CPT 72198: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 72198 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 72198 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 |
|---|---|
| A52.01 | Syphilitic aneurysm of aorta |
| A52.05 | Other cerebrovascular syphilis |
| A52.19 | Other symptomatic neurosyphilis |
| C00.0 | Malignant neoplasm of external upper lip |
| C00.1 | Malignant neoplasm of external lower lip |
| C00.2 | Malignant neoplasm of external lip, unspecified |
| C00.3 | Malignant neoplasm of upper lip, inner aspect |
| C00.4 | Malignant neoplasm of lower lip, inner aspect |
| C00.5 | Malignant neoplasm of lip, unspecified, inner aspect |
| C00.6 | Malignant neoplasm of commissure of lip, unspecified |
| C00.8 | Malignant neoplasm of overlapping sites of lip |
| C01 | Malignant neoplasm of base of tongue |
| C02.0 | Malignant neoplasm of dorsal surface of tongue |
| C02.1 | Malignant neoplasm of border of tongue |
| C02.2 | Malignant neoplasm of ventral surface of tongue |
| C02.3 | Malignant neoplasm of anterior two-thirds of tongue, part unspecified |
| C02.4 | Malignant neoplasm of lingual tonsil |
| C02.8 | Malignant neoplasm of overlapping sites of tongue |
| C02.9 | Malignant neoplasm of tongue, unspecified |
| C03.0 | Malignant neoplasm of upper gum |
| C03.1 | Malignant neoplasm of lower gum |
| C03.9 | Malignant neoplasm of gum, unspecified |
| C04.0 | Malignant neoplasm of anterior floor of mouth |
| C04.1 | Malignant neoplasm of lateral floor of mouth |
| C04.8 | Malignant neoplasm of overlapping sites of floor of mouth |
| C04.9 | Malignant neoplasm of floor of mouth, unspecified |
| C05.0 | Malignant neoplasm of hard palate |
| C05.1 | Malignant neoplasm of soft palate |
| C05.2 | Malignant neoplasm of uvula |
| C05.8 | Malignant neoplasm of overlapping sites of palate |
| C06.0 | Malignant neoplasm of cheek mucosa |
| C06.1 | Malignant neoplasm of vestibule of mouth |
| C06.2 | Malignant neoplasm of retromolar area |
| C06.89 | Malignant neoplasm of overlapping sites of other parts of mouth |
| C06.9 | Malignant neoplasm of mouth, unspecified |
| C07 | Malignant neoplasm of parotid gland |
| C08.0 | Malignant neoplasm of submandibular gland |
| C08.1 | Malignant neoplasm of sublingual gland |
| C08.9 | Malignant neoplasm of major salivary gland, unspecified |
| C09.0 | Malignant neoplasm of tonsillar fossa |
| C09.1 | Malignant neoplasm of tonsillar pillar (anterior) (posterior) |
| C09.8 | Malignant neoplasm of overlapping sites of tonsil |
| C10.0 | Malignant neoplasm of vallecula |
| C10.1 | Malignant neoplasm of anterior surface of epiglottis |
| C10.2 | Malignant neoplasm of lateral wall of oropharynx |
| C10.3 | Malignant neoplasm of posterior wall of oropharynx |
| C10.4 | Malignant neoplasm of branchial cleft |
| C10.8 | Malignant neoplasm of overlapping sites of oropharynx |
| C10.9 | Malignant neoplasm of oropharynx, unspecified |
| C11.0 | Malignant neoplasm of superior wall of nasopharynx |
| C11.1 | Malignant neoplasm of posterior wall of nasopharynx |
| C11.2 | Malignant neoplasm of lateral wall of nasopharynx |
| C11.3 | Malignant neoplasm of anterior wall of nasopharynx |
| C11.8 | Malignant neoplasm of overlapping sites of nasopharynx |
| C11.9 | Malignant neoplasm of nasopharynx, unspecified |
| C12 | Malignant neoplasm of pyriform sinus |
| C13.0 | Malignant neoplasm of postcricoid region |
| C13.1 | Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect |
| C13.2 | Malignant neoplasm of posterior wall of hypopharynx |
| C13.8 | Malignant neoplasm of overlapping sites of hypopharynx |
| C13.9 | Malignant neoplasm of hypopharynx, unspecified |
| C33 | Malignant neoplasm of trachea |
| C64.1 | Malignant neoplasm of right kidney, except renal pelvis |
| C64.2 | Malignant neoplasm of left kidney, except renal pelvis |
| C65.1 | Malignant neoplasm of right renal pelvis |
| C65.2 | Malignant neoplasm of left renal pelvis |
| C68.8 | Malignant neoplasm of overlapping sites of urinary organs |
| C69.01 | Malignant neoplasm of right conjunctiva |
| C69.02 | Malignant neoplasm of left conjunctiva |
| C69.11 | Malignant neoplasm of right cornea |
