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ICD↔CPT crosswalk

CPT 64650: ICD-10 codes that support medical necessity

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

These ICD-10-CM diagnoses support medical necessity for CPT 64650 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 64650 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
G04.1Tropical spastic paraplegia
G11.4Hereditary spastic paraplegia
G24.02Drug induced acute dystonia
G24.09Other drug induced dystonia
G24.1Genetic torsion dystonia
G24.2Idiopathic nonfamilial dystonia
G24.3Spasmodic torticollis
G24.4Idiopathic orofacial dystonia
G24.5Blepharospasm
G24.8Other dystonia
G25.0Essential tremor
G25.1Drug-induced tremor
G25.2Other specified forms of tremor
G25.61Drug induced tics
G25.69Other tics of organic origin
G25.89Other specified extrapyramidal and movement disorders
G35.ARelapsing-remitting multiple sclerosis
G35.B0Primary progressive multiple sclerosis, unspecified
G35.B1Active primary progressive multiple sclerosis
G35.B2Non-active primary progressive multiple sclerosis
G35.C0Secondary progressive multiple sclerosis, unspecified
G35.C1Active secondary progressive multiple sclerosis
G35.C2Non-active secondary progressive multiple sclerosis
G35.DMultiple sclerosis, unspecified
G43.001Migraine without aura, not intractable, with status migrainosus
G43.009Migraine without aura, not intractable, without status migrainosus
G43.011Migraine without aura, intractable, with status migrainosus
G43.019Migraine without aura, intractable, without status migrainosus
G43.101Migraine with aura, not intractable, with status migrainosus
G43.109Migraine with aura, not intractable, without status migrainosus
G43.111Migraine with aura, intractable, with status migrainosus
G43.119Migraine with aura, intractable, without status migrainosus
G43.401Hemiplegic migraine, not intractable, with status migrainosus
G43.409Hemiplegic migraine, not intractable, without status migrainosus
G43.411Hemiplegic migraine, intractable, with status migrainosus
G43.419Hemiplegic migraine, intractable, without status migrainosus
G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
G43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
G43.511Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
G43.519Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
G43.601Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus
G43.609Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
G43.611Persistent migraine aura with cerebral infarction, intractable, with status migrainosus
G43.619Persistent migraine aura with cerebral infarction, intractable, without status migrainosus
G43.701Chronic migraine without aura, not intractable, with status migrainosus
G43.709Chronic migraine without aura, not intractable, without status migrainosus
G43.711Chronic migraine without aura, intractable, with status migrainosus
G43.719Chronic migraine without aura, intractable, without status migrainosus
G43.801Other migraine, not intractable, with status migrainosus
G43.809Other migraine, not intractable, without status migrainosus
G43.811Other migraine, intractable, with status migrainosus
G43.819Other migraine, intractable, without status migrainosus
G43.901Migraine, unspecified, not intractable, with status migrainosus
G43.909Migraine, unspecified, not intractable, without status migrainosus
G43.911Migraine, unspecified, intractable, with status migrainosus
G43.919Migraine, unspecified, intractable, without status migrainosus
G43.A0Cyclical vomiting, in migraine, not intractable
G43.A1Cyclical vomiting, in migraine, intractable
G43.B0Ophthalmoplegic migraine, not intractable
G43.B1Ophthalmoplegic migraine, intractable
G43.C0Periodic headache syndromes in child or adult, not intractable
G43.C1Periodic headache syndromes in child or adult, intractable
G43.D0Abdominal migraine, not intractable
G43.D1Abdominal migraine, intractable
G43.E01Chronic migraine with aura, not intractable, with status migrainosus
G43.E09Chronic migraine with aura, not intractable, without status migrainosus
G43.E11Chronic migraine with aura, intractable, with status migrainosus
G43.E19Chronic migraine with aura, intractable, without status migrainosus
G51.2Melkersson's syndrome
G51.31Clonic hemifacial spasm, right
G51.32Clonic hemifacial spasm, left
G51.33Clonic hemifacial spasm, bilateral
G51.4Facial myokymia
G51.8Other disorders of facial nerve
G80.0Spastic quadriplegic cerebral palsy
G80.1Spastic diplegic cerebral palsy
G80.2Spastic hemiplegic cerebral palsy
G80.3Athetoid cerebral palsy
G80.4Ataxic cerebral palsy
G80.8Other cerebral palsy
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
G82.21Paraplegia, complete
G82.22Paraplegia, incomplete
G82.51Quadriplegia, C1-C4 complete
G82.52Quadriplegia, C1-C4 incomplete
G82.53Quadriplegia, C5-C7 complete
G82.54Quadriplegia, C5-C7 incomplete
G83.0Diplegia of upper limbs
G83.11Monoplegia of lower limb affecting right dominant side
G83.12Monoplegia of lower limb affecting left dominant side
G83.13Monoplegia of lower limb affecting right nondominant side
G83.14Monoplegia of lower limb affecting left nondominant side
G83.21Monoplegia of upper limb affecting right dominant side
G83.22Monoplegia of upper limb affecting left dominant side
G83.23Monoplegia of upper limb affecting right nondominant side
G83.24Monoplegia of upper limb affecting left nondominant side
H02.041Spastic entropion of right upper eyelid
H02.042Spastic entropion of right lower eyelid
H02.044Spastic entropion of left upper eyelid
H02.045Spastic entropion of left lower eyelid
H02.141Spastic ectropion of right upper eyelid
H02.142Spastic ectropion of right lower eyelid
