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ICD↔CPT crosswalk

CPT 74170: ICD-10 codes that support medical necessity

5393 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 74170 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 74170 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
A06.0Acute amebic dysentery
A06.1Chronic intestinal amebiasis
A06.2Amebic nondysenteric colitis
A06.3Ameboma of intestine
A06.4Amebic liver abscess
A06.5Amebic lung abscess
A06.6Amebic brain abscess
A06.7Cutaneous amebiasis
A06.81Amebic cystitis
A06.82Other amebic genitourinary infections
A06.89Other amebic infections
A06.9Amebiasis, unspecified
A18.01Tuberculosis of spine
A18.10Tuberculosis of genitourinary system, unspecified
A18.11Tuberculosis of kidney and ureter
A18.12Tuberculosis of bladder
A18.13Tuberculosis of other urinary organs
A18.14Tuberculosis of prostate
A18.15Tuberculosis of other male genital organs
A18.16Tuberculosis of cervix
A18.17Tuberculous female pelvic inflammatory disease
A18.18Tuberculosis of other female genital organs
A18.2Tuberculous peripheral lymphadenopathy
A18.31Tuberculous peritonitis
A18.32Tuberculous enteritis
A18.39Retroperitoneal tuberculosis
A18.7Tuberculosis of adrenal glands
A18.83Tuberculosis of digestive tract organs, not elsewhere classified
A18.85Tuberculosis of spleen
A34Obstetrical tetanus
A39.1Waterhouse-Friderichsen syndrome
A41.3Sepsis due to Hemophilus influenzae
A41.4Sepsis due to anaerobes
A41.50Gram-negative sepsis, unspecified
A41.51Sepsis due to Escherichia coli [E. coli]
A41.52Sepsis due to Pseudomonas
A41.53Sepsis due to Serratia
A41.54Sepsis due to Acinetobacter baumannii
A41.59Other Gram-negative sepsis
A41.9Sepsis, unspecified organism
A52.01Syphilitic aneurysm of aorta
A56.11Chlamydial female pelvic inflammatory disease
B15.0Hepatitis A with hepatic coma
B15.9Hepatitis A without hepatic coma
B16.0Acute hepatitis B with delta-agent with hepatic coma
B16.1Acute hepatitis B with delta-agent without hepatic coma
B16.2Acute hepatitis B without delta-agent with hepatic coma
B16.9Acute hepatitis B without delta-agent and without hepatic coma
B17.0Acute delta-(super) infection of hepatitis B carrier
B17.10Acute hepatitis C without hepatic coma
B17.11Acute hepatitis C with hepatic coma
B17.2Acute hepatitis E
B17.8Other specified acute viral hepatitis
B17.9Acute viral hepatitis, unspecified
B18.0Chronic viral hepatitis B with delta-agent
B18.1Chronic viral hepatitis B without delta-agent
B18.2Chronic viral hepatitis C
B18.8Other chronic viral hepatitis
B18.9Chronic viral hepatitis, unspecified
B19.0Unspecified viral hepatitis with hepatic coma
B19.10Unspecified viral hepatitis B without hepatic coma
B19.11Unspecified viral hepatitis B with hepatic coma
B19.20Unspecified viral hepatitis C without hepatic coma
B19.21Unspecified viral hepatitis C with hepatic coma
B19.9Unspecified viral hepatitis without hepatic coma
B25.1Cytomegaloviral hepatitis
B25.2Cytomegaloviral pancreatitis
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
B65.9Schistosomiasis, unspecified
B66.0Opisthorchiasis
B66.1Clonorchiasis
B66.2Dicroceliasis
B66.3Fascioliasis
B66.4Paragonimiasis
B66.5Fasciolopsiasis
B66.8Other specified fluke infections
B66.9Fluke infection, unspecified
B67.0Echinococcus granulosus infection of liver
B67.5Echinococcus multilocularis infection of liver
B67.8Echinococcosis, unspecified, of liver
B72Dracunculiasis
B73.00Onchocerciasis with eye involvement, unspecified
B73.01Onchocerciasis with endophthalmitis
B73.02Onchocerciasis with glaucoma
B73.09Onchocerciasis with other eye involvement
B73.1Onchocerciasis without eye disease
B74.0Filariasis due to Wuchereria bancrofti
B74.1Filariasis due to Brugia malayi
B74.2Filariasis due to Brugia timori
B74.3Loiasis
B74.4Mansonelliasis
B74.8Other filariases
B74.9Filariasis, unspecified
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
C15.9Malignant neoplasm of esophagus, unspecified
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
C16.5Malignant neoplasm of lesser curvature of stomach, unspecified
C16.6Malignant neoplasm of greater curvature of stomach, unspecified
C16.8Malignant neoplasm of overlapping sites of stomach
C16.9Malignant neoplasm of stomach, unspecified
