ICD↔CPT crosswalk
CPT 76519: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 76519 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 76519 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 |
|---|---|
| E08.36 | Diabetes mellitus due to underlying condition with diabetic cataract |
| E09.36 | Drug or chemical induced diabetes mellitus with diabetic cataract |
| E10.36 | Type 1 diabetes mellitus with diabetic cataract |
| E11.36 | Type 2 diabetes mellitus with diabetic cataract |
| E13.36 | Other specified diabetes mellitus with diabetic cataract |
| H25.011 | Cortical age-related cataract, right eye |
| H25.012 | Cortical age-related cataract, left eye |
| H25.013 | Cortical age-related cataract, bilateral |
| H25.031 | Anterior subcapsular polar age-related cataract, right eye |
| H25.032 | Anterior subcapsular polar age-related cataract, left eye |
| H25.033 | Anterior subcapsular polar age-related cataract, bilateral |
| H25.041 | Posterior subcapsular polar age-related cataract, right eye |
| H25.042 | Posterior subcapsular polar age-related cataract, left eye |
| H25.043 | Posterior subcapsular polar age-related cataract, bilateral |
| H25.091 | Other age-related incipient cataract, right eye |
| H25.092 | Other age-related incipient cataract, left eye |
| H25.093 | Other age-related incipient cataract, bilateral |
| H25.11 | Age-related nuclear cataract, right eye |
| H25.12 | Age-related nuclear cataract, left eye |
| H25.13 | Age-related nuclear cataract, bilateral |
| H25.21 | Age-related cataract, morgagnian type, right eye |
| H25.22 | Age-related cataract, morgagnian type, left eye |
| H25.23 | Age-related cataract, morgagnian type, bilateral |
| H25.811 | Combined forms of age-related cataract, right eye |
| H25.812 | Combined forms of age-related cataract, left eye |
| H25.813 | Combined forms of age-related cataract, bilateral |
| H25.89 | Other age-related cataract |
| H25.9 | Unspecified age-related cataract |
| H26.001 | Unspecified infantile and juvenile cataract, right eye |
| H26.002 | Unspecified infantile and juvenile cataract, left eye |
| H26.003 | Unspecified infantile and juvenile cataract, bilateral |
| H26.011 | Infantile and juvenile cortical, lamellar, or zonular cataract, right eye |
| H26.012 | Infantile and juvenile cortical, lamellar, or zonular cataract, left eye |
| H26.013 | Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral |
| H26.031 | Infantile and juvenile nuclear cataract, right eye |
| H26.032 | Infantile and juvenile nuclear cataract, left eye |
| H26.033 | Infantile and juvenile nuclear cataract, bilateral |
| H26.041 | Anterior subcapsular polar infantile and juvenile cataract, right eye |
| H26.042 | Anterior subcapsular polar infantile and juvenile cataract, left eye |
| H26.043 | Anterior subcapsular polar infantile and juvenile cataract, bilateral |
| H26.051 | Posterior subcapsular polar infantile and juvenile cataract, right eye |
| H26.052 | Posterior subcapsular polar infantile and juvenile cataract, left eye |
| H26.053 | Posterior subcapsular polar infantile and juvenile cataract, bilateral |
| H26.061 | Combined forms of infantile and juvenile cataract, right eye |
| H26.062 | Combined forms of infantile and juvenile cataract, left eye |
| H26.063 | Combined forms of infantile and juvenile cataract, bilateral |
| H26.09 | Other infantile and juvenile cataract |
| H26.101 | Unspecified traumatic cataract, right eye |
| H26.102 | Unspecified traumatic cataract, left eye |
| H26.103 | Unspecified traumatic cataract, bilateral |
| H26.111 | Localized traumatic opacities, right eye |
| H26.112 | Localized traumatic opacities, left eye |
| H26.113 | Localized traumatic opacities, bilateral |
| H26.121 | Partially resolved traumatic cataract, right eye |
| H26.122 | Partially resolved traumatic cataract, left eye |
| H26.123 | Partially resolved traumatic cataract, bilateral |
| H26.131 | Total traumatic cataract, right eye |
| H26.132 | Total traumatic cataract, left eye |
| H26.133 | Total traumatic cataract, bilateral |
| H26.20 | Unspecified complicated cataract |
| H26.211 | Cataract with neovascularization, right eye |
| H26.212 | Cataract with neovascularization, left eye |
| H26.213 | Cataract with neovascularization, bilateral |