H02.144Spastic ectropion of left upper eyelid
H02.145Spastic ectropion of left lower eyelid
H02.431Paralytic ptosis of right eyelid
H02.432Paralytic ptosis of left eyelid
H02.433Paralytic ptosis of bilateral eyelids
H02.59Other disorders affecting eyelid function
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
H50.00Unspecified esotropia
H50.011Monocular esotropia, right eye
H50.012Monocular esotropia, left eye
H50.021Monocular esotropia with A pattern, right eye
H50.022Monocular esotropia with A pattern, left eye
H50.031Monocular esotropia with V pattern, right eye
H50.032Monocular esotropia with V pattern, left eye
H50.041Monocular esotropia with other noncomitancies, right eye
H50.042Monocular esotropia with other noncomitancies, left eye
H50.05Alternating esotropia
H50.06Alternating esotropia with A pattern
H50.07Alternating esotropia with V pattern
H50.08Alternating esotropia with other noncomitancies
H50.10Unspecified exotropia
H50.111Monocular exotropia, right eye
H50.112Monocular exotropia, left eye
H50.121Monocular exotropia with A pattern, right eye
H50.122Monocular exotropia with A pattern, left eye
H50.131Monocular exotropia with V pattern, right eye
H50.132Monocular exotropia with V pattern, left eye
H50.141Monocular exotropia with other noncomitancies, right eye
H50.142Monocular exotropia with other noncomitancies, left eye
H50.15Alternating exotropia
H50.16Alternating exotropia with A pattern
H50.17Alternating exotropia with V pattern
H50.18Alternating exotropia with other noncomitancies
H50.21Vertical strabismus, right eye
H50.22Vertical strabismus, left eye
H50.30Unspecified intermittent heterotropia
H50.311Intermittent monocular esotropia, right eye
H50.312Intermittent monocular esotropia, left eye
H50.32Intermittent alternating esotropia
H50.331Intermittent monocular exotropia, right eye
H50.332Intermittent monocular exotropia, left eye
H50.34Intermittent alternating exotropia
H50.40Unspecified heterotropia
H50.411Cyclotropia, right eye
H50.412Cyclotropia, left eye
H50.42Monofixation syndrome
H50.43Accommodative component in esotropia
H50.50Unspecified heterophoria
H50.51Esophoria
H50.52Exophoria
H50.53Vertical heterophoria
H50.54Cyclophoria
H50.55Alternating heterophoria
H50.60Mechanical strabismus, unspecified
H50.611Brown's sheath syndrome, right eye
H50.612Brown's sheath syndrome, left eye
H50.621Inferior oblique muscle entrapment, right eye
H50.622Inferior oblique muscle entrapment, left eye
H50.631Inferior rectus muscle entrapment, right eye
H50.632Inferior rectus muscle entrapment, left eye
H50.641Lateral rectus muscle entrapment, right eye
H50.642Lateral rectus muscle entrapment, left eye
H50.651Medial rectus muscle entrapment, right eye
H50.652Medial rectus muscle entrapment, left eye
H50.661Superior oblique muscle entrapment, right eye
H50.662Superior oblique muscle entrapment, left eye
H50.671Superior rectus muscle entrapment, right eye
H50.672Superior rectus muscle entrapment, left eye
H50.681Extraocular muscle entrapment, unspecified, right eye
H50.682Extraocular muscle entrapment, unspecified, left eye
H50.69Other mechanical strabismus
H50.811Duane's syndrome, right eye
H50.812Duane's syndrome, left eye
H50.89Other specified strabismus
H50.9Unspecified strabismus
H51.0Palsy (spasm) of conjugate gaze
H51.11Convergence insufficiency
H51.12Convergence excess
H51.21Internuclear ophthalmoplegia, right eye
H51.22Internuclear ophthalmoplegia, left eye
H51.23Internuclear ophthalmoplegia, bilateral
H51.8Other specified disorders of binocular movement
I69.031Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.032Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.033Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.034Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.041Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.042Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.043Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.044Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.051Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.052Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.053Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.054Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.131Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.132Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.133Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.134Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.141Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.142Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.143Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.144Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.151Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.152Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.153Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.154Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.231Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.232Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.233Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.234Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.241Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.242Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.243Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.244Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.251Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.252Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.253Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.254Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.331Monoplegia of upper limb following cerebral infarction affecting right dominant side