| C69.12 | Malignant neoplasm of left cornea |
| C69.21 | Malignant neoplasm of right retina |
| C69.22 | Malignant neoplasm of left retina |
| C69.31 | Malignant neoplasm of right choroid |
| C69.32 | Malignant neoplasm of left choroid |
| C69.41 | Malignant neoplasm of right ciliary body |
| C69.42 | Malignant neoplasm of left ciliary body |
| C69.51 | Malignant neoplasm of right lacrimal gland and duct |
| C69.52 | Malignant neoplasm of left lacrimal gland and duct |
| C69.61 | Malignant neoplasm of right orbit |
| C69.62 | Malignant neoplasm of left orbit |
| C69.81 | Malignant neoplasm of overlapping sites of right eye and adnexa |
| C69.82 | Malignant neoplasm of overlapping sites of left eye and adnexa |
| C70.0 | Malignant neoplasm of cerebral meninges |
| C70.9 | Malignant neoplasm of meninges, unspecified |
| C71.0 | Malignant neoplasm of cerebrum, except lobes and ventricles |
| C71.1 | Malignant neoplasm of frontal lobe |
| C71.2 | Malignant neoplasm of temporal lobe |
| C71.3 | Malignant neoplasm of parietal lobe |
| C71.4 | Malignant neoplasm of occipital lobe |
| C71.5 | Malignant neoplasm of cerebral ventricle |
| C71.6 | Malignant neoplasm of cerebellum |
| C71.7 | Malignant neoplasm of brain stem |
| C71.8 | Malignant neoplasm of overlapping sites of brain |
| C71.9 | Malignant neoplasm of brain, unspecified |
| C75.1 | Malignant neoplasm of pituitary gland |
| C75.2 | Malignant neoplasm of craniopharyngeal duct |
| C75.3 | Malignant neoplasm of pineal gland |
| C75.4 | Malignant neoplasm of carotid body |
| C75.5 | Malignant neoplasm of aortic body and other paraganglia |
| C79.31 | Secondary malignant neoplasm of brain |
| C79.32 | Secondary malignant neoplasm of cerebral meninges |
| C79.49 | Secondary malignant neoplasm of other parts of nervous system |
| D18.02 | Hemangioma of intracranial structures |
| D18.09 | Hemangioma of other sites |
| D30.01 | Benign neoplasm of right kidney |
| D30.02 | Benign neoplasm of left kidney |
| D32.0 | Benign neoplasm of cerebral meninges |
| D32.9 | Benign neoplasm of meninges, unspecified |
| D33.0 | Benign neoplasm of brain, supratentorial |
| D33.1 | Benign neoplasm of brain, infratentorial |
| D33.3 | Benign neoplasm of cranial nerves |
| D35.2 | Benign neoplasm of pituitary gland |
| D35.3 | Benign neoplasm of craniopharyngeal duct |
| D35.4 | Benign neoplasm of pineal gland |
| D35.5 | Benign neoplasm of carotid body |
| D35.6 | Benign neoplasm of aortic body and other paraganglia |
| D42.0 | Neoplasm of uncertain behavior of cerebral meninges |
| D42.1 | Neoplasm of uncertain behavior of spinal meninges |
| D42.9 | Neoplasm of uncertain behavior of meninges, unspecified |
| D43.0 | Neoplasm of uncertain behavior of brain, supratentorial |
| D43.1 | Neoplasm of uncertain behavior of brain, infratentorial |
| D43.4 | Neoplasm of uncertain behavior of spinal cord |
| D49.6 | Neoplasm of unspecified behavior of brain |
| D57.1 | Sickle-cell disease without crisis |
| E08.51 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene |
| E08.52 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene |
| E08.59 | Diabetes mellitus due to underlying condition with other circulatory complications |
| E09.59 | Drug or chemical induced diabetes mellitus with other circulatory complications |
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E10.59 | Type 1 diabetes mellitus with other circulatory complications |
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E11.59 | Type 2 diabetes mellitus with other circulatory complications |
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E13.59 | Other specified diabetes mellitus with other circulatory complications |
| F01.50 | Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01.A0 | Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01.A11 | Vascular dementia, mild, with agitation |
| F01.A18 | Vascular dementia, mild, with other behavioral disturbance |
| F01.A2 | Vascular dementia, mild, with psychotic disturbance |
| F01.A3 | Vascular dementia, mild, with mood disturbance |
| F01.A4 | Vascular dementia, mild, with anxiety |
