ICD↔CPT crosswalk
CPT 78351: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 78351 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 78351 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 |
|---|---|
| E21.0 | Primary hyperparathyroidism |
| E21.3 | Hyperparathyroidism, unspecified |
| E23.0 | Hypopituitarism |
| E24.0 | Pituitary-dependent Cushing's disease |
| E24.2 | Drug-induced Cushing's syndrome |
| E24.3 | Ectopic ACTH syndrome |
| E24.4 | Alcohol-induced pseudo-Cushing's syndrome |
| E24.8 | Other Cushing's syndrome |
| E24.9 | Cushing's syndrome, unspecified |
| E28.310 | Symptomatic premature menopause |
| E28.319 | Asymptomatic premature menopause |
| E28.39 | Other primary ovarian failure |
| E34.2 | Ectopic hormone secretion, not elsewhere classified |
| E89.40 | Asymptomatic postprocedural ovarian failure |
| E89.41 | Symptomatic postprocedural ovarian failure |
| M48.50XA | Collapsed vertebra, not elsewhere classified, site unspecified, initial encounter for fracture |
| M48.51XA | Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture |
| M48.52XA | Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture |
| M48.53XA | Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture |
| M48.54XA | Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture |
| M48.55XA | Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture |
| M48.56XA | Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture |
| M48.57XA | Collapsed vertebra, not elsewhere classified, lumbosacral region, initial encounter for fracture |
| M48.58XA | Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for fracture |
| M80.08XA | Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
| M80.0B1A | Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture |
| M80.0B1D | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing |
| M80.0B1G | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B1K | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion |
| M80.0B1P | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion |
| M80.0B1S | Age-related osteoporosis with current pathological fracture, right pelvis, sequela |
| M80.0B2A | Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture |
| M80.0B2D | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing |
| M80.0B2G | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B2K | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion |
| M80.0B2P | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion |
| M80.0B2S | Age-related osteoporosis with current pathological fracture, left pelvis, sequela |
| M80.0B9A | Age-related osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture |
| M80.0B9D | Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing |
| M80.88XA | Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
| M80.8B1A | Other osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture |
| M80.8B1D | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing |
| M80.8B1G | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B1K | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion |
| M80.8B1P | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion |
| M80.8B1S | Other osteoporosis with current pathological fracture, right pelvis, sequela |
| M80.8B2A | Other osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture |
| M80.8B2D | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing |
| M80.8B2G | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B2K | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion |
| M80.8B2P | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion |
| M80.8B2S | Other osteoporosis with current pathological fracture, left pelvis, sequela |
| M80.8B9A | Other osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture |
| M80.8B9D | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing |
| M80.8B9G | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B9K | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion |
| M80.8B9P | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion |
| M80.8B9S | Other osteoporosis with current pathological fracture, unspecified pelvis, sequela |
| M81.0 | Age-related osteoporosis without current pathological fracture |
| M81.6 | Localized osteoporosis [Lequesne] |
| M81.8 | Other osteoporosis without current pathological fracture |
| M84.58XA | Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture |
| M84.68XA | Pathological fracture in other disease, other site, initial encounter for fracture |
| M85.811 | Other specified disorders of bone density and structure, right shoulder |
| M85.812 | Other specified disorders of bone density and structure, left shoulder |
| M85.821 | Other specified disorders of bone density and structure, right upper arm |
| M85.822 | Other specified disorders of bone density and structure, left upper arm |
| M85.831 | Other specified disorders of bone density and structure, right forearm |
| M85.832 | Other specified disorders of bone density and structure, left forearm |
| M85.841 | Other specified disorders of bone density and structure, right hand |
| M85.842 | Other specified disorders of bone density and structure, left hand |
| M85.851 | Other specified disorders of bone density and structure, right thigh |
| M85.852 | Other specified disorders of bone density and structure, left thigh |
| M85.861 | Other specified disorders of bone density and structure, right lower leg |
| M85.862 | Other specified disorders of bone density and structure, left lower leg |
| M85.871 | Other specified disorders of bone density and structure, right ankle and foot |
| M85.872 | Other specified disorders of bone density and structure, left ankle and foot |
| M85.88 | Other specified disorders of bone density and structure, other site |