| H26.221 | Cataract secondary to ocular disorders (degenerative) (inflammatory), right eye |
| H26.222 | Cataract secondary to ocular disorders (degenerative) (inflammatory), left eye |
| H26.223 | Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral |
| H26.231 | Glaucomatous flecks (subcapsular), right eye |
| H26.232 | Glaucomatous flecks (subcapsular), left eye |
| H26.233 | Glaucomatous flecks (subcapsular), bilateral |
| H26.31 | Drug-induced cataract, right eye |
| H26.32 | Drug-induced cataract, left eye |
| H26.33 | Drug-induced cataract, bilateral |
| H26.8 | Other specified cataract |
| H26.9 | Unspecified cataract |
| H27.01 | Aphakia, right eye |
| H27.02 | Aphakia, left eye |
| H27.03 | Aphakia, bilateral |
| H27.10 | Unspecified dislocation of lens |
| H27.111 | Subluxation of lens, right eye |
| H27.112 | Subluxation of lens, left eye |
| H27.113 | Subluxation of lens, bilateral |
| H27.121 | Anterior dislocation of lens, right eye |
| H27.122 | Anterior dislocation of lens, left eye |
| H27.123 | Anterior dislocation of lens, bilateral |
| H27.131 | Posterior dislocation of lens, right eye |
| H27.132 | Posterior dislocation of lens, left eye |
| H27.133 | Posterior dislocation of lens, bilateral |
| H28 | Cataract in diseases classified elsewhere |
| H40.021 | Open angle with borderline findings, high risk, right eye |
| H40.022 | Open angle with borderline findings, high risk, left eye |
| H40.023 | Open angle with borderline findings, high risk, bilateral |
| H40.061 | Primary angle closure without glaucoma damage, right eye |
| H40.062 | Primary angle closure without glaucoma damage, left eye |
| H40.063 | Primary angle closure without glaucoma damage, bilateral |
| H40.1110 | Primary open-angle glaucoma, right eye, stage unspecified |
| H40.1111 | Primary open-angle glaucoma, right eye, mild stage |
| H40.1112 | Primary open-angle glaucoma, right eye, moderate stage |
| H40.1113 | Primary open-angle glaucoma, right eye, severe stage |
| H40.1114 | Primary open-angle glaucoma, right eye, indeterminate stage |
| H40.1120 | Primary open-angle glaucoma, left eye, stage unspecified |
| H40.1121 | Primary open-angle glaucoma, left eye, mild stage |
| H40.1122 | Primary open-angle glaucoma, left eye, moderate stage |
| H40.1123 | Primary open-angle glaucoma, left eye, severe stage |
| H40.1124 | Primary open-angle glaucoma, left eye, indeterminate stage |
| H40.1130 | Primary open-angle glaucoma, bilateral, stage unspecified |
| H40.1131 | Primary open-angle glaucoma, bilateral, mild stage |
| H40.1132 | Primary open-angle glaucoma, bilateral, moderate stage |
| H40.1133 | Primary open-angle glaucoma, bilateral, severe stage |
| H40.1134 | Primary open-angle glaucoma, bilateral, indeterminate stage |
| H40.1210 | Low-tension glaucoma, right eye, stage unspecified |
| H40.1211 | Low-tension glaucoma, right eye, mild stage |
| H40.1212 | Low-tension glaucoma, right eye, moderate stage |
| H40.1213 | Low-tension glaucoma, right eye, severe stage |
| H40.1214 | Low-tension glaucoma, right eye, indeterminate stage |
| H40.1220 | Low-tension glaucoma, left eye, stage unspecified |
| H40.1221 | Low-tension glaucoma, left eye, mild stage |
| H40.1222 | Low-tension glaucoma, left eye, moderate stage |
| H40.1223 | Low-tension glaucoma, left eye, severe stage |
| H40.1224 | Low-tension glaucoma, left eye, indeterminate stage |
| H40.1230 | Low-tension glaucoma, bilateral, stage unspecified |
| H40.1231 | Low-tension glaucoma, bilateral, mild stage |
| H40.1232 | Low-tension glaucoma, bilateral, moderate stage |
| H40.1233 | Low-tension glaucoma, bilateral, severe stage |
| H40.1234 | Low-tension glaucoma, bilateral, indeterminate stage |
| H40.1310 | Pigmentary glaucoma, right eye, stage unspecified |
| H40.1311 | Pigmentary glaucoma, right eye, mild stage |
| H40.1312 | Pigmentary glaucoma, right eye, moderate stage |
| H40.1313 | Pigmentary glaucoma, right eye, severe stage |
| H40.1314 | Pigmentary glaucoma, right eye, indeterminate stage |
| H40.1320 | Pigmentary glaucoma, left eye, stage unspecified |
| H40.1321 | Pigmentary glaucoma, left eye, mild stage |
| H40.1322 | Pigmentary glaucoma, left eye, moderate stage |
| H40.1323 | Pigmentary glaucoma, left eye, severe stage |
| H40.1324 | Pigmentary glaucoma, left eye, indeterminate stage |
