or adult, intractable |
| G43.D1 | Abdominal migraine, intractable |
| G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
| G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
| G44.021 | Chronic cluster headache, intractable |
| G44.029 | Chronic cluster headache, not intractable |
| G44.321 | Chronic post-traumatic headache, intractable |
| G44.329 | Chronic post-traumatic headache, not intractable |
| G44.59 | Other complicated headache syndrome |
| G44.86 | Cervicogenic headache |
| G50.0 | Trigeminal neuralgia |
| G54.1 | Lumbosacral plexus disorders |
| G54.2 | Cervical root disorders, not elsewhere classified |
| G54.3 | Thoracic root disorders, not elsewhere classified |
| G54.4 | Lumbosacral root disorders, not elsewhere classified |
| G54.8 | Other nerve root and plexus disorders |
| G54.9 | Nerve root and plexus disorder, unspecified |
| G55 | Nerve root and plexus compressions in diseases classified elsewhere |
| G56.41 | Causalgia of right upper limb |
| G56.42 | Causalgia of left upper limb |
| G56.43 | Causalgia of bilateral upper limbs |
| G57.71 | Causalgia of right lower limb |
| G57.72 | Causalgia of left lower limb |
| G57.73 | Causalgia of bilateral lower limbs |
| G58.8 | Other specified mononeuropathies |
| G58.9 | Mononeuropathy, unspecified |
| G59 | Mononeuropathy in diseases classified elsewhere |
| G89.22 | Chronic post-thoracotomy pain |
| G90.50 | Complex regional pain syndrome I, unspecified |
| G90.511 | Complex regional pain syndrome I of right upper limb |
| G90.512 | Complex regional pain syndrome I of left upper limb |
| G90.513 | Complex regional pain syndrome I of upper limb, bilateral |
| G90.521 | Complex regional pain syndrome I of right lower limb |
| G90.522 | Complex regional pain syndrome I of left lower limb |
| G90.523 | Complex regional pain syndrome I of lower limb, bilateral |
| G90.59 | Complex regional pain syndrome I of other specified site |
| M54.81 | Occipital neuralgia |
| M62.85 | Dysfunction of the multifidus muscles, lumbar region |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 64570?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 54 ICD-10 diagnosis codes that support medical necessity for CPT 64570. 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 64570 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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