ICD↔CPT crosswalk
CPT 67900: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 67900 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 67900 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 |
|---|---|
| C43.111 | Malignant melanoma of right upper eyelid, including canthus |
| C43.112 | Malignant melanoma of right lower eyelid, including canthus |
| C43.121 | Malignant melanoma of left upper eyelid, including canthus |
| C43.122 | Malignant melanoma of left lower eyelid, including canthus |
| C44.1021 | Unspecified malignant neoplasm of skin of right upper eyelid, including canthus |
| C44.1022 | Unspecified malignant neoplasm of skin of right lower eyelid, including canthus |
| C44.1091 | Unspecified malignant neoplasm of skin of left upper eyelid, including canthus |
| C44.1092 | Unspecified malignant neoplasm of skin of left lower eyelid, including canthus |
| C44.1121 | Basal cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1122 | Basal cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1191 | Basal cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1192 | Basal cell carcinoma of skin of left lower eyelid, including canthus |
| C44.1221 | Squamous cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1222 | Squamous cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1291 | Squamous cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1292 | Squamous cell carcinoma of skin of left lower eyelid, including canthus |
| C44.131 | Sebaceous cell carcinoma of skin of unspecified eyelid, including canthus |
| C44.1321 | Sebaceous cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1322 | Sebaceous cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1391 | Sebaceous cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1392 | Sebaceous cell carcinoma of skin of left lower eyelid, including canthus |
| C44.1921 | Other specified malignant neoplasm of skin of right upper eyelid, including canthus |
| C44.1922 | Other specified malignant neoplasm of skin of right lower eyelid, including canthus |
| C44.1991 | Other specified malignant neoplasm of skin of left upper eyelid, including canthus |
| C44.1992 | Other specified malignant neoplasm of skin of left lower eyelid, including canthus |
| C44.300 | Unspecified malignant neoplasm of skin of unspecified part of face |
| C44.301 | Unspecified malignant neoplasm of skin of nose |
| C44.309 | Unspecified malignant neoplasm of skin of other parts of face |
| C44.311 | Basal cell carcinoma of skin of nose |
| C44.319 | Basal cell carcinoma of skin of other parts of face |
| C44.321 | Squamous cell carcinoma of skin of nose |
| C44.329 | Squamous cell carcinoma of skin of other parts of face |
| C44.391 | Other specified malignant neoplasm of skin of nose |
| C44.399 | Other specified malignant neoplasm of skin of other parts of face |
| C44.90 | Unspecified malignant neoplasm of skin, unspecified |
| C44.91 | Basal cell carcinoma of skin, unspecified |
| C44.92 | Squamous cell carcinoma of skin, unspecified |
| C44.99 | Other specified malignant neoplasm of skin, unspecified |
| C47.0 | Malignant neoplasm of peripheral nerves of head, face and neck |
| C49.0 | Malignant neoplasm of connective and soft tissue of head, face and neck |
| C4A.111 | Merkel cell carcinoma of right upper eyelid, including canthus |
| C4A.112 | Merkel cell carcinoma of right lower eyelid, including canthus |
| C4A.121 | Merkel cell carcinoma of left upper eyelid, including canthus |
| C4A.122 | Merkel cell carcinoma of left lower eyelid, including canthus |
| D03.111 | Melanoma in situ of right upper eyelid, including canthus |
| D03.112 | Melanoma in situ of right lower eyelid, including canthus |
| D03.121 | Melanoma in situ of left upper eyelid, including canthus |
| D03.122 | Melanoma in situ of left lower eyelid, including canthus |
| D04.111 | Carcinoma in situ of skin of right upper eyelid, including canthus |
| D04.112 | Carcinoma in situ of skin of right lower eyelid, including canthus |