| M85.89 | Other specified disorders of bone density and structure, multiple sites |
| N95.1 | Menopausal and female climacteric states |
| N95.8 | Other specified menopausal and perimenopausal disorders |
| N95.9 | Unspecified menopausal and perimenopausal disorder |
| Q78.0 | Osteogenesis imperfecta |
| Q96.0 | Karyotype 45, X |
| Q96.1 | Karyotype 46, X iso (Xq) |
| Q96.2 | Karyotype 46, X with abnormal sex chromosome, except iso (Xq) |
| Q96.3 | Mosaicism, 45, X/46, XX or XY |
| Q96.4 | Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome |
| Q96.8 | Other variants of Turner's syndrome |
| Q96.9 | Turner's syndrome, unspecified |
| S12.000A | Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.000B | Unspecified displaced fracture of first cervical vertebra, initial encounter for open fracture |
| S12.001A | Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.001B | Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for open fracture |
| S12.01XA | Stable burst fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.01XB | Stable burst fracture of first cervical vertebra, initial encounter for open fracture |
| S12.02XA | Unstable burst fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.02XB | Unstable burst fracture of first cervical vertebra, initial encounter for open fracture |
| S12.030A | Displaced posterior arch fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.030B | Displaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture |
| S12.031A | Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.031B | Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture |
| S12.040A | Displaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.040B | Displaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture |
| S12.041A | Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.041B | Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture |
| S12.090A | Other displaced fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.090B | Other displaced fracture of first cervical vertebra, initial encounter for open fracture |
| S12.091A | Other nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture |
| S12.091B | Other nondisplaced fracture of first cervical vertebra, initial encounter for open fracture |
| S12.100A | Unspecified displaced fracture of second cervical vertebra, initial encounter for closed fracture |
| S12.100B | Unspecified displaced fracture of second cervical vertebra, initial encounter for open fracture |
| S12.101A | Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture |
| S12.101B | Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for open fracture |
| S12.110A | Anterior displaced Type II dens fracture, initial encounter for closed fracture |
| S12.110B | Anterior displaced Type II dens fracture, initial encounter for open fracture |
| S12.111A | Posterior displaced Type II dens fracture, initial encounter for closed fracture |
| S12.111B | Posterior displaced Type II dens fracture, initial encounter for open fracture |
| S12.112A | Nondisplaced Type II dens fracture, initial encounter for closed fracture |
| S12.112B | Nondisplaced Type II dens fracture, initial encounter for open fracture |
| S12.120A | Other displaced dens fracture, initial encounter for closed fracture |
| S12.120B | Other displaced dens fracture, initial encounter for open fracture |
| S12.121A | Other nondisplaced dens fracture, initial encounter for closed fracture |
| S12.121B | Other nondisplaced dens fracture, initial encounter for open fracture |
| S12.130A | Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture |
| S12.130B | Unspecified traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture |
| S12.131A | Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture |
| S12.131B | Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture |
| S12.14XA | Type III traumatic spondylolisthesis of second cervical vertebra, initial encounter for closed fracture |
| S12.14XB | Type III traumatic spondylolisthesis of second cervical vertebra, initial encounter for open fracture |
| S12.150A | Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture |
| S12.150B | Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture |
| S12.151A | Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed fracture |
| S12.151B | Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for open fracture |
| S12.190A | Other displaced fracture of second cervical vertebra, initial encounter for closed fracture |
| S12.190B | Other displaced fracture of second cervical vertebra, initial encounter for open fracture |
| S12.191A | Other nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture |
| S12.191B | Other nondisplaced fracture of second cervical vertebra, initial encounter for open fracture |
| S12.200A | Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture |
| S12.200B | Unspecified displaced fracture of third cervical vertebra, initial encounter for open fracture |
| S12.201A | Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for closed fracture |
| S12.201B | Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for open fracture |
| S12.230A | Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture |
| S12.230B | Unspecified traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture |
| S12.231A | Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture |
| S12.231B | Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture |
| S12.24XA | Type III traumatic spondylolisthesis of third cervical vertebra, initial encounter for closed fracture |
| S12.24XB | Type III traumatic spondylolisthesis of third cervical vertebra, initial encounter for open fracture |
| S12.250A | Other traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture |
| S12.250B | Other traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture |
| S12.251A | Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for closed fracture |
| S12.251B | Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for open fracture |
| S12.290A | Other displaced fracture of third cervical vertebra, initial encounter for closed fracture |
| S12.290B | Other displaced fracture of third cervical vertebra, initial encounter for open fracture |
| S12.291A | Other nondisplaced fracture of third cervical vertebra, initial encounter for closed fracture |
| S12.291B | Other nondisplaced fracture of third cervical vertebra, initial encounter for open fracture |
| S12.300A | Unspecified displaced fracture of fourth cervical vertebra, initial encounter for closed fracture |
| S12.300B | Unspecified displaced fracture of fourth cervical vertebra, initial encounter for open fracture |
| S12.301A | Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture |
| S12.301B | Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture |
| S12.330A | Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture |
| S12.330B | Unspecified traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture |
| S12.331A | Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture |
| S12.331B | Unspecified traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture |
| S12.34XA | Type III traumatic spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture |
| S12.34XB | Type III traumatic spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture |
| S12.350A | Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture |
| S12.350B | Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture |
| S12.351A | Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed fracture |
| S12.351B | Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open fracture |
| S12.390A | Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture |
| S12.390B | Other displaced fracture of fourth cervical vertebra, initial encounter for open fracture |
| S12.391A | Other nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture |
| S12.391B | Other nondisplaced fracture of fourth cervical vertebra, initial encounter for open fracture |
| S12.400A | Unspecified displaced fracture of fifth cervical vertebra, initial encounter for closed fracture |
| S12.400B | Unspecified displaced fracture of fifth cervical vertebra, initial encounter for open fracture |
| S12.401A | Unspecified nondisplaced fracture of fifth cervical vertebra, initial encounter for closed fracture |
| S12.401B | Unspecified nondisplaced fracture of fifth cervical vertebra, initial encounter for open fracture |
| S12.430A | Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture |
| S12.430B | Unspecified traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture |
| S12.431A | Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture |
| S12.431B | Unspecified traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture |
| S12.44XA | Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture |
| S12.44XB | Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture |
| S12.450A | Other traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture |
| S12.450B | Other traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture |
| S12.451A | Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed fracture |
| S12.451B | Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for open fracture |
| S12.490A | Other displaced fracture of fifth cervical vertebra, initial encounter for closed fracture |
| S12.490B | Other displaced fracture of fifth cervical vertebra, initial encounter for open fracture |
| S12.491A | Other nondisplaced fracture of fifth cervical vertebra, initial encounter for closed fracture |
| S12.491B | Other nondisplaced fracture of fifth cervical vertebra, initial encounter for open fracture |
| S12.500A | Unspecified displaced fracture of sixth cervical vertebra, initial encounter for closed fracture |
| S12.500B | Unspecified displaced fracture of sixth cervical vertebra, initial encounter for open fracture |
| S12.501A | Unspecified nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture |
| S12.501B | Unspecified nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture |
| S12.530A | Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture |
| S12.530B | Unspecified traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture |
| S12.531A | Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture |
| S12.531B | Unspecified traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture |
| S12.54XA | Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture |
| S12.54XB | Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture |
| S12.550A | Other traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture |
| S12.550B | Other traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture |
| S12.551A | Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed fracture |
| S12.551B | Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for open fracture |
| S12.590A | Other displaced fracture of sixth cervical vertebra, initial encounter for closed fracture |
| S12.590B | Other displaced fracture of sixth cervical vertebra, initial encounter for open fracture |
| S12.591A | Other nondisplaced fracture of sixth cervical vertebra, initial encounter for closed fracture |
| S12.591B | Other nondisplaced fracture of sixth cervical vertebra, initial encounter for open fracture |
| S12.600A | Unspecified displaced fracture of seventh cervical vertebra, initial encounter for closed fracture |
| S12.600B | Unspecified displaced fracture of seventh cervical vertebra, initial encounter for open fracture |
| S12.601A | Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture |
| S12.601B | Unspecified nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture |
| S12.630A | Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture |
| S12.630B | Unspecified traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture |
| S12.631A | Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture |
| S12.631B | Unspecified traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture |
| S12.64XA | Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture |
| S12.64XB | Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture |
| S12.650A | Other traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture |
| S12.650B | Other traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture |
| S12.651A | Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed fracture |
| S12.651B | Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for open fracture |
| S12.690A | Other displaced fracture of seventh cervical vertebra, initial encounter for closed fracture |
| S12.690B | Other displaced fracture of seventh cervical vertebra, initial encounter for open fracture |
| S12.691A | Other nondisplaced fracture of seventh cervical vertebra, initial encounter for closed fracture |
| S12.691B | Other nondisplaced fracture of seventh cervical vertebra, initial encounter for open fracture |
| S12.9XXA | Fracture of neck, unspecified, initial encounter |
| S22.000A | Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture |
| S22.000B | Wedge compression fracture of unspecified thoracic vertebra, initial encounter for open fracture |
| S22.001A | Stable burst fracture of unspecified thoracic vertebra, initial encounter for closed fracture |
| S22.001B | Stable burst fracture of unspecified thoracic vertebra, initial encounter for open fracture |
| S22.002A | Unstable burst fracture of unspecified thoracic vertebra, initial encounter for closed fracture |
| S22.002B | Unstable burst fracture of unspecified thoracic vertebra, initial encounter for open fracture |
| S22.008A | Other fracture of unspecified thoracic vertebra, initial encounter for closed fracture |
| S22.008B | Other fracture of unspecified thoracic vertebra, initial encounter for open fracture |
| S22.009A | Unspecified fracture of unspecified thoracic vertebra, initial encounter for closed fracture |
| S22.009B | Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fracture |
| S22.010A | Wedge compression fracture of first thoracic vertebra, initial encounter for closed fracture |
| S22.010B | Wedge compression fracture of first thoracic vertebra, initial encounter for open fracture |
| S22.011A | Stable burst fracture of first thoracic vertebra, initial encounter for closed fracture |
| S22.011B | Stable burst fracture of first thoracic vertebra, initial encounter for open fracture |
| S22.018A | Other fracture of first thoracic vertebra, initial encounter for closed fracture |
| S22.018B | Other fracture of first thoracic vertebra, initial encounter for open fracture |
| S22.019A | Unspecified fracture of first thoracic vertebra, initial encounter for closed fracture |
| S22.019B | Unspecified fracture of first thoracic vertebra, initial encounter for open fracture |
| S22.020A | Wedge compression fracture of second thoracic vertebra, initial encounter for closed fracture |
| S22.020B | Wedge compression fracture of second thoracic vertebra, initial encounter for open fracture |
| S22.021A | Stable burst fracture of second thoracic vertebra, initial encounter for closed fracture |
| S22.021B | Stable burst fracture of second thoracic vertebra, initial encounter for open fracture |
| S22.022A | Unstable burst fracture of second thoracic vertebra, initial encounter for closed fracture |
| S22.022B | Unstable burst fracture of second thoracic vertebra, initial encounter for open fracture |
| S22.028A | Other fracture of second thoracic vertebra, initial encounter for closed fracture |
| S22.028B | Other fracture of second thoracic vertebra, initial encounter for open fracture |
| S22.029A | Unspecified fracture of second thoracic vertebra, initial encounter for closed fracture |
| S22.029B | Unspecified fracture of second thoracic vertebra, initial encounter for open fracture |
| S22.030A | Wedge compression fracture of third thoracic vertebra, initial encounter for closed fracture |
| S22.030B | Wedge compression fracture of third thoracic vertebra, initial encounter for open fracture |
| S22.031A | Stable burst fracture of third thoracic vertebra, initial encounter for closed fracture |
| S22.031B | Stable burst fracture of third thoracic vertebra, initial encounter for open fracture |
| S22.032A | Unstable burst fracture of third thoracic vertebra, initial encounter for closed fracture |
| S22.032B | Unstable burst fracture of third thoracic vertebra, initial encounter for open fracture |
| S22.038A | Other fracture of third thoracic vertebra, initial encounter for closed fracture |
| S22.038B | Other fracture of third thoracic vertebra, initial encounter for open fracture |
| S22.039A | Unspecified fracture of third thoracic vertebra, initial encounter for closed fracture |
| S22.039B | Unspecified fracture of third thoracic vertebra, initial encounter for open fracture |
| S22.040A | Wedge compression fracture of fourth thoracic vertebra, initial encounter for closed fracture |
| S22.040B | Wedge compression fracture of fourth thoracic vertebra, initial encounter for open fracture |
| S22.041A | Stable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture |
| S22.041B | Stable burst fracture of fourth thoracic vertebra, initial encounter for open fracture |
| S22.042A | Unstable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture |
| S22.042B | Unstable burst fracture of fourth thoracic vertebra, initial encounter for open fracture |