| F01.B0 | Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01.B11 | Vascular dementia, moderate, with agitation |
| F01.B18 | Vascular dementia, moderate, with other behavioral disturbance |
| F01.B2 | Vascular dementia, moderate, with psychotic disturbance |
| F01.B3 | Vascular dementia, moderate, with mood disturbance |
| F01.B4 | Vascular dementia, moderate, with anxiety |
| F01.C0 | Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01.C11 | Vascular dementia, severe, with agitation |
| F01.C18 | Vascular dementia, severe, with other behavioral disturbance |
| F01.C2 | Vascular dementia, severe, with psychotic disturbance |
| F01.C3 | Vascular dementia, severe, with mood disturbance |
| F01.C4 | Vascular dementia, severe, with anxiety |
| G08 | Intracranial and intraspinal phlebitis and thrombophlebitis |
| G43.401 | Hemiplegic migraine, not intractable, with status migrainosus |
| G43.409 | Hemiplegic migraine, not intractable, without status migrainosus |
| G43.411 | Hemiplegic migraine, intractable, with status migrainosus |
| G43.419 | Hemiplegic migraine, intractable, without status migrainosus |
| G45.0 | Vertebro-basilar artery syndrome |
| G45.3 | Amaurosis fugax |
| G45.8 | Other transient cerebral ischemic attacks and related syndromes |
| G45.9 | Transient cerebral ischemic attack, unspecified |
| G50.0 | Trigeminal neuralgia |
| G50.1 | Atypical facial pain |
| G50.8 | Other disorders of trigeminal nerve |
| G81.01 | Flaccid hemiplegia affecting right dominant side |
| G81.02 | Flaccid hemiplegia affecting left dominant side |
| G81.03 | Flaccid hemiplegia affecting right nondominant side |
| G81.04 | Flaccid hemiplegia affecting left nondominant side |
| G81.11 | Spastic hemiplegia affecting right dominant side |
| G81.12 | Spastic hemiplegia affecting left dominant side |
| G81.13 | Spastic hemiplegia affecting right nondominant side |
| G81.14 | Spastic hemiplegia affecting left nondominant side |
| G81.90 | Hemiplegia, unspecified affecting unspecified side |
| G81.91 | Hemiplegia, unspecified affecting right dominant side |
| G81.92 | Hemiplegia, unspecified affecting left dominant side |
| G81.93 | Hemiplegia, unspecified affecting right nondominant side |
| G81.94 | Hemiplegia, unspecified affecting left nondominant side |
| G83.10 | Monoplegia of lower limb affecting unspecified side |
| G83.11 | Monoplegia of lower limb affecting right dominant side |
| G83.12 | Monoplegia of lower limb affecting left dominant side |
| G83.13 | Monoplegia of lower limb affecting right nondominant side |
| G83.14 | Monoplegia of lower limb affecting left nondominant side |
| G83.20 | Monoplegia of upper limb affecting unspecified side |
| G83.21 | Monoplegia of upper limb affecting right dominant side |
| G83.22 | Monoplegia of upper limb affecting left dominant side |
| G83.23 | Monoplegia of upper limb affecting right nondominant side |
| G83.24 | Monoplegia of upper limb affecting left nondominant side |
| H34.01 | Transient retinal artery occlusion, right eye |
| H34.02 | Transient retinal artery occlusion, left eye |
| H34.03 | Transient retinal artery occlusion, bilateral |
| H34.11 | Central retinal artery occlusion, right eye |
| H34.12 | Central retinal artery occlusion, left eye |
| H34.13 | Central retinal artery occlusion, bilateral |
| H34.211 | Partial retinal artery occlusion, right eye |
| H34.212 | Partial retinal artery occlusion, left eye |
| H34.213 | Partial retinal artery occlusion, bilateral |
| H34.231 | Retinal artery branch occlusion, right eye |
| H34.232 | Retinal artery branch occlusion, left eye |
| H34.233 | Retinal artery branch occlusion, bilateral |
| H34.9 | Unspecified retinal vascular occlusion |
| H47.021 | Hemorrhage in optic nerve sheath, right eye |
| H47.022 | Hemorrhage in optic nerve sheath, left eye |
| H47.023 | Hemorrhage in optic nerve sheath, bilateral |
| H47.11 | Papilledema associated with increased intracranial pressure |
| H47.141 | Foster-Kennedy syndrome, right eye |
| H47.142 | Foster-Kennedy syndrome, left eye |
| H47.143 | Foster-Kennedy syndrome, bilateral |
| H47.41 | Disorders of optic chiasm in (due to) inflammatory disorders |
