ICD↔CPT crosswalk
CPT 76881: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 76881 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 76881 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 |
|---|---|
| B02.0 | Zoster encephalitis |
| B02.1 | Zoster meningitis |
| B02.21 | Postherpetic geniculate ganglionitis |
| B02.22 | Postherpetic trigeminal neuralgia |
| B02.23 | Postherpetic polyneuropathy |
| B02.24 | Postherpetic myelitis |
| B02.29 | Other postherpetic nervous system involvement |
| B02.7 | Disseminated zoster |
| B02.8 | Zoster with other complications |
| B02.9 | Zoster without complications |
| C47.11 | Malignant neoplasm of peripheral nerves of right upper limb, including shoulder |
| C47.12 | Malignant neoplasm of peripheral nerves of left upper limb, including shoulder |
| C47.21 | Malignant neoplasm of peripheral nerves of right lower limb, including hip |
| C47.22 | Malignant neoplasm of peripheral nerves of left lower limb, including hip |
| C49.11 | Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder |
| C49.12 | Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder |
| C49.21 | Malignant neoplasm of connective and soft tissue of right lower limb, including hip |
| C49.22 | Malignant neoplasm of connective and soft tissue of left lower limb, including hip |
| C76.41 | Malignant neoplasm of right upper limb |
| C76.42 | Malignant neoplasm of left upper limb |
| C76.51 | Malignant neoplasm of right lower limb |
| C76.52 | Malignant neoplasm of left lower limb |
| C77.3 | Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes |
| C79.89 | Secondary malignant neoplasm of other specified sites |
| D19.7 | Benign neoplasm of mesothelial tissue of other sites |
| D21.11 | Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder |
| D21.12 | Benign neoplasm of connective and other soft tissue of left upper limb, including shoulder |
| D21.21 | Benign neoplasm of connective and other soft tissue of right lower limb, including hip |
| D21.22 | Benign neoplasm of connective and other soft tissue of left lower limb, including hip |
| D36.0 | Benign neoplasm of lymph nodes |
| D36.7 | Benign neoplasm of other specified sites |
| D48.110 | Desmoid tumor of head and neck |
| D48.111 | Desmoid tumor of chest wall |
| D48.112 | Desmoid tumor, intrathoracic |
| D48.113 | Desmoid tumor of abdominal wall |
| D48.114 | Desmoid tumor, intraabdominal |
| D48.115 | Desmoid tumor of upper extremity and shoulder girdle |
| D48.116 | Desmoid tumor of lower extremity and pelvic girdle |
| D48.117 | Desmoid tumor of back |
| D48.118 | Desmoid tumor of other site |
| D48.119 | Desmoid tumor of unspecified site |
| D48.19 | Other specified neoplasm of uncertain behavior of connective and other soft tissue |
| D48.2 | Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system |
| D48.7 | Neoplasm of uncertain behavior of other specified sites |
| G04.1 | Tropical spastic paraplegia |
| G11.4 | Hereditary spastic paraplegia |
| G24.02 | Drug induced acute dystonia |
| G24.09 | Other drug induced dystonia |
| G24.1 | Genetic torsion dystonia |
| G24.2 | Idiopathic nonfamilial dystonia |
| G24.3 | Spasmodic torticollis |
| G24.4 | Idiopathic orofacial dystonia |
| G24.5 | Blepharospasm |
| G24.8 | Other dystonia |
| G25.0 | Essential tremor |
| G25.1 | Drug-induced tremor |
| G25.2 | Other specified forms of tremor |
| G25.61 | Drug induced tics |
| G25.69 | Other tics of organic origin |
| G25.89 | Other specified extrapyramidal and movement disorders |
| G35.A | Relapsing-remitting multiple sclerosis |
| G35.B0 | Primary progressive multiple sclerosis, unspecified |
| G35.B1 | Active primary progressive multiple sclerosis |
| G35.B2 | Non-active primary progressive multiple sclerosis |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified |
| G35.C1 | Active secondary progressive multiple sclerosis |
| G35.C2 | Non-active secondary progressive multiple sclerosis |
| G35.D | Multiple sclerosis, unspecified |
| G43.001 | Migraine without aura, not intractable, with status migrainosus |
| G43.009 | Migraine without aura, not intractable, without status migrainosus |
| G43.011 | Migraine without aura, intractable, with status migrainosus |
| G43.019 | Migraine without aura, intractable, without status migrainosus |
| G43.101 | Migraine with aura, not intractable, with status migrainosus |
| G43.109 | Migraine with aura, not intractable, without status migrainosus |