| D04.121 | Carcinoma in situ of skin of left upper eyelid, including canthus |
| D04.122 | Carcinoma in situ of skin of left lower eyelid, including canthus |
| D04.39 | Carcinoma in situ of skin of other parts of face |
| D22.111 | Melanocytic nevi of right upper eyelid, including canthus |
| D22.112 | Melanocytic nevi of right lower eyelid, including canthus |
| D22.121 | Melanocytic nevi of left upper eyelid, including canthus |
| D22.122 | Melanocytic nevi of left lower eyelid, including canthus |
| D22.30 | Melanocytic nevi of unspecified part of face |
| D22.39 | Melanocytic nevi of other parts of face |
| D23.111 | Other benign neoplasm of skin of right upper eyelid, including canthus |
| D23.112 | Other benign neoplasm of skin of right lower eyelid, including canthus |
| D23.121 | Other benign neoplasm of skin of left upper eyelid, including canthus |
| D23.122 | Other benign neoplasm of skin of left lower eyelid, including canthus |
| D23.30 | Other benign neoplasm of skin of unspecified part of face |
| D23.39 | Other benign neoplasm of skin of other parts of face |
| G24.5 | Blepharospasm |
| G51.0 | Bell's palsy |
| G51.2 | Melkersson's syndrome |
| G51.31 | Clonic hemifacial spasm, right |
| G51.32 | Clonic hemifacial spasm, left |
| G51.33 | Clonic hemifacial spasm, bilateral |
| G51.4 | Facial myokymia |
| G51.8 | Other disorders of facial nerve |
| G51.9 | Disorder of facial nerve, unspecified |
| G70.00 | Myasthenia gravis without (acute) exacerbation |
| G70.80 | Lambert-Eaton syndrome, unspecified |
| G70.81 | Lambert-Eaton syndrome in disease classified elsewhere |
| G73.1 | Lambert-Eaton syndrome in neoplastic disease |
| H01.001 | Unspecified blepharitis right upper eyelid |
| H01.002 | Unspecified blepharitis right lower eyelid |
| H01.004 | Unspecified blepharitis left upper eyelid |
| H01.005 | Unspecified blepharitis left lower eyelid |
| H01.00A | Unspecified blepharitis right eye, upper and lower eyelids |
| H01.00B | Unspecified blepharitis left eye, upper and lower eyelids |
| H01.011 | Ulcerative blepharitis right upper eyelid |
| H01.012 | Ulcerative blepharitis right lower eyelid |
| H01.014 | Ulcerative blepharitis left upper eyelid |
| H01.015 | Ulcerative blepharitis left lower eyelid |
| H01.01A | Ulcerative blepharitis right eye, upper and lower eyelids |
| H01.01B | Ulcerative blepharitis left eye, upper and lower eyelids |
| H01.021 | Squamous blepharitis right upper eyelid |
| H01.022 | Squamous blepharitis right lower eyelid |
| H01.024 | Squamous blepharitis left upper eyelid |
| H01.025 | Squamous blepharitis left lower eyelid |
| H01.02A | Squamous blepharitis right eye, upper and lower eyelids |
| H01.02B | Squamous blepharitis left eye, upper and lower eyelids |
| H02.001 | Unspecified entropion of right upper eyelid |
| H02.002 | Unspecified entropion of right lower eyelid |
| H02.004 | Unspecified entropion of left upper eyelid |
| H02.005 | Unspecified entropion of left lower eyelid |
| H02.011 | Cicatricial entropion of right upper eyelid |
| H02.012 | Cicatricial entropion of right lower eyelid |
| H02.014 | Cicatricial entropion of left upper eyelid |
| H02.015 | Cicatricial entropion of left lower eyelid |
| H02.021 | Mechanical entropion of right upper eyelid |
| H02.022 | Mechanical entropion of right lower eyelid |
| H02.024 | Mechanical entropion of left upper eyelid |
| H02.025 | Mechanical entropion of left lower eyelid |
| H02.031 | Senile entropion of right upper eyelid |
| H02.032 | Senile entropion of right lower eyelid |
| H02.034 | Senile entropion of left upper eyelid |
| H02.035 | Senile entropion of left lower eyelid |
| H02.041 | Spastic entropion of right upper eyelid |
| H02.042 | Spastic entropion of right lower eyelid |
| H02.044 | Spastic entropion of left upper eyelid |
| H02.045 | Spastic entropion of left lower eyelid |
| H02.051 | Trichiasis without entropion right upper eyelid |
| H02.052 | Trichiasis without entropion right lower eyelid |
| H02.054 | Trichiasis without entropion left upper eyelid |
