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ICD↔CPT crosswalk

CPT 78452: ICD-10 codes that support medical necessity

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

These ICD-10-CM diagnoses support medical necessity for CPT 78452 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 78452 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
A18.84Tuberculosis of heart
C58Malignant neoplasm of placenta
C81.10Nodular sclerosis Hodgkin lymphoma, unspecified site
C81.11Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.12Nodular sclerosis Hodgkin lymphoma, intrathoracic lymph nodes
C81.13Nodular sclerosis Hodgkin lymphoma, intra-abdominal lymph nodes
C81.14Nodular sclerosis Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.15Nodular sclerosis Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.16Nodular sclerosis Hodgkin lymphoma, intrapelvic lymph nodes
C81.17Nodular sclerosis Hodgkin lymphoma, spleen
C81.18Nodular sclerosis Hodgkin lymphoma, lymph nodes of multiple sites
C81.19Nodular sclerosis Hodgkin lymphoma, extranodal and solid organ sites
C81.20Mixed cellularity Hodgkin lymphoma, unspecified site
C81.21Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.22Mixed cellularity Hodgkin lymphoma, intrathoracic lymph nodes
C81.23Mixed cellularity Hodgkin lymphoma, intra-abdominal lymph nodes
C81.24Mixed cellularity Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.25Mixed cellularity Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.26Mixed cellularity Hodgkin lymphoma, intrapelvic lymph nodes
C81.27Mixed cellularity Hodgkin lymphoma, spleen
C81.28Mixed cellularity Hodgkin lymphoma, lymph nodes of multiple sites
C81.29Mixed cellularity Hodgkin lymphoma, extranodal and solid organ sites
C81.30Lymphocyte depleted Hodgkin lymphoma, unspecified site
C81.31Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.32Lymphocyte depleted Hodgkin lymphoma, intrathoracic lymph nodes
C81.33Lymphocyte depleted Hodgkin lymphoma, intra-abdominal lymph nodes
C81.34Lymphocyte depleted Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.35Lymphocyte depleted Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.36Lymphocyte depleted Hodgkin lymphoma, intrapelvic lymph nodes
C81.37Lymphocyte depleted Hodgkin lymphoma, spleen
C81.38Lymphocyte depleted Hodgkin lymphoma, lymph nodes of multiple sites
C81.39Lymphocyte depleted Hodgkin lymphoma, extranodal and solid organ sites
C81.40Lymphocyte-rich Hodgkin lymphoma, unspecified site
C81.41Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.42Lymphocyte-rich Hodgkin lymphoma, intrathoracic lymph nodes
C81.43Lymphocyte-rich Hodgkin lymphoma, intra-abdominal lymph nodes
C81.44Lymphocyte-rich Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.45Lymphocyte-rich Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.46Lymphocyte-rich Hodgkin lymphoma, intrapelvic lymph nodes
C81.47Lymphocyte-rich Hodgkin lymphoma, spleen
C81.48Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites
C81.49Lymphocyte-rich Hodgkin lymphoma, extranodal and solid organ sites
C81.70Other Hodgkin lymphoma, unspecified site
C81.71Other Hodgkin lymphoma, lymph nodes of head, face, and neck
C81.72Other Hodgkin lymphoma, intrathoracic lymph nodes
C81.73Other Hodgkin lymphoma, intra-abdominal lymph nodes
C81.74Other Hodgkin lymphoma, lymph nodes of axilla and upper limb
C81.75Other Hodgkin lymphoma, lymph nodes of inguinal region and lower limb
C81.76Other Hodgkin lymphoma, intrapelvic lymph nodes
C81.77Other Hodgkin lymphoma, spleen
C81.78Other Hodgkin lymphoma, lymph nodes of multiple sites
C81.79Other Hodgkin lymphoma, extranodal and solid organ sites
D86.0Sarcoidosis of lung
D86.1Sarcoidosis of lymph nodes
D86.2Sarcoidosis of lung with sarcoidosis of lymph nodes
D86.3Sarcoidosis of skin
D86.81Sarcoid meningitis
D86.82Multiple cranial nerve palsies in sarcoidosis
D86.83Sarcoid iridocyclitis
D86.84Sarcoid pyelonephritis
D86.85Sarcoid myocarditis
D86.86Sarcoid arthropathy
D86.87Sarcoid myositis
D86.89Sarcoidosis of other sites