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
C17.9Malignant neoplasm of small intestine, unspecified
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
C18.9Malignant neoplasm of colon, unspecified
C19Malignant neoplasm of rectosigmoid junction
C20Malignant neoplasm of rectum
C21.0Malignant neoplasm of anus, unspecified
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
C22.8Malignant neoplasm of liver, primary, unspecified as to type
C22.9Malignant neoplasm of liver, not specified as primary or secondary
C23Malignant neoplasm of gallbladder
C24.0Malignant neoplasm of extrahepatic bile duct
C24.1Malignant neoplasm of ampulla of Vater
C24.8Malignant neoplasm of overlapping sites of biliary tract
C24.9Malignant neoplasm of biliary tract, unspecified
C25.0Malignant neoplasm of head of pancreas
C25.1Malignant neoplasm of body of pancreas
C25.2Malignant neoplasm of tail of pancreas
C25.3Malignant neoplasm of pancreatic duct
C25.4Malignant neoplasm of endocrine pancreas
C25.7Malignant neoplasm of other parts of pancreas
C25.8Malignant neoplasm of overlapping sites of pancreas
C25.9Malignant neoplasm of pancreas, unspecified
C26.0Malignant neoplasm of intestinal tract, part unspecified
C26.1Malignant neoplasm of spleen
C26.9Malignant neoplasm of ill-defined sites within the digestive system
C33Malignant neoplasm of trachea
C34.00Malignant neoplasm of unspecified main bronchus
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
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
C34.91Malignant neoplasm of unspecified part of right bronchus or lung
C34.92Malignant neoplasm of unspecified part of left bronchus or lung
C38.4Malignant neoplasm of pleura
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
C43.30Malignant melanoma of unspecified part of face
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
C43.60Malignant melanoma of unspecified upper limb, including shoulder
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
C43.9Malignant melanoma of skin, unspecified
C44.00Unspecified malignant neoplasm of skin of lip
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
C44.1021Unspecified malignant neoplasm of skin of right upper eyelid, including canthus
C44.1022Unspecified malignant neoplasm of skin of right lower eyelid, including canthus
C44.1091Unspecified malignant neoplasm of skin of left upper eyelid, including canthus
C44.1092Unspecified malignant neoplasm of skin of left lower eyelid, including canthus
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
C44.1321Sebaceous cell carcinoma of skin of right upper eyelid, including canthus
C44.1322Sebaceous cell carcinoma of skin of right lower eyelid, including canthus
C44.1391Sebaceous cell carcinoma of skin of left upper eyelid, including canthus
C44.1392Sebaceous 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
C44.202Unspecified malignant neoplasm of skin of right ear and external auricular canal
C44.209Unspecified malignant neoplasm of skin of left ear and external auricular canal
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
C44.300Unspecified malignant neoplasm of skin of unspecified part of face
C44.301Unspecified malignant neoplasm of skin of nose
C44.309Unspecified malignant neoplasm of skin of other parts of face
C44.310Basal cell carcinoma of skin of unspecified parts of face
C44.311Basal cell carcinoma of skin of nose
C44.319Basal cell carcinoma of skin of other parts of face
C44.320Squamous cell carcinoma of skin of unspecified parts of face
C44.321Squamous cell carcinoma of skin of nose
C44.329Squamous cell carcinoma of skin of other parts of face
C44.390Other specified malignant neoplasm of skin of unspecified parts of face
C44.391Other specified malignant neoplasm of skin of nose
C44.399Other specified malignant neoplasm of skin of other parts of face
C44.40Unspecified malignant neoplasm of skin of scalp and neck
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
C44.500Unspecified malignant neoplasm of anal skin
C44.501Unspecified malignant neoplasm of skin of breast
C44.509Unspecified malignant neoplasm of skin of other part of trunk
C44.510Basal cell carcinoma of anal skin
C44.511Basal cell carcinoma of skin of breast