| G43.111 | Migraine with aura, intractable, with status migrainosus |
| G43.119 | Migraine with aura, intractable, without status migrainosus |
| 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 |
| G43.501 | Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus |
| G43.509 | Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus |
| G43.511 | Persistent migraine aura without cerebral infarction, intractable, with status migrainosus |
| G43.519 | Persistent migraine aura without cerebral infarction, intractable, without status migrainosus |
| G43.601 | Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus |
| G43.609 | Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus |
| G43.611 | Persistent migraine aura with cerebral infarction, intractable, with status migrainosus |
| G43.619 | Persistent migraine aura with cerebral infarction, intractable, without status migrainosus |
| G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
| G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
| G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
| G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
| G43.801 | Other migraine, not intractable, with status migrainosus |
| G43.809 | Other migraine, not intractable, without status migrainosus |
| G43.811 | Other migraine, intractable, with status migrainosus |
| G43.819 | Other migraine, intractable, without status migrainosus |
| G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
| G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
| G43.911 | Migraine, unspecified, intractable, with status migrainosus |
| G43.919 | Migraine, unspecified, intractable, without status migrainosus |
| G43.A0 | Cyclical vomiting, in migraine, not intractable |
| G43.A1 | Cyclical vomiting, in migraine, intractable |
| G43.B0 | Ophthalmoplegic migraine, not intractable |
| G43.B1 | Ophthalmoplegic migraine, intractable |
| G43.C0 | Periodic headache syndromes in child or adult, not intractable |
| G43.C1 | Periodic headache syndromes in child or adult, intractable |
| G43.D0 | Abdominal migraine, not intractable |
| G43.D1 | Abdominal migraine, intractable |
| G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
| G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
| G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
| G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
| G50.0 | Trigeminal neuralgia |
| G51.2 | Melkersson's syndrome |
| G51.31 | Clonic hemifacial spasm, right |
| G51.32 | Clonic hemifacial spasm, left |
| G51.33 | Clonic hemifacial spasm, bilateral |
| G51.4 | Facial myokymia |
| G51.8 | Other disorders of facial nerve |
| G54.0 | Brachial plexus disorders |
| G54.1 | Lumbosacral plexus disorders |
| G54.2 | Cervical root disorders, not elsewhere classified |
| G54.3 | Thoracic root disorders, not elsewhere classified |
| G54.4 | Lumbosacral root disorders, not elsewhere classified |
| G54.5 | Neuralgic amyotrophy |
| G54.6 | Phantom limb syndrome with pain |
| G54.8 | Other nerve root and plexus disorders |
| G55 | Nerve root and plexus compressions in diseases classified elsewhere |
| G56.11 | Other lesions of median nerve, right upper limb |
| G56.12 | Other lesions of median nerve, left upper limb |
| G56.13 | Other lesions of median nerve, bilateral upper limbs |
| G56.21 | Lesion of ulnar nerve, right upper limb |
| G56.22 | Lesion of ulnar nerve, left upper limb |
| G56.23 | Lesion of ulnar nerve, bilateral upper limbs |
| G56.31 | Lesion of radial nerve, right upper limb |
| G56.32 | Lesion of radial nerve, left upper limb |
| G56.33 | Lesion of radial nerve, bilateral upper limbs |
| G56.41 | Causalgia of right upper limb |
| G56.42 | Causalgia of left upper limb |
| G56.43 | Causalgia of bilateral upper limbs |
| G56.81 | Other specified mononeuropathies of right upper limb |
| G56.82 | Other specified mononeuropathies of left upper limb |
| G56.91 | Unspecified mononeuropathy of right upper limb |
| G56.92 | Unspecified mononeuropathy of left upper limb |
| G57.01 | Lesion of sciatic nerve, right lower limb |
| G57.02 | Lesion of sciatic nerve, left lower limb |
| G57.03 | Lesion of sciatic nerve, bilateral lower limbs |
| G57.11 | Meralgia paresthetica, right lower limb |
| G57.12 | Meralgia paresthetica, left lower limb |
| G57.13 | Meralgia paresthetica, bilateral lower limbs |
| G57.21 | Lesion of femoral nerve, right lower limb |
| G57.22 | Lesion of femoral nerve, left lower limb |
| G57.23 | Lesion of femoral nerve, bilateral lower limbs |