| H47.42 | Disorders of optic chiasm in (due to) neoplasm |
| H47.43 | Disorders of optic chiasm in (due to) vascular disorders |
| H47.49 | Disorders of optic chiasm in (due to) other disorders |
| H47.521 | Disorders of visual pathways in (due to) neoplasm, right side |
| H47.522 | Disorders of visual pathways in (due to) neoplasm, left side |
| H47.531 | Disorders of visual pathways in (due to) vascular disorders, right side |
| H47.532 | Disorders of visual pathways in (due to) vascular disorders, left side |
| H47.631 | Disorders of visual cortex in (due to) neoplasm, right side of brain |
| H47.632 | Disorders of visual cortex in (due to) neoplasm, left side of brain |
| H47.641 | Disorders of visual cortex in (due to) vascular disorders, right side of brain |
| H47.642 | Disorders of visual cortex in (due to) vascular disorders, left side of brain |
| H49.01 | Third [oculomotor] nerve palsy, right eye |
| H49.02 | Third [oculomotor] nerve palsy, left eye |
| H49.03 | Third [oculomotor] nerve palsy, bilateral |
| H49.11 | Fourth [trochlear] nerve palsy, right eye |
| H49.12 | Fourth [trochlear] nerve palsy, left eye |
| H49.13 | Fourth [trochlear] nerve palsy, bilateral |
| H49.21 | Sixth [abducent] nerve palsy, right eye |
| H49.22 | Sixth [abducent] nerve palsy, left eye |
| H49.23 | Sixth [abducent] nerve palsy, bilateral |
| H53.121 | Transient visual loss, right eye |
| H53.122 | Transient visual loss, left eye |
| H53.123 | Transient visual loss, bilateral |
| H53.131 | Sudden visual loss, right eye |
| H53.132 | Sudden visual loss, left eye |
| H53.133 | Sudden visual loss, bilateral |
| H53.40 | Unspecified visual field defects |
| H53.461 | Homonymous bilateral field defects, right side |
| H53.462 | Homonymous bilateral field defects, left side |
| H53.47 | Heteronymous bilateral field defects |
| H81.4 | Vertigo of central origin |
| H81.90 | Unspecified disorder of vestibular function, unspecified ear |
| H93.11 | Tinnitus, right ear |
| H93.12 | Tinnitus, left ear |
| H93.13 | Tinnitus, bilateral |
| H93.A1 | Pulsatile tinnitus, right ear |
| H93.A2 | Pulsatile tinnitus, left ear |
| H93.A3 | Pulsatile tinnitus, bilateral |
| I10 | Essential (primary) hypertension |
| I11.0 | Hypertensive heart disease with heart failure |
| I11.9 | Hypertensive heart disease without heart failure |
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.11 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I15.0 | Renovascular hypertension |
| I15.1 | Hypertension secondary to other renal disorders |
| I1A.0 | Resistant hypertension |
| I26.01 | Septic pulmonary embolism with acute cor pulmonale |
| I26.02 | Saddle embolus of pulmonary artery with acute cor pulmonale |
| I26.03 | Cement embolism of pulmonary artery with acute cor pulmonale |
| I26.04 | Fat embolism of pulmonary artery with acute cor pulmonale |
| I26.09 | Other pulmonary embolism with acute cor pulmonale |
| I26.90 | Septic pulmonary embolism without acute cor pulmonale |
| I26.92 | Saddle embolus of pulmonary artery without acute cor pulmonale |
| I26.93 | Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale |
| I26.94 | Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale |
| I26.99 | Other pulmonary embolism without acute cor pulmonale |
| I28.1 | Aneurysm of pulmonary artery |
| I60.01 | Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation |
| I60.02 | Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation |
| I60.11 | Nontraumatic subarachnoid hemorrhage from right middle cerebral artery |
| I60.12 | Nontraumatic subarachnoid hemorrhage from left middle cerebral artery |
| I60.2 | Nontraumatic subarachnoid hemorrhage from anterior communicating artery |
| I60.31 | Nontraumatic subarachnoid hemorrhage from right posterior communicating artery |
| I60.32 | Nontraumatic subarachnoid hemorrhage from left posterior communicating artery |
| I60.4 | Nontraumatic subarachnoid hemorrhage from basilar artery |
| I60.51 | Nontraumatic subarachnoid hemorrhage from right vertebral artery |
| I60.52 | Nontraumatic subarachnoid hemorrhage from left vertebral artery |
| I60.6 | Nontraumatic subarachnoid hemorrhage from other intracranial arteries |