| H40.1330 | Pigmentary glaucoma, bilateral, stage unspecified |
| H40.1331 | Pigmentary glaucoma, bilateral, mild stage |
| H40.1332 | Pigmentary glaucoma, bilateral, moderate stage |
| H40.1333 | Pigmentary glaucoma, bilateral, severe stage |
| H40.1334 | Pigmentary glaucoma, bilateral, indeterminate stage |
| H40.1410 | Capsular glaucoma with pseudoexfoliation of lens, right eye, stage unspecified |
| H40.1411 | Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage |
| H40.1412 | Capsular glaucoma with pseudoexfoliation of lens, right eye, moderate stage |
| H40.1413 | Capsular glaucoma with pseudoexfoliation of lens, right eye, severe stage |
| H40.1414 | Capsular glaucoma with pseudoexfoliation of lens, right eye, indeterminate stage |
| H40.1420 | Capsular glaucoma with pseudoexfoliation of lens, left eye, stage unspecified |
| H40.1421 | Capsular glaucoma with pseudoexfoliation of lens, left eye, mild stage |
| H40.1422 | Capsular glaucoma with pseudoexfoliation of lens, left eye, moderate stage |
| H40.1423 | Capsular glaucoma with pseudoexfoliation of lens, left eye, severe stage |
| H40.1424 | Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage |
| H40.1430 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, stage unspecified |
| H40.1431 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, mild stage |
| H40.1432 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, moderate stage |
| H40.1433 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, severe stage |
| H40.1434 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, indeterminate stage |
| H40.2210 | Chronic angle-closure glaucoma, right eye, stage unspecified |
| H40.2211 | Chronic angle-closure glaucoma, right eye, mild stage |
| H40.2212 | Chronic angle-closure glaucoma, right eye, moderate stage |
| H40.2213 | Chronic angle-closure glaucoma, right eye, severe stage |
| H40.2214 | Chronic angle-closure glaucoma, right eye, indeterminate stage |
| H40.2220 | Chronic angle-closure glaucoma, left eye, stage unspecified |
| H40.2221 | Chronic angle-closure glaucoma, left eye, mild stage |
| H40.2222 | Chronic angle-closure glaucoma, left eye, moderate stage |
| H40.2223 | Chronic angle-closure glaucoma, left eye, severe stage |
| H40.2224 | Chronic angle-closure glaucoma, left eye, indeterminate stage |
| H40.2230 | Chronic angle-closure glaucoma, bilateral, stage unspecified |
| H40.2231 | Chronic angle-closure glaucoma, bilateral, mild stage |
| H40.2232 | Chronic angle-closure glaucoma, bilateral, moderate stage |
| H40.2233 | Chronic angle-closure glaucoma, bilateral, severe stage |
| H40.2234 | Chronic angle-closure glaucoma, bilateral, indeterminate stage |
| H40.2290 | Chronic angle-closure glaucoma, unspecified eye, stage unspecified |
| H40.2291 | Chronic angle-closure glaucoma, unspecified eye, mild stage |
| H40.2292 | Chronic angle-closure glaucoma, unspecified eye, moderate stage |
| H40.2293 | Chronic angle-closure glaucoma, unspecified eye, severe stage |
| H40.2294 | Chronic angle-closure glaucoma, unspecified eye, indeterminate stage |
| H40.31X0 | Glaucoma secondary to eye trauma, right eye, stage unspecified |
| H40.31X1 | Glaucoma secondary to eye trauma, right eye, mild stage |
| H40.31X2 | Glaucoma secondary to eye trauma, right eye, moderate stage |
| H40.31X3 | Glaucoma secondary to eye trauma, right eye, severe stage |
| H40.31X4 | Glaucoma secondary to eye trauma, right eye, indeterminate stage |
| H40.32X0 | Glaucoma secondary to eye trauma, left eye, stage unspecified |
| H40.32X1 | Glaucoma secondary to eye trauma, left eye, mild stage |
| H40.32X2 | Glaucoma secondary to eye trauma, left eye, moderate stage |
| H40.32X3 | Glaucoma secondary to eye trauma, left eye, severe stage |
| H40.32X4 | Glaucoma secondary to eye trauma, left eye, indeterminate stage |
| H40.33X0 | Glaucoma secondary to eye trauma, bilateral, stage unspecified |
| H40.33X1 | Glaucoma secondary to eye trauma, bilateral, mild stage |
| H40.33X2 | Glaucoma secondary to eye trauma, bilateral, moderate stage |
| H40.33X3 | Glaucoma secondary to eye trauma, bilateral, severe stage |
| H40.33X4 | Glaucoma secondary to eye trauma, bilateral, indeterminate stage |
| H40.41X0 | Glaucoma secondary to eye inflammation, right eye, stage unspecified |