| H02.055 | Trichiasis without entropion left lower eyelid |
| H02.101 | Unspecified ectropion of right upper eyelid |
| H02.102 | Unspecified ectropion of right lower eyelid |
| H02.104 | Unspecified ectropion of left upper eyelid |
| H02.105 | Unspecified ectropion of left lower eyelid |
| H02.111 | Cicatricial ectropion of right upper eyelid |
| H02.112 | Cicatricial ectropion of right lower eyelid |
| H02.114 | Cicatricial ectropion of left upper eyelid |
| H02.115 | Cicatricial ectropion of left lower eyelid |
| H02.121 | Mechanical ectropion of right upper eyelid |
| H02.122 | Mechanical ectropion of right lower eyelid |
| H02.124 | Mechanical ectropion of left upper eyelid |
| H02.125 | Mechanical ectropion of left lower eyelid |
| H02.131 | Senile ectropion of right upper eyelid |
| H02.132 | Senile ectropion of right lower eyelid |
| H02.134 | Senile ectropion of left upper eyelid |
| H02.135 | Senile ectropion of left lower eyelid |
| H02.141 | Spastic ectropion of right upper eyelid |
| H02.142 | Spastic ectropion of right lower eyelid |
| H02.144 | Spastic ectropion of left upper eyelid |
| H02.145 | Spastic ectropion of left lower eyelid |
| H02.151 | Paralytic ectropion of right upper eyelid |
| H02.152 | Paralytic ectropion of right lower eyelid |
| H02.154 | Paralytic ectropion of left upper eyelid |
| H02.155 | Paralytic ectropion of left lower eyelid |
| H02.156 | Paralytic ectropion of left eye, unspecified eyelid |
| H02.159 | Paralytic ectropion of unspecified eye, unspecified eyelid |
| H02.201 | Unspecified lagophthalmos right upper eyelid |
| H02.202 | Unspecified lagophthalmos right lower eyelid |
| H02.204 | Unspecified lagophthalmos left upper eyelid |
| H02.205 | Unspecified lagophthalmos left lower eyelid |
| H02.20A | Unspecified lagophthalmos right eye, upper and lower eyelids |
| H02.20B | Unspecified lagophthalmos left eye, upper and lower eyelids |
| H02.20C | Unspecified lagophthalmos, bilateral, upper and lower eyelids |
| H02.211 | Cicatricial lagophthalmos right upper eyelid |
| H02.212 | Cicatricial lagophthalmos right lower eyelid |
| H02.214 | Cicatricial lagophthalmos left upper eyelid |
| H02.215 | Cicatricial lagophthalmos left lower eyelid |
| H02.21A | Cicatricial lagophthalmos right eye, upper and lower eyelids |
| H02.21B | Cicatricial lagophthalmos left eye, upper and lower eyelids |
| H02.21C | Cicatricial lagophthalmos, bilateral, upper and lower eyelids |
| H02.221 | Mechanical lagophthalmos right upper eyelid |
| H02.222 | Mechanical lagophthalmos right lower eyelid |
| H02.224 | Mechanical lagophthalmos left upper eyelid |
| H02.225 | Mechanical lagophthalmos left lower eyelid |
| H02.22A | Mechanical lagophthalmos right eye, upper and lower eyelids |
| H02.22B | Mechanical lagophthalmos left eye, upper and lower eyelids |
| H02.22C | Mechanical lagophthalmos, bilateral, upper and lower eyelids |
| H02.231 | Paralytic lagophthalmos right upper eyelid |
| H02.232 | Paralytic lagophthalmos right lower eyelid |
| H02.234 | Paralytic lagophthalmos left upper eyelid |
| H02.235 | Paralytic lagophthalmos left lower eyelid |
| H02.23A | Paralytic lagophthalmos right eye, upper and lower eyelids |
| H02.23B | Paralytic lagophthalmos left eye, upper and lower eyelids |
| H02.23C | Paralytic lagophthalmos, bilateral, upper and lower eyelids |
| H02.31 | Blepharochalasis right upper eyelid |
| H02.32 | Blepharochalasis right lower eyelid |
| H02.34 | Blepharochalasis left upper eyelid |
| H02.35 | Blepharochalasis left lower eyelid |
| H02.401 | Unspecified ptosis of right eyelid |
| H02.402 | Unspecified ptosis of left eyelid |
| H02.403 | Unspecified ptosis of bilateral eyelids |
| H02.411 | Mechanical ptosis of right eyelid |
| H02.412 | Mechanical ptosis of left eyelid |
| H02.413 | Mechanical ptosis of bilateral eyelids |
| H02.421 | Myogenic ptosis of right eyelid |
| H02.422 | Myogenic ptosis of left eyelid |
| H02.423 | Myogenic ptosis of bilateral eyelids |
| H02.431 | Paralytic ptosis of right eyelid |