| I60.8 | Other nontraumatic subarachnoid hemorrhage |
| I60.9 | Nontraumatic subarachnoid hemorrhage, unspecified |
| I61.0 | Nontraumatic intracerebral hemorrhage in hemisphere, subcortical |
| I61.1 | Nontraumatic intracerebral hemorrhage in hemisphere, cortical |
| I61.3 | Nontraumatic intracerebral hemorrhage in brain stem |
| I61.4 | Nontraumatic intracerebral hemorrhage in cerebellum |
| I61.5 | Nontraumatic intracerebral hemorrhage, intraventricular |
| I61.6 | Nontraumatic intracerebral hemorrhage, multiple localized |
| I61.8 | Other nontraumatic intracerebral hemorrhage |
| I61.9 | Nontraumatic intracerebral hemorrhage, unspecified |
| I62.01 | Nontraumatic acute subdural hemorrhage |
| I62.02 | Nontraumatic subacute subdural hemorrhage |
| I62.03 | Nontraumatic chronic subdural hemorrhage |
| I62.1 | Nontraumatic extradural hemorrhage |
| I62.9 | Nontraumatic intracranial hemorrhage, unspecified |
| I63.00 | Cerebral infarction due to thrombosis of unspecified precerebral artery |
| I63.011 | Cerebral infarction due to thrombosis of right vertebral artery |
| I63.012 | Cerebral infarction due to thrombosis of left vertebral artery |
| I63.013 | Cerebral infarction due to thrombosis of bilateral vertebral arteries |
| I63.019 | Cerebral infarction due to thrombosis of unspecified vertebral artery |
| I63.02 | Cerebral infarction due to thrombosis of basilar artery |
| I63.031 | Cerebral infarction due to thrombosis of right carotid artery |
| I63.032 | Cerebral infarction due to thrombosis of left carotid artery |
| I63.033 | Cerebral infarction due to thrombosis of bilateral carotid arteries |
| I63.039 | Cerebral infarction due to thrombosis of unspecified carotid artery |
| I63.09 | Cerebral infarction due to thrombosis of other precerebral artery |
| I63.10 | Cerebral infarction due to embolism of unspecified precerebral artery |
| I63.111 | Cerebral infarction due to embolism of right vertebral artery |
| I63.112 | Cerebral infarction due to embolism of left vertebral artery |
| I63.113 | Cerebral infarction due to embolism of bilateral vertebral arteries |
| I63.119 | Cerebral infarction due to embolism of unspecified vertebral artery |
| I63.12 | Cerebral infarction due to embolism of basilar artery |
| I63.131 | Cerebral infarction due to embolism of right carotid artery |
| I63.132 | Cerebral infarction due to embolism of left carotid artery |
| I63.133 | Cerebral infarction due to embolism of bilateral carotid arteries |
| I63.139 | Cerebral infarction due to embolism of unspecified carotid artery |
| I63.19 | Cerebral infarction due to embolism of other precerebral artery |
| I63.20 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries |
| I63.211 | Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery |
| I63.212 | Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery |
| I63.213 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries |
| I63.219 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery |
| I63.22 | Cerebral infarction due to unspecified occlusion or stenosis of basilar artery |
| I63.231 | Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries |
| I63.232 | Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries |
| I63.233 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries |
| I63.239 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery |
| I63.29 | Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries |
| I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
| I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
| I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
| I63.313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
| I63.319 | Cerebral infarction due to thrombosis of unspecified middle cerebral artery |
| I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
| I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
| I63.323 | Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries |
| I63.329 | Cerebral infarction due to thrombosis of unspecified anterior cerebral artery |
| I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
| I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