| H40.41X1 | Glaucoma secondary to eye inflammation, right eye, mild stage |
| H40.41X2 | Glaucoma secondary to eye inflammation, right eye, moderate stage |
| H40.41X3 | Glaucoma secondary to eye inflammation, right eye, severe stage |
| H40.41X4 | Glaucoma secondary to eye inflammation, right eye, indeterminate stage |
| H40.42X0 | Glaucoma secondary to eye inflammation, left eye, stage unspecified |
| H40.42X1 | Glaucoma secondary to eye inflammation, left eye, mild stage |
| H40.42X2 | Glaucoma secondary to eye inflammation, left eye, moderate stage |
| H40.42X3 | Glaucoma secondary to eye inflammation, left eye, severe stage |
| H40.42X4 | Glaucoma secondary to eye inflammation, left eye, indeterminate stage |
| H40.43X0 | Glaucoma secondary to eye inflammation, bilateral, stage unspecified |
| H40.43X1 | Glaucoma secondary to eye inflammation, bilateral, mild stage |
| H40.43X2 | Glaucoma secondary to eye inflammation, bilateral, moderate stage |
| H40.43X3 | Glaucoma secondary to eye inflammation, bilateral, severe stage |
| H40.43X4 | Glaucoma secondary to eye inflammation, bilateral, indeterminate stage |
| H40.51X0 | Glaucoma secondary to other eye disorders, right eye, stage unspecified |
| H40.51X1 | Glaucoma secondary to other eye disorders, right eye, mild stage |
| H40.51X2 | Glaucoma secondary to other eye disorders, right eye, moderate stage |
| H40.51X3 | Glaucoma secondary to other eye disorders, right eye, severe stage |
| H40.51X4 | Glaucoma secondary to other eye disorders, right eye, indeterminate stage |
| H40.52X0 | Glaucoma secondary to other eye disorders, left eye, stage unspecified |
| H40.52X1 | Glaucoma secondary to other eye disorders, left eye, mild stage |
| H40.52X2 | Glaucoma secondary to other eye disorders, left eye, moderate stage |
| H40.52X3 | Glaucoma secondary to other eye disorders, left eye, severe stage |
| H40.52X4 | Glaucoma secondary to other eye disorders, left eye, indeterminate stage |
| H40.53X0 | Glaucoma secondary to other eye disorders, bilateral, stage unspecified |
| H40.53X1 | Glaucoma secondary to other eye disorders, bilateral, mild stage |
| H40.53X2 | Glaucoma secondary to other eye disorders, bilateral, moderate stage |
| H40.53X3 | Glaucoma secondary to other eye disorders, bilateral, severe stage |
| H40.53X4 | Glaucoma secondary to other eye disorders, bilateral, indeterminate stage |
| H43.821 | Vitreomacular adhesion, right eye |
| H43.822 | Vitreomacular adhesion, left eye |
| H43.823 | Vitreomacular adhesion, bilateral |
| Q12.0 | Congenital cataract |
| Q12.1 | Congenital displaced lens |
| Q12.2 | Coloboma of lens |
| Q12.3 | Congenital aphakia |
| Q12.4 | Spherophakia |
| Q12.8 | Other congenital lens malformations |
| Q12.9 | Congenital lens malformation, unspecified |
| T85.21XA | Breakdown (mechanical) of intraocular lens, initial encounter |
| T85.21XD | Breakdown (mechanical) of intraocular lens, subsequent encounter |
| T85.21XS | Breakdown (mechanical) of intraocular lens, sequela |
| T85.22XA | Displacement of intraocular lens, initial encounter |
| T85.22XD | Displacement of intraocular lens, subsequent encounter |
| T85.22XS | Displacement of intraocular lens, sequela |
| T85.29XA | Other mechanical complication of intraocular lens, initial encounter |
| T85.29XD | Other mechanical complication of intraocular lens, subsequent encounter |
| T85.29XS | Other mechanical complication of intraocular lens, sequela |
| T85.72XA | Infection and inflammatory reaction due to insulin pump, initial encounter |
| T85.79XA | Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter |
| T86.8421 | Corneal transplant infection, right eye |
| T86.8422 | Corneal transplant infection, left eye |
| T86.8423 | Corneal transplant infection, bilateral |
| Z79.83 | Long term (current) use of bisphosphonates |
| Z79.85 | Long-term (current) use of injectable non-insulin antidiabetic drugs |
| Z96.1 | Presence of intraocular lens |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 76519?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 246 ICD-10 diagnosis codes that support medical necessity for CPT 76519. 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 76519 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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