| S22.048A | Other fracture of fourth thoracic vertebra, initial encounter for closed fracture |
| S22.048B | Other fracture of fourth thoracic vertebra, initial encounter for open fracture |
| S22.049A | Unspecified fracture of fourth thoracic vertebra, initial encounter for closed fracture |
| S22.049B | Unspecified fracture of fourth thoracic vertebra, initial encounter for open fracture |
| S22.050A | Wedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture |
| S22.050B | Wedge compression fracture of T5-T6 vertebra, initial encounter for open fracture |
| S22.051A | Stable burst fracture of T5-T6 vertebra, initial encounter for closed fracture |
| S22.051B | Stable burst fracture of T5-T6 vertebra, initial encounter for open fracture |
| S22.052A | Unstable burst fracture of T5-T6 vertebra, initial encounter for closed fracture |
| S22.052B | Unstable burst fracture of T5-T6 vertebra, initial encounter for open fracture |
| S22.058A | Other fracture of T5-T6 vertebra, initial encounter for closed fracture |
| S22.058B | Other fracture of T5-T6 vertebra, initial encounter for open fracture |
| S22.059A | Unspecified fracture of T5-T6 vertebra, initial encounter for closed fracture |
| S22.059B | Unspecified fracture of T5-T6 vertebra, initial encounter for open fracture |
| S22.060A | Wedge compression fracture of T7-T8 vertebra, initial encounter for closed fracture |
| S22.060B | Wedge compression fracture of T7-T8 vertebra, initial encounter for open fracture |
| S22.061A | Stable burst fracture of T7-T8 vertebra, initial encounter for closed fracture |
| S22.061B | Stable burst fracture of T7-T8 vertebra, initial encounter for open fracture |
| S22.062A | Unstable burst fracture of T7-T8 vertebra, initial encounter for closed fracture |
| S22.062B | Unstable burst fracture of T7-T8 vertebra, initial encounter for open fracture |
| S22.068A | Other fracture of T7-T8 thoracic vertebra, initial encounter for closed fracture |
| S22.068B | Other fracture of T7-T8 thoracic vertebra, initial encounter for open fracture |
| S22.069A | Unspecified fracture of T7-T8 vertebra, initial encounter for closed fracture |
| S22.069B | Unspecified fracture of T7-T8 vertebra, initial encounter for open fracture |
| S22.070A | Wedge compression fracture of T9-T10 vertebra, initial encounter for closed fracture |
| S22.070B | Wedge compression fracture of T9-T10 vertebra, initial encounter for open fracture |
| S22.071A | Stable burst fracture of T9-T10 vertebra, initial encounter for closed fracture |
| S22.071B | Stable burst fracture of T9-T10 vertebra, initial encounter for open fracture |
| S22.072A | Unstable burst fracture of T9-T10 vertebra, initial encounter for closed fracture |
| S22.072B | Unstable burst fracture of T9-T10 vertebra, initial encounter for open fracture |
| S22.078A | Other fracture of T9-T10 vertebra, initial encounter for closed fracture |
| S22.078B | Other fracture of T9-T10 vertebra, initial encounter for open fracture |
| S22.079A | Unspecified fracture of T9-T10 vertebra, initial encounter for closed fracture |
| S22.079B | Unspecified fracture of T9-T10 vertebra, initial encounter for open fracture |
| S22.080A | Wedge compression fracture of T11-T12 vertebra, initial encounter for closed fracture |
| S22.080B | Wedge compression fracture of T11-T12 vertebra, initial encounter for open fracture |
| S22.081A | Stable burst fracture of T11-T12 vertebra, initial encounter for closed fracture |
| S22.081B | Stable burst fracture of T11-T12 vertebra, initial encounter for open fracture |
| S22.082A | Unstable burst fracture of T11-T12 vertebra, initial encounter for closed fracture |
| S22.082B | Unstable burst fracture of T11-T12 vertebra, initial encounter for open fracture |
| S22.088A | Other fracture of T11-T12 vertebra, initial encounter for closed fracture |
| S22.088B | Other fracture of T11-T12 vertebra, initial encounter for open fracture |
| S22.089A | Unspecified fracture of T11-T12 vertebra, initial encounter for closed fracture |
| S22.089B | Unspecified fracture of T11-T12 vertebra, initial encounter for open fracture |
| S32.000A | Wedge compression fracture of unspecified lumbar vertebra, initial encounter for closed fracture |
| S32.000B | Wedge compression fracture of unspecified lumbar vertebra, initial encounter for open fracture |
| S32.001A | Stable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture |
| S32.001B | Stable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture |
| S32.002A | Unstable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture |
| S32.002B | Unstable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture |
| S32.008A | Other fracture of unspecified lumbar vertebra, initial encounter for closed fracture |
| S32.008B | Other fracture of unspecified lumbar vertebra, initial encounter for open fracture |
| S32.009A | Unspecified fracture of unspecified lumbar vertebra, initial encounter for closed fracture |
| S32.009B | Unspecified fracture of unspecified lumbar vertebra, initial encounter for open fracture |
| S32.010A | Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.010B | Wedge compression fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.011A | Stable burst fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.011B | Stable burst fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.012A | Unstable burst fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.012B | Unstable burst fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.018A | Other fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.018B | Other fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.019A | Unspecified fracture of first lumbar vertebra, initial encounter for closed fracture |