| G57.31 | Lesion of lateral popliteal nerve, right lower limb |
| G57.32 | Lesion of lateral popliteal nerve, left lower limb |
| G57.33 | Lesion of lateral popliteal nerve, bilateral lower limbs |
| G57.41 | Lesion of medial popliteal nerve, right lower limb |
| G57.42 | Lesion of medial popliteal nerve, left lower limb |
| G57.43 | Lesion of medial popliteal nerve, bilateral lower limbs |
| G57.61 | Lesion of plantar nerve, right lower limb |
| G57.62 | Lesion of plantar nerve, left lower limb |
| G57.71 | Causalgia of right lower limb |
| G57.72 | Causalgia of left lower limb |
| G57.73 | Causalgia of bilateral lower limbs |
| G57.81 | Other specified mononeuropathies of right lower limb |
| G57.82 | Other specified mononeuropathies of left lower limb |
| G57.91 | Unspecified mononeuropathy of right lower limb |
| G57.92 | Unspecified mononeuropathy of left lower limb |
| G58.0 | Intercostal neuropathy |
| G58.7 | Mononeuritis multiplex |
| G58.8 | Other specified mononeuropathies |
| G58.9 | Mononeuropathy, unspecified |
| G59 | Mononeuropathy in diseases classified elsewhere |
| G80.0 | Spastic quadriplegic cerebral palsy |
| G80.1 | Spastic diplegic cerebral palsy |
| G80.2 | Spastic hemiplegic cerebral palsy |
| G80.3 | Athetoid cerebral palsy |
| G80.4 | Ataxic cerebral palsy |
| G80.8 | Other cerebral palsy |
| 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 |
| G82.21 | Paraplegia, complete |
| G82.22 | Paraplegia, incomplete |
| G82.51 | Quadriplegia, C1-C4 complete |
| G82.52 | Quadriplegia, C1-C4 incomplete |
| G82.53 | Quadriplegia, C5-C7 complete |
| G82.54 | Quadriplegia, C5-C7 incomplete |
| G83.0 | Diplegia of upper limbs |
| 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 |
| G83.21 | 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 |
| G89.11 | Acute pain due to trauma |
| G89.12 | Acute post-thoracotomy pain |
| G89.18 | Other acute postprocedural pain |
| G89.21 | Chronic pain due to trauma |
| G89.22 | Chronic post-thoracotomy pain |
| G89.28 | Other chronic postprocedural pain |
| G89.3 | Neoplasm related pain (acute) (chronic) |
| G90.50 | Complex regional pain syndrome I, unspecified |
| G90.511 | Complex regional pain syndrome I of right upper limb |
| G90.512 | Complex regional pain syndrome I of left upper limb |
| G90.513 | Complex regional pain syndrome I of upper limb, bilateral |
| G90.521 | Complex regional pain syndrome I of right lower limb |
| G90.522 | Complex regional pain syndrome I of left lower limb |
| G90.523 | Complex regional pain syndrome I of lower limb, bilateral |
| G90.59 | Complex regional pain syndrome I of other specified site |
| H02.041 | Spastic entropion of right upper eyelid |
| H02.042 | Spastic entropion of right lower eyelid |
| H02.044 | Spastic entropion of left upper eyelid |
| H02.045 | Spastic entropion of left lower eyelid |
| H02.141 | Spastic ectropion of right upper eyelid |
| H02.142 | Spastic ectropion of right lower eyelid |
| H02.144 | Spastic ectropion of left upper eyelid |
| H02.145 | Spastic ectropion of left lower eyelid |
| 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 |
| H49.31 | Total (external) ophthalmoplegia, right eye |
| H49.32 | Total (external) ophthalmoplegia, left eye |
| H49.33 | Total (external) ophthalmoplegia, bilateral |
| H49.41 | Progressive external ophthalmoplegia, right eye |
| H49.42 | Progressive external ophthalmoplegia, left eye |
| H49.43 | Progressive external ophthalmoplegia, bilateral |
| H49.881 | Other paralytic strabismus, right eye |
| H49.882 | Other paralytic strabismus, left eye |
| H49.883 | Other paralytic strabismus, bilateral |
| H49.9 | Unspecified paralytic strabismus |
| H50.00 | Unspecified esotropia |
| H50.011 | Monocular esotropia, right eye |
| H50.012 | Monocular esotropia, left eye |
| H50.021 | Monocular esotropia with A pattern, right eye |
| H50.022 | Monocular esotropia with A pattern, left eye |
| H50.031 | Monocular esotropia with V pattern, right eye |
| H50.032 | Monocular esotropia with V pattern, left eye |
| H50.041 | Monocular esotropia with other noncomitancies, right eye |
| H50.042 | Monocular esotropia with other noncomitancies, left eye |
| H50.05 | Alternating esotropia |
| H50.06 | Alternating esotropia with A pattern |
| H50.07 | Alternating esotropia with V pattern |
| H50.08 | Alternating esotropia with other noncomitancies |
| H50.10 | Unspecified exotropia |
| H50.111 | Monocular exotropia, right eye |