C44.519Basal cell carcinoma of skin of other part of trunk
C44.520Squamous cell carcinoma of anal skin
C44.521Squamous cell carcinoma of skin of breast
C44.529Squamous cell carcinoma of skin of other part of trunk
C44.590Other specified malignant neoplasm of anal skin
C44.591Other specified malignant neoplasm of skin of breast
C44.599Other specified malignant neoplasm of skin of other part of trunk
C44.602Unspecified malignant neoplasm of skin of right upper limb, including shoulder
C44.609Unspecified malignant neoplasm of skin of left upper limb, including shoulder
C44.612Basal cell carcinoma of skin of right upper limb, including shoulder
C44.619Basal cell carcinoma of skin of left upper limb, including shoulder
C44.622Squamous cell carcinoma of skin of right upper limb, including shoulder
C44.629Squamous cell carcinoma of skin of left upper limb, including shoulder
C44.692Other specified malignant neoplasm of skin of right upper limb, including shoulder
C44.699Other specified malignant neoplasm of skin of left upper limb, including shoulder
C44.702Unspecified malignant neoplasm of skin of right lower limb, including hip
C44.709Unspecified malignant neoplasm of skin of left lower limb, including hip
C44.712Basal cell carcinoma of skin of right lower limb, including hip
C44.719Basal cell carcinoma of skin of left lower limb, including hip
C44.722Squamous cell carcinoma of skin of right lower limb, including hip
C44.729Squamous cell carcinoma of skin of left lower limb, including hip
C44.792Other specified malignant neoplasm of skin of right lower limb, including hip
C44.799Other specified malignant neoplasm of skin of left lower limb, including hip
C45.0Mesothelioma of pleura
C45.1Mesothelioma of peritoneum
C46.4Kaposi's sarcoma of gastrointestinal sites
C47.4Malignant neoplasm of peripheral nerves of abdomen
C47.5Malignant neoplasm of peripheral nerves of pelvis
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.2Malignant neoplasm of peritoneum, unspecified
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C49.4Malignant neoplasm of connective and soft tissue of abdomen
C49.5Malignant neoplasm of connective and soft tissue of pelvis
C49.A0Gastrointestinal stromal tumor, unspecified site
C49.A1Gastrointestinal stromal tumor of esophagus
C49.A2Gastrointestinal stromal tumor of stomach
C49.A3Gastrointestinal stromal tumor of small intestine
C49.A4Gastrointestinal stromal tumor of large intestine
C49.A5Gastrointestinal stromal tumor of rectum
C49.A9Gastrointestinal stromal tumor of other sites
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
C4A.51Merkel cell carcinoma of anal skin
C4A.52Merkel cell carcinoma of skin of breast
C4A.59Merkel cell carcinoma of other part of trunk
C4A.61Merkel cell carcinoma of right upper limb, including shoulder
C4A.62Merkel cell carcinoma of left upper limb, including shoulder
C4A.71Merkel cell carcinoma of right lower limb, including hip
C4A.72Merkel cell carcinoma of left lower limb, including hip
C4A.8Merkel cell carcinoma of overlapping sites
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
C50.121Malignant neoplasm of central portion of right male breast
C50.122Malignant neoplasm of central portion of left male breast
C50.211Malignant neoplasm of upper-inner quadrant of right female breast
C50.212Malignant neoplasm of upper-inner quadrant of left female breast
C50.221Malignant neoplasm of upper-inner quadrant of right male breast
C50.222Malignant neoplasm of upper-inner quadrant of left male breast
C50.311Malignant neoplasm of lower-inner quadrant of right female breast
C50.312Malignant neoplasm of lower-inner quadrant of left female breast
C50.321Malignant neoplasm of lower-inner quadrant of right male breast
C50.322Malignant neoplasm of lower-inner quadrant of left male breast
C50.411Malignant neoplasm of upper-outer quadrant of right female breast
C50.412Malignant neoplasm of upper-outer quadrant of left female breast
C50.421Malignant neoplasm of upper-outer quadrant of right male breast
C50.422Malignant neoplasm of upper-outer quadrant of left male breast
C50.511Malignant neoplasm of lower-outer quadrant of right female breast
C50.512Malignant neoplasm of lower-outer quadrant of left female breast