| S32.019B | Unspecified fracture of first lumbar vertebra, initial encounter for open fracture |
| S32.020A | Wedge compression fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.020B | Wedge compression fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.021A | Stable burst fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.021B | Stable burst fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.022A | Unstable burst fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.022B | Unstable burst fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.028A | Other fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.028B | Other fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.029A | Unspecified fracture of second lumbar vertebra, initial encounter for closed fracture |
| S32.029B | Unspecified fracture of second lumbar vertebra, initial encounter for open fracture |
| S32.030A | Wedge compression fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.030B | Wedge compression fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.031A | Stable burst fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.031B | Stable burst fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.032A | Unstable burst fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.032B | Unstable burst fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.038A | Other fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.038B | Other fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.039A | Unspecified fracture of third lumbar vertebra, initial encounter for closed fracture |
| S32.039B | Unspecified fracture of third lumbar vertebra, initial encounter for open fracture |
| S32.040A | Wedge compression fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.040B | Wedge compression fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.041A | Stable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.041B | Stable burst fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.042A | Unstable burst fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.042B | Unstable burst fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.048A | Other fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.048B | Other fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.049A | Unspecified fracture of fourth lumbar vertebra, initial encounter for closed fracture |
| S32.049B | Unspecified fracture of fourth lumbar vertebra, initial encounter for open fracture |
| S32.050A | Wedge compression fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.050B | Wedge compression fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.051A | Stable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.051B | Stable burst fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.052A | Unstable burst fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.052B | Unstable burst fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.058A | Other fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.058B | Other fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.059A | Unspecified fracture of fifth lumbar vertebra, initial encounter for closed fracture |
| S32.059B | Unspecified fracture of fifth lumbar vertebra, initial encounter for open fracture |
| S32.10XA | Unspecified fracture of sacrum, initial encounter for closed fracture |
| S32.10XB | Unspecified fracture of sacrum, initial encounter for open fracture |
| S32.110A | Nondisplaced Zone I fracture of sacrum, initial encounter for closed fracture |
| S32.110B | Nondisplaced Zone I fracture of sacrum, initial encounter for open fracture |
| S32.111A | Minimally displaced Zone I fracture of sacrum, initial encounter for closed fracture |
| S32.111B | Minimally displaced Zone I fracture of sacrum, initial encounter for open fracture |
| S32.112A | Severely displaced Zone I fracture of sacrum, initial encounter for closed fracture |
| S32.112B | Severely displaced Zone I fracture of sacrum, initial encounter for open fracture |
| S32.119A | Unspecified Zone I fracture of sacrum, initial encounter for closed fracture |
| S32.119B | Unspecified Zone I fracture of sacrum, initial encounter for open fracture |
| S32.120A | Nondisplaced Zone II fracture of sacrum, initial encounter for closed fracture |
| S32.120B | Nondisplaced Zone II fracture of sacrum, initial encounter for open fracture |
| S32.121A | Minimally displaced Zone II fracture of sacrum, initial encounter for closed fracture |
| S32.121B | Minimally displaced Zone II fracture of sacrum, initial encounter for open fracture |
| S32.122A | Severely displaced Zone II fracture of sacrum, initial encounter for closed fracture |
| S32.122B | Severely displaced Zone II fracture of sacrum, initial encounter for open fracture |
| S32.129A | Unspecified Zone II fracture of sacrum, initial encounter for closed fracture |
| S32.129B | Unspecified Zone II fracture of sacrum, initial encounter for open fracture |
| S32.130A | Nondisplaced Zone III fracture of sacrum, initial encounter for closed fracture |
| S32.130B | Nondisplaced Zone III fracture of sacrum, initial encounter for open fracture |
| S32.131A | Minimally displaced Zone III fracture of sacrum, initial encounter for closed fracture |
| S32.131B | Minimally displaced Zone III fracture of sacrum, initial encounter for open fracture |
| S32.139A | Unspecified Zone III fracture of sacrum, initial encounter for closed fracture |
Showing the first 400 of 429 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 78351?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 429 ICD-10 diagnosis codes that support medical necessity for CPT 78351. 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 78351 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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