| H50.112 | Monocular exotropia, left eye |
| H50.121 | Monocular exotropia with A pattern, right eye |
| H50.122 | Monocular exotropia with A pattern, left eye |
| H50.131 | Monocular exotropia with V pattern, right eye |
| H50.132 | Monocular exotropia with V pattern, left eye |
| H50.141 | Monocular exotropia with other noncomitancies, right eye |
| H50.142 | Monocular exotropia with other noncomitancies, left eye |
| H50.15 | Alternating exotropia |
| H50.16 | Alternating exotropia with A pattern |
| H50.17 | Alternating exotropia with V pattern |
| H50.18 | Alternating exotropia with other noncomitancies |
| H50.21 | Vertical strabismus, right eye |
| H50.22 | Vertical strabismus, left eye |
| H50.30 | Unspecified intermittent heterotropia |
| H50.311 | Intermittent monocular esotropia, right eye |
| H50.312 | Intermittent monocular esotropia, left eye |
| H50.32 | Intermittent alternating esotropia |
| H50.331 | Intermittent monocular exotropia, right eye |
| H50.332 | Intermittent monocular exotropia, left eye |
| H50.34 | Intermittent alternating exotropia |
| H50.40 | Unspecified heterotropia |
| H50.411 | Cyclotropia, right eye |
| H50.412 | Cyclotropia, left eye |
| H50.42 | Monofixation syndrome |
| H50.43 | Accommodative component in esotropia |
| H50.50 | Unspecified heterophoria |
| H50.51 | Esophoria |
| H50.52 | Exophoria |
| H50.53 | Vertical heterophoria |
| H50.54 | Cyclophoria |
| H50.55 | Alternating heterophoria |
| H50.60 | Mechanical strabismus, unspecified |
| H50.611 | Brown's sheath syndrome, right eye |
| H50.612 | Brown's sheath syndrome, left eye |
| H50.621 | Inferior oblique muscle entrapment, right eye |
| H50.622 | Inferior oblique muscle entrapment, left eye |
| H50.631 | Inferior rectus muscle entrapment, right eye |
| H50.632 | Inferior rectus muscle entrapment, left eye |
| H50.641 | Lateral rectus muscle entrapment, right eye |
| H50.642 | Lateral rectus muscle entrapment, left eye |
| H50.651 | Medial rectus muscle entrapment, right eye |
| H50.652 | Medial rectus muscle entrapment, left eye |
| H50.661 | Superior oblique muscle entrapment, right eye |
| H50.662 | Superior oblique muscle entrapment, left eye |
| H50.671 | Superior rectus muscle entrapment, right eye |
| H50.672 | Superior rectus muscle entrapment, left eye |
| H50.681 | Extraocular muscle entrapment, unspecified, right eye |
| H50.682 | Extraocular muscle entrapment, unspecified, left eye |
| H50.69 | Other mechanical strabismus |
| H50.811 | Duane's syndrome, right eye |
| H50.812 | Duane's syndrome, left eye |
| H50.89 | Other specified strabismus |
| H50.9 | Unspecified strabismus |
| H51.0 | Palsy (spasm) of conjugate gaze |
| H51.11 | Convergence insufficiency |
| H51.12 | Convergence excess |
| H51.21 | Internuclear ophthalmoplegia, right eye |
| H51.22 | Internuclear ophthalmoplegia, left eye |
| H51.23 | Internuclear ophthalmoplegia, bilateral |
| H51.8 | Other specified disorders of binocular movement |
| I69.031 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.032 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.033 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.034 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.041 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.042 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.043 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.044 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.051 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.052 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.053 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.054 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.131 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.132 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.133 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.134 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.141 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.142 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.143 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.144 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.151 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.152 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.153 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.154 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.231 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.232 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.233 