| H02.432 | Paralytic ptosis of left eyelid |
| H02.433 | Paralytic ptosis of bilateral eyelids |
| H02.521 | Blepharophimosis right upper eyelid |
| H02.522 | Blepharophimosis right lower eyelid |
| H02.524 | Blepharophimosis left upper eyelid |
| H02.525 | Blepharophimosis left lower eyelid |
| H02.531 | Eyelid retraction right upper eyelid |
| H02.532 | Eyelid retraction right lower eyelid |
| H02.534 | Eyelid retraction left upper eyelid |
| H02.535 | Eyelid retraction left lower eyelid |
| H02.70 | Unspecified degenerative disorders of eyelid and periocular area |
| H02.831 | Dermatochalasis of right upper eyelid |
| H02.832 | Dermatochalasis of right lower eyelid |
| H02.834 | Dermatochalasis of left upper eyelid |
| H02.835 | Dermatochalasis of left lower eyelid |
| H02.881 | Meibomian gland dysfunction right upper eyelid |
| H02.882 | Meibomian gland dysfunction right lower eyelid |
| H02.884 | Meibomian gland dysfunction left upper eyelid |
| H02.885 | Meibomian gland dysfunction left lower eyelid |
| H02.88A | Meibomian gland dysfunction right eye, upper and lower eyelids |
| H02.88B | Meibomian gland dysfunction left eye, upper and lower eyelids |
| H02.89 | Other specified disorders of eyelid |
| H02.9 | Unspecified disorder of eyelid |
| H04.521 | Eversion of right lacrimal punctum |
| H04.522 | Eversion of left lacrimal punctum |
| H04.523 | Eversion of bilateral lacrimal punctum |
| H50.89 | Other specified strabismus |
| H57.811 | Brow ptosis, right |
| H57.812 | Brow ptosis, left |
| H57.813 | Brow ptosis, bilateral |
| H57.8A1 | Foreign body sensation, right eye |
| H57.8A2 | Foreign body sensation, left eye |
| H57.8A3 | Foreign body sensation, bilateral eyes |
| L11.8 | Other specified acantholytic disorders |
| L11.9 | Acantholytic disorder, unspecified |
| L57.2 | Cutis rhomboidalis nuchae |
| L57.4 | Cutis laxa senilis |
| L66.4 | Folliculitis ulerythematosa reticulata |
| L85.8 | Other specified epidermal thickening |
| L87.1 | Reactive perforating collagenosis |
| L87.8 | Other transepidermal elimination disorders |
| L90.3 | Atrophoderma of Pasini and Pierini |
| L90.4 | Acrodermatitis chronica atrophicans |
| L90.8 | Other atrophic disorders of skin |
| L91.8 | Other hypertrophic disorders of the skin |
| L92.2 | Granuloma faciale [eosinophilic granuloma of skin] |
| L94.8 | Other specified localized connective tissue disorders |
| L98.5 | Mucinosis of the skin |
| L98.6 | Other infiltrative disorders of the skin and subcutaneous tissue |
| L99 | Other disorders of skin and subcutaneous tissue in diseases classified elsewhere |
| P11.3 | Birth injury to facial nerve |
| Q10.0 | Congenital ptosis |
| Q10.1 | Congenital ectropion |
| Q10.2 | Congenital entropion |
| Q10.3 | Other congenital malformations of eyelid |
| Q11.1 | Other anophthalmos |
| Q15.9 | Congenital malformation of eye, unspecified |
| Q18.8 | Other specified congenital malformations of face and neck |
| S00.10XA | Contusion of unspecified eyelid and periocular area, initial encounter |
| S00.11XA | Contusion of right eyelid and periocular area, initial encounter |
| S00.12XA | Contusion of left eyelid and periocular area, initial encounter |
| S01.101A | Unspecified open wound of right eyelid and periocular area, initial encounter |
| S01.102A | Unspecified open wound of left eyelid and periocular area, initial encounter |
| S01.111A | Laceration without foreign body of right eyelid and periocular area, initial encounter |
| S01.112A | Laceration without foreign body of left eyelid and periocular area, initial encounter |
| S01.119A | Laceration without foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.121A | Laceration with foreign body of right eyelid and periocular area, initial encounter |
| S01.122A | Laceration with foreign body of left eyelid and periocular area, initial encounter |
| S01.129A | Laceration with foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.131A | Puncture wound without foreign body of right eyelid and periocular area, initial encounter |