I69.332Monoplegia of upper limb following cerebral infarction affecting left dominant side
I69.333Monoplegia of upper limb following cerebral infarction affecting right non-dominant side
I69.334Monoplegia of upper limb following cerebral infarction affecting left non-dominant side
I69.341Monoplegia of lower limb following cerebral infarction affecting right dominant side
I69.342Monoplegia of lower limb following cerebral infarction affecting left dominant side
I69.343Monoplegia of lower limb following cerebral infarction affecting right non-dominant side
I69.344Monoplegia of lower limb following cerebral infarction affecting left non-dominant side
I69.351Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
I69.352Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side
I69.353Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side
I69.354Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side
I69.831Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side
I69.832Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side
I69.833Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side
I69.834Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side
I69.841Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side
I69.842Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side
I69.843Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side
I69.844Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side
I69.851Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side
I69.852Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side
I69.853Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side
I69.854Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side
I69.931Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side
I69.932Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side
I69.933Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.934Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.941Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side
I69.942Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side
I69.943Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.944Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.951Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side
I69.952Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side
I69.953Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side
I69.954Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side
J38.01Paralysis of vocal cords and larynx, unilateral
J38.02Paralysis of vocal cords and larynx, bilateral
J38.5Laryngeal spasm
K11.7Disturbances of salivary secretion
K22.0Achalasia of cardia
K60.0Acute anal fissure
K60.1Chronic anal fissure
K60.2Anal fissure, unspecified
K60.3Anal fistula
K60.30Anal fistula, unspecified
K60.311Anal fistula, simple, initial
K60.312Anal fistula, simple, persistent
K60.313Anal fistula, simple, recurrent
K60.319Anal fistula, simple, unspecified
K60.321Anal fistula, complex, initial
K60.322Anal fistula, complex, persistent
K60.323Anal fistula, complex, recurrent
K60.329Anal fistula, complex, unspecified
K60.4Rectal fistula
K60.40Rectal fistula, unspecified
K60.411Rectal fistula, simple, initial
K60.412Rectal fistula, simple, persistent
K60.413Rectal fistula, simple, recurrent
K60.419Rectal fistula, simple, unspecified
K60.421Rectal fistula, complex, initial
K60.422Rectal fistula, complex, persistent
K60.423Rectal fistula, complex, recurrent
K60.429Rectal fistula, complex, unspecified
K60.5Anorectal fistula
K60.50Anorectal fistula, unspecified
K60.511Anorectal fistula, simple, initial
K60.512Anorectal fistula, simple, persistent
K60.513Anorectal fistula, simple, recurrent
K60.519Anorectal fistula, simple, unspecified
K60.521Anorectal fistula, complex, initial
K60.522Anorectal fistula, complex, persistent
K60.523Anorectal fistula, complex, recurrent
K60.529Anorectal fistula, complex, unspecified
L74.510Primary focal hyperhidrosis, axilla
L74.511Primary focal hyperhidrosis, face
L74.512Primary focal hyperhidrosis, palms
L74.513Primary focal hyperhidrosis, soles
L74.519Primary focal hyperhidrosis, unspecified
L74.52Secondary focal hyperhidrosis
L74.8Other eccrine sweat disorders
L74.9Eccrine sweat disorder, unspecified
M43.6Torticollis
M47.812Spondylosis without myelopathy or radiculopathy, cervical region
M47.892Other spondylosis, cervical region
M54.2Cervicalgia
N30.10Interstitial cystitis (chronic) without hematuria
N30.11Interstitial cystitis (chronic) with hematuria
N31.1Reflex neuropathic bladder, not elsewhere classified
N31.2Flaccid neuropathic bladder, not elsewhere classified
N31.8Other neuromuscular dysfunction of bladder
N31.9Neuromuscular dysfunction of bladder, unspecified
N32.81Overactive bladder
N39.41Urge incontinence
N39.42Incontinence without sensory awareness
N39.43Post-void dribbling
N39.44Nocturnal enuresis
N39.45Continuous leakage
N39.46Mixed incontinence
N39.490Overflow incontinence
N39.491Coital incontinence
N39.492Postural (urinary) incontinence
N39.498Other specified urinary incontinence
Q68.0Congenital deformity of sternocleidomastoid muscle
R25.8Other abnormal involuntary movements
R39.89Other symptoms and signs involving the genitourinary system
R49.0Dysphonia
R49.8Other voice and resonance disorders

Frequently asked questions

Which ICD-10 codes support medical necessity for CPT 64650?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 349 ICD-10 diagnosis codes that support medical necessity for CPT 64650. 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 64650 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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