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.234 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.241 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.242 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.243 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.244 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.251 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.252 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.253 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.254 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.331 | Monoplegia of upper limb following cerebral infarction affecting right dominant side |
| I69.332 | Monoplegia of upper limb following cerebral infarction affecting left dominant side |
| I69.333 | Monoplegia of upper limb following cerebral infarction affecting right non-dominant side |
| I69.334 | Monoplegia of upper limb following cerebral infarction affecting left non-dominant side |
| I69.341 | Monoplegia of lower limb following cerebral infarction affecting right dominant side |
| I69.342 | Monoplegia of lower limb following cerebral infarction affecting left dominant side |
| I69.343 | Monoplegia of lower limb following cerebral infarction affecting right non-dominant side |
| I69.344 | Monoplegia of lower limb following cerebral infarction affecting left non-dominant side |
| I69.351 | Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side |
| I69.352 | Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side |
| I69.353 | Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side |
| I69.354 | Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side |
| I69.831 | Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side |
| I69.832 | Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side |
| I69.833 | Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side |
| I69.834 | Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side |
| I69.841 | Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side |
| I69.842 | Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side |
| I69.843 | Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side |
| I69.844 | Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side |
| I69.851 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side |
| I69.852 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side |
| I69.853 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side |
| I69.854 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side |
| I69.931 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side |
| I69.932 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side |
| I69.933 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.934 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.941 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side |
| I69.942 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side |
| I69.943 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.944 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.951 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side |
| I69.952 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side |
| I69.953 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.954 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side |
| I73.00 | Raynaud's syndrome without gangrene |
| I73.01 | Raynaud's syndrome with gangrene |
| J38.01 | Paralysis of vocal cords and larynx, unilateral |
| J38.02 | Paralysis of vocal cords and larynx, bilateral |
| J38.5 | Laryngeal spasm |
| K11.7 | Disturbances of salivary secretion |
| K22.0 | Achalasia of cardia |
| K40.00 | Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent |
| K40.01 | Bilateral inguinal hernia, with obstruction, without gangrene, recurrent |
| K40.10 | Bilateral inguinal hernia, with gangrene, not specified as recurrent |
| K40.11 | Bilateral inguinal hernia, with gangrene, recurrent |
| K40.20 | Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent |
| K40.21 | Bilateral inguinal hernia, without obstruction or gangrene, recurrent |
Showing the first 400 of 2109 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 76881?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2109 ICD-10 diagnosis codes that support medical necessity for CPT 76881. 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 76881 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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