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ICD↔CPT crosswalk

CPT 70558: ICD-10 codes that support medical necessity

6458 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 70558 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 70558 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
A02.21Salmonella meningitis
A06.6Amebic brain abscess
A17.0Tuberculous meningitis
A17.1Meningeal tuberculoma
A17.81Tuberculoma of brain and spinal cord
A17.82Tuberculous meningoencephalitis
A17.83Tuberculous neuritis
A17.89Other tuberculosis of nervous system
A18.01Tuberculosis of spine
A18.03Tuberculosis of other bones
A18.51Tuberculous episcleritis
A18.52Tuberculous keratitis
A18.53Tuberculous chorioretinitis
A18.54Tuberculous iridocyclitis
A18.59Other tuberculosis of eye
A18.6Tuberculosis of (inner) (middle) ear
A27.81Aseptic meningitis in leptospirosis
A32.11Listerial meningitis
A32.12Listerial meningoencephalitis
A32.7Listerial sepsis
A32.81Oculoglandular listeriosis
A32.89Other forms of listeriosis
A39.0Meningococcal meningitis
A39.1Waterhouse-Friderichsen syndrome
A39.2Acute meningococcemia
A39.3Chronic meningococcemia
A39.81Meningococcal encephalitis
A39.82Meningococcal retrobulbar neuritis
A39.83Meningococcal arthritis
A39.84Postmeningococcal arthritis
A39.89Other meningococcal infections
A41.9Sepsis, unspecified organism
A50.32Late congenital syphilitic chorioretinitis
A50.39Other late congenital syphilitic oculopathy
A50.40Late congenital neurosyphilis, unspecified
A50.41Late congenital syphilitic meningitis
A50.42Late congenital syphilitic encephalitis
A50.43Late congenital syphilitic polyneuropathy
A50.44Late congenital syphilitic optic nerve atrophy
A50.45Juvenile general paresis
A50.49Other late congenital neurosyphilis
A50.59Other late congenital syphilis, symptomatic
A51.41Secondary syphilitic meningitis
A52.11Tabes dorsalis
A52.12Other cerebrospinal syphilis
A52.13Late syphilitic meningitis
A52.14Late syphilitic encephalitis
A52.15Late syphilitic neuropathy
A52.19Other symptomatic neurosyphilis
A54.81Gonococcal meningitis
A80.0Acute paralytic poliomyelitis, vaccine-associated
A80.1Acute paralytic poliomyelitis, wild virus, imported
A80.2Acute paralytic poliomyelitis, wild virus, indigenous
A80.39Other acute paralytic poliomyelitis
A80.4Acute nonparalytic poliomyelitis
A81.00Creutzfeldt-Jakob disease, unspecified
A81.01Variant Creutzfeldt-Jakob disease
A81.09Other Creutzfeldt-Jakob disease
A81.1Subacute sclerosing panencephalitis
A81.2Progressive multifocal leukoencephalopathy
A81.81Kuru
A81.82Gerstmann-Straussler-Scheinker syndrome
A81.83Fatal familial insomnia
A81.89Other atypical virus infections of central nervous system
A81.9Atypical virus infection of central nervous system, unspecified
A82.0Sylvatic rabies
A82.1Urban rabies
A83.0Japanese encephalitis
A83.1Western equine encephalitis
A83.2Eastern equine encephalitis
A83.3St Louis encephalitis
A83.4Australian encephalitis
A83.5California encephalitis
A83.6Rocio virus disease
A83.8Other mosquito-borne viral encephalitis
A84.0Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
A84.1Central European tick-borne encephalitis
A84.81Powassan virus disease
A84.89Other tick-borne viral encephalitis
A84.9Tick-borne viral encephalitis, unspecified
A85.0Enteroviral encephalitis
A85.1Adenoviral encephalitis
A85.2Arthropod-borne viral encephalitis, unspecified
A85.8Other specified viral encephalitis
A87.0Enteroviral meningitis
A87.1Adenoviral meningitis
A87.2Lymphocytic choriomeningitis
A87.8Other viral meningitis
A88.1Epidemic vertigo
A88.8Other specified viral infections of central nervous system
A92.2Venezuelan equine fever
A92.31West Nile virus infection with encephalitis
A92.32West Nile virus infection with other neurologic manifestation
A92.39West Nile virus infection with other complications
B00.3Herpesviral meningitis
B00.4Herpesviral encephalitis
B00.7Disseminated herpesviral disease
B00.82Herpes simplex myelitis
B01.0Varicella meningitis
B01.11Varicella encephalitis and encephalomyelitis
B01.12Varicella myelitis
B02.0Zoster encephalitis
B02.1Zoster meningitis
B02.21Postherpetic geniculate ganglionitis
B02.22Postherpetic trigeminal neuralgia
B02.23Postherpetic polyneuropathy
B02.24Postherpetic myelitis
B02.29Other postherpetic nervous system involvement
B02.30Zoster ocular disease, unspecified
B02.31Zoster conjunctivitis
B02.32Zoster iridocyclitis
B02.33Zoster keratitis
B02.34Zoster scleritis
B02.39Other herpes zoster eye disease
B02.7Disseminated zoster
B02.8Zoster with other complications
B05.0Measles complicated by encephalitis
B06.00Rubella with neurological complication, unspecified
B06.01Rubella encephalitis
B06.02Rubella meningitis
B06.09Other neurological complications of rubella
B10.01Human herpesvirus 6 encephalitis
B10.09Other human herpesvirus encephalitis
B20Human immunodeficiency virus [HIV] disease
B25.8Other cytomegaloviral diseases
B26.1Mumps meningitis
B26.2Mumps encephalitis
B26.84Mumps polyneuropathy
B37.5Candidal meningitis
B37.7Candidal sepsis
B38.4Coccidioidomycosis meningitis
B39.9Histoplasmosis, unspecified
B42.7Disseminated sporotrichosis
B42.81Cerebral sporotrichosis
B42.89Other forms of sporotrichosis
B44.7Disseminated aspergillosis
B44.89Other forms of aspergillosis
B45.1Cerebral cryptococcosis
B45.7Disseminated cryptococcosis
B45.8Other forms of cryptococcosis
B48.4Penicillosis
B48.8Other specified mycoses
B56.9African trypanosomiasis, unspecified
B58.2Toxoplasma meningoencephalitis
B60.01Babesiosis due to Babesia microti
B60.02Babesiosis due to Babesia duncani
B60.03Babesiosis due to Babesia divergens
B60.09Other babesiosis
B60.11Meningoencephalitis due to Acanthamoeba (culbertsoni)
B65.0Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
B65.1Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
B65.2Schistosomiasis due to Schistosoma japonicum
B65.3Cercarial dermatitis
B65.8Other schistosomiasis
B66.4Paragonimiasis
B67.32Echinococcus granulosus infection, multiple sites
B67.39Echinococcus granulosus infection, other sites