| S01.132A | Puncture wound without foreign body of left eyelid and periocular area, initial encounter |
| S01.139A | Puncture wound without foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.141A | Puncture wound with foreign body of right eyelid and periocular area, initial encounter |
| S01.142A | Puncture wound with foreign body of left eyelid and periocular area, initial encounter |
| S01.149A | Puncture wound with foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.151A | Open bite of right eyelid and periocular area, initial encounter |
| S01.152A | Open bite of left eyelid and periocular area, initial encounter |
| S01.159A | Open bite of unspecified eyelid and periocular area, initial encounter |
| S04.51XA | Injury of facial nerve, right side, initial encounter |
| S04.51XD | Injury of facial nerve, right side, subsequent encounter |
| S04.51XS | Injury of facial nerve, right side, sequela |
| S04.52XA | Injury of facial nerve, left side, initial encounter |
| S04.52XD | Injury of facial nerve, left side, subsequent encounter |
| S04.52XS | Injury of facial nerve, left side, sequela |
| S05.20XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter |
| S05.21XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter |
| S05.22XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter |
| S09.92XA | Unspecified injury of nose, initial encounter |
| S09.93XA | Unspecified injury of face, initial encounter |
| S16.8XXA | Other specified injury of muscle, fascia and tendon at neck level, initial encounter |
| S16.9XXA | Unspecified injury of muscle, fascia and tendon at neck level, initial encounter |
| S19.80XA | Other specified injuries of unspecified part of neck, initial encounter |
| S19.81XA | Other specified injuries of larynx, initial encounter |
| S19.82XA | Other specified injuries of cervical trachea, initial encounter |
| S19.83XA | Other specified injuries of vocal cord, initial encounter |
| S19.84XA | Other specified injuries of thyroid gland, initial encounter |
| S19.85XA | Other specified injuries of pharynx and cervical esophagus, initial encounter |
| S19.89XA | Other specified injuries of other specified part of neck, initial encounter |
| S19.9XXA | Unspecified injury of neck, initial encounter |
| T26.00XA | Burn of unspecified eyelid and periocular area, initial encounter |
| T26.01XA | Burn of right eyelid and periocular area, initial encounter |
| T26.02XA | Burn of left eyelid and periocular area, initial encounter |
| T26.20XA | Burn with resulting rupture and destruction of unspecified eyeball, initial encounter |
| T26.21XA | Burn with resulting rupture and destruction of right eyeball, initial encounter |
| T26.22XA | Burn with resulting rupture and destruction of left eyeball, initial encounter |
| T26.40XA | Burn of unspecified eye and adnexa, part unspecified, initial encounter |
| T26.41XA | Burn of right eye and adnexa, part unspecified, initial encounter |
| T26.42XA | Burn of left eye and adnexa, part unspecified, initial encounter |
| T26.50XA | Corrosion of unspecified eyelid and periocular area, initial encounter |
| T26.51XA | Corrosion of right eyelid and periocular area, initial encounter |
| T26.52XA | Corrosion of left eyelid and periocular area, initial encounter |
| T85.21XA | Breakdown (mechanical) of intraocular lens, initial encounter |
| T85.22XA | Displacement of intraocular lens, initial encounter |
| T85.29XA | Other mechanical complication of intraocular lens, initial encounter |
| Z44.21 | Encounter for fitting and adjustment of artificial right eye |
| Z44.22 | Encounter for fitting and adjustment of artificial left eye |
| Z90.01 | Acquired absence of eye |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 67900?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 305 ICD-10 diagnosis codes that support medical necessity for CPT 67900. 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 67900 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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