C50.521Malignant neoplasm of lower-outer quadrant of right male breast
C50.522Malignant neoplasm of lower-outer quadrant of left male breast
C50.611Malignant neoplasm of axillary tail of right female breast
C50.612Malignant neoplasm of axillary tail of left female breast
C50.621Malignant neoplasm of axillary tail of right male breast
C50.622Malignant neoplasm of axillary tail of left male breast
C50.811Malignant neoplasm of overlapping sites of right female breast
C50.812Malignant neoplasm of overlapping sites of left female breast
C50.821Malignant neoplasm of overlapping sites of right male breast
C50.822Malignant neoplasm of overlapping sites of left male breast
C50.911Malignant neoplasm of unspecified site of right female breast
C50.912Malignant neoplasm of unspecified site of left female breast
C50.921Malignant neoplasm of unspecified site of right male breast
C50.922Malignant neoplasm of unspecified site of left male breast
C51.0Malignant neoplasm of labium majus
C51.1Malignant neoplasm of labium minus
C51.2Malignant neoplasm of clitoris
C51.8Malignant neoplasm of overlapping sites of vulva
C51.9Malignant neoplasm of vulva, unspecified
C52Malignant neoplasm of vagina
C53.0Malignant neoplasm of endocervix
C53.1Malignant neoplasm of exocervix
C53.8Malignant neoplasm of overlapping sites of cervix uteri
C53.9Malignant neoplasm of cervix uteri, unspecified
C54.0Malignant neoplasm of isthmus uteri
C54.1Malignant neoplasm of endometrium
C54.2Malignant neoplasm of myometrium
C54.3Malignant neoplasm of fundus uteri
C54.8Malignant neoplasm of overlapping sites of corpus uteri
C54.9Malignant neoplasm of corpus uteri, unspecified
C55Malignant neoplasm of uterus, part unspecified
C56.1Malignant neoplasm of right ovary
C56.2Malignant neoplasm of left ovary
C56.3Malignant neoplasm of bilateral ovaries
C57.01Malignant neoplasm of right fallopian tube
C57.02Malignant neoplasm of left fallopian tube
C57.11Malignant neoplasm of right broad ligament
C57.12Malignant neoplasm of left broad ligament
C57.21Malignant neoplasm of right round ligament
C57.22Malignant neoplasm of left round ligament
C57.3Malignant neoplasm of parametrium
C57.4Malignant neoplasm of uterine adnexa, unspecified
C57.7Malignant neoplasm of other specified female genital organs
C57.8Malignant neoplasm of overlapping sites of female genital organs
C58Malignant neoplasm of placenta
C60.0Malignant neoplasm of prepuce
C60.1Malignant neoplasm of glans penis
C60.2Malignant neoplasm of body of penis
C60.8Malignant neoplasm of overlapping sites of penis
C60.9Malignant neoplasm of penis, unspecified
C61Malignant neoplasm of prostate
C62.01Malignant neoplasm of undescended right testis
C62.02Malignant neoplasm of undescended left testis
C62.11Malignant neoplasm of descended right testis
C62.12Malignant neoplasm of descended left testis
C62.91Malignant neoplasm of right testis, unspecified whether descended or undescended
C62.92Malignant neoplasm of left testis, unspecified whether descended or undescended
C63.01Malignant neoplasm of right epididymis
C63.02Malignant neoplasm of left epididymis
C63.11Malignant neoplasm of right spermatic cord
C63.12Malignant neoplasm of left spermatic cord
C63.2Malignant neoplasm of scrotum
C63.7Malignant neoplasm of other specified male genital organs
C63.8Malignant neoplasm of overlapping sites of male genital organs
C64.1Malignant neoplasm of right kidney, except renal pelvis
C64.2Malignant neoplasm of left kidney, except renal pelvis
C65.1Malignant neoplasm of right renal pelvis
C65.2Malignant neoplasm of left renal pelvis
C66.1Malignant neoplasm of right ureter
C66.2Malignant neoplasm of left ureter
C67.0Malignant neoplasm of trigone of bladder
C67.1Malignant neoplasm of dome of bladder
C67.2Malignant neoplasm of lateral wall of bladder
C67.3Malignant neoplasm of anterior wall of bladder

Showing the first 400 of 5393 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 74170?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 5393 ICD-10 diagnosis codes that support medical necessity for CPT 74170. 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 74170 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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