| I63.333 | Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries |
| I63.339 | Cerebral infarction due to thrombosis of unspecified posterior cerebral artery |
| I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery |
| I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery |
| I63.343 | Cerebral infarction due to thrombosis of bilateral cerebellar arteries |
| I63.349 | Cerebral infarction due to thrombosis of unspecified cerebellar artery |
| I63.39 | Cerebral infarction due to thrombosis of other cerebral artery |
| I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
| I63.411 | Cerebral infarction due to embolism of right middle cerebral artery |
| I63.412 | Cerebral infarction due to embolism of left middle cerebral artery |
| I63.413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
| I63.419 | Cerebral infarction due to embolism of unspecified middle cerebral artery |
| I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery |
| I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery |
| I63.423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
| I63.429 | Cerebral infarction due to embolism of unspecified anterior cerebral artery |
| I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery |
| I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery |
| I63.433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
| I63.439 | Cerebral infarction due to embolism of unspecified posterior cerebral artery |
| I63.441 | Cerebral infarction due to embolism of right cerebellar artery |
| I63.442 | Cerebral infarction due to embolism of left cerebellar artery |
| I63.443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
| I63.449 | Cerebral infarction due to embolism of unspecified cerebellar artery |
| I63.49 | Cerebral infarction due to embolism of other cerebral artery |
| I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
| I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
| I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
| I63.513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries |
| I63.519 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery |
| I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
| I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
| I63.523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries |
| I63.529 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery |
| I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery |
| I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery |
| I63.533 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries |
| I63.539 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery |
| I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery |
| I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery |
| I63.543 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries |
| I63.549 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery |
| I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
| I63.6 | Cerebral infarction due to cerebral venous thrombosis, nonpyogenic |
| I63.81 | Other cerebral infarction due to occlusion or stenosis of small artery |
| I63.89 | Other cerebral infarction |
| I63.9 | Cerebral infarction, unspecified |
| I65.01 | Occlusion and stenosis of right vertebral artery |
| I65.02 | Occlusion and stenosis of left vertebral artery |
| I65.03 | Occlusion and stenosis of bilateral vertebral arteries |
| I65.1 | Occlusion and stenosis of basilar artery |
| I65.21 | Occlusion and stenosis of right carotid artery |
| I65.22 | Occlusion and stenosis of left carotid artery |
| I65.23 | Occlusion and stenosis of bilateral carotid arteries |
| I65.8 | Occlusion and stenosis of other precerebral arteries |
| I65.9 | Occlusion and stenosis of unspecified precerebral artery |
Showing the first 400 of 1503 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 72198?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 1503 ICD-10 diagnosis codes that support medical necessity for CPT 72198. 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 72198 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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