B69.0Cysticercosis of central nervous system
B69.1Cysticercosis of eye
B69.81Myositis in cysticercosis
B69.89Cysticercosis of other sites
B75Trichinellosis
B90.0Sequelae of central nervous system tuberculosis
B91Sequelae of poliomyelitis
B94.1Sequelae of viral encephalitis
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
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
C03.0Malignant neoplasm of upper gum
C03.1Malignant neoplasm of lower gum
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
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
C06.0Malignant neoplasm of cheek mucosa
C06.1Malignant neoplasm of vestibule of mouth
C06.2Malignant neoplasm of retromolar area
C06.89Malignant neoplasm of overlapping sites of other parts of mouth
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
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
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
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
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
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
C16.8Malignant neoplasm of overlapping sites of stomach
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
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
C19Malignant neoplasm of rectosigmoid junction
C20Malignant neoplasm of rectum
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
C22.9Malignant neoplasm of liver, not specified as primary or secondary
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
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
C33Malignant neoplasm of trachea
C34.01Malignant neoplasm of right main bronchus
C34.02Malignant neoplasm of left main bronchus
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
C34.31Malignant neoplasm of lower lobe, right bronchus or lung
C34.32Malignant neoplasm of lower lobe, left bronchus or lung
C34.81Malignant neoplasm of overlapping sites of right bronchus and lung
C34.82Malignant neoplasm of overlapping sites of left bronchus and lung
C37Malignant neoplasm of thymus
C38.0Malignant neoplasm of heart
C38.1Malignant neoplasm of anterior mediastinum
C38.2Malignant neoplasm of posterior mediastinum
C38.4Malignant neoplasm of pleura
C38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleura
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
C40.21Malignant neoplasm of long bones of right lower limb
C40.22Malignant neoplasm of long bones of left lower limb
C40.31Malignant neoplasm of short bones of right lower limb
C40.32Malignant neoplasm of short bones of left lower 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
C40.91Malignant 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
C43.0Malignant melanoma of lip
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
C43.21Malignant melanoma of right ear and external auricular canal
C43.22Malignant melanoma of left ear and external auricular canal
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
C43.61Malignant melanoma of right upper limb, including shoulder
C43.62Malignant melanoma of left upper limb, including shoulder
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
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
C44.1121Basal 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
C44.1221Squamous 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
C44.1921Other 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
C44.212Basal cell carcinoma of skin of right ear and external auricular canal
C44.219Basal cell carcinoma of skin of left ear and external auricular canal
C44.222Squamous cell carcinoma of skin of right ear and external auricular canal
C44.229Squamous cell carcinoma of skin of left ear and external auricular canal
C44.292Other 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
C44.311Basal cell carcinoma of skin of nose
C44.319Basal cell carcinoma of skin of other parts of face
C44.321Squamous cell carcinoma of skin of nose
C44.329Squamous cell carcinoma of skin of other parts of face
C44.391Other specified malignant neoplasm of skin of nose
C44.399Other specified malignant neoplasm of skin of other parts of face
C44.41Basal 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
C44.82Squamous cell carcinoma of overlapping sites of skin
C44.89Other specified malignant neoplasm of overlapping sites of skin
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
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
C46.7Kaposi's sarcoma of other sites
C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C47.11Malignant neoplasm of peripheral nerves of right upper limb, including shoulder
C47.12Malignant neoplasm of peripheral nerves of left upper limb, including shoulder
C47.21Malignant 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
C47.8Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C49.0Malignant neoplasm of connective and soft tissue of head, face and neck
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
C49.21Malignant 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
C49.8Malignant neoplasm of overlapping sites of connective and soft tissue
C4A.0Merkel cell carcinoma of lip
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.21Merkel cell carcinoma of right ear and external auricular canal
C4A.22Merkel cell carcinoma of left ear and external auricular canal
C4A.31Merkel cell carcinoma of nose
C4A.39Merkel cell carcinoma of other parts of face
C4A.4Merkel cell carcinoma of scalp and neck
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.111Malignant neoplasm of central portion of right female breast
C50.112Malignant neoplasm of central portion of left female breast

Showing the first 400 of 6458 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 70558?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 6458 ICD-10 diagnosis codes that support medical necessity for CPT 70558. 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 70558 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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