E10.21Type 1 diabetes mellitus with diabetic nephropathy
E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
E10.29Type 1 diabetes mellitus with other diabetic kidney complication
E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication
E10.40Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.43Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44Type 1 diabetes mellitus with diabetic amyotrophy
E10.49Type 1 diabetes mellitus with other diabetic neurological complication
E10.51Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59Type 1 diabetes mellitus with other circulatory complications
E10.610Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E11.21Type 2 diabetes mellitus with diabetic nephropathy
E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29Type 2 diabetes mellitus with other diabetic kidney complication
E11.311Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44Type 2 diabetes mellitus with diabetic amyotrophy
E11.49Type 2 diabetes mellitus with other diabetic neurological complication
E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59Type 2 diabetes mellitus with other circulatory complications
E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.21Other specified diabetes mellitus with diabetic nephropathy
E13.22Other specified diabetes mellitus with diabetic chronic kidney disease
E13.29Other specified diabetes mellitus with other diabetic kidney complication
E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
E13.40Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41Other specified diabetes mellitus with diabetic mononeuropathy
E13.42Other specified diabetes mellitus with diabetic polyneuropathy
E13.43Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44Other specified diabetes mellitus with diabetic amyotrophy
E13.49Other specified diabetes mellitus with other diabetic neurological complication
E13.51Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59Other specified diabetes mellitus with other circulatory complications
E13.610Other specified diabetes mellitus with diabetic neuropathic arthropathy
G45.0Vertebro-basilar artery syndrome
G45.1Carotid artery syndrome (hemispheric)
G45.2Multiple and bilateral precerebral artery syndromes
G45.8Other transient cerebral ischemic attacks and related syndromes
G45.9Transient cerebral ischemic attack, unspecified
G46.0Middle cerebral artery syndrome
G46.1Anterior cerebral artery syndrome
G46.2Posterior cerebral artery syndrome
I05.0Rheumatic mitral stenosis
I05.1Rheumatic mitral insufficiency
I05.2Rheumatic mitral stenosis with insufficiency
I05.8Other rheumatic mitral valve diseases
I06.0Rheumatic aortic stenosis
I06.1Rheumatic aortic insufficiency
I06.2Rheumatic aortic stenosis with insufficiency
I06.8Other rheumatic aortic valve diseases
I06.9Rheumatic aortic valve disease, unspecified
I07.0Rheumatic tricuspid stenosis
I07.1Rheumatic tricuspid insufficiency
I07.2Rheumatic tricuspid stenosis and insufficiency
I07.8Other rheumatic tricuspid valve diseases
I07.9Rheumatic tricuspid valve disease, unspecified
I08.0Rheumatic disorders of both mitral and aortic valves
I08.1Rheumatic disorders of both mitral and tricuspid valves
I08.2Rheumatic disorders of both aortic and tricuspid valves
I08.3Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8Other rheumatic multiple valve diseases
I08.9Rheumatic multiple valve disease, unspecified
I09.0Rheumatic myocarditis
I09.1Rheumatic diseases of endocardium, valve unspecified
I09.81Rheumatic heart failure
I09.89Other specified rheumatic heart diseases
I09.9Rheumatic heart disease, unspecified
I11.0Hypertensive heart disease with heart failure
I11.9Hypertensive heart disease without heart failure
I12.0Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I20.0Unstable angina
I20.1Angina pectoris with documented spasm
I20.2Refractory angina pectoris
I20.81Angina pectoris with coronary microvascular dysfunction
I20.89Other forms of angina pectoris
I20.9Angina pectoris, unspecified
I21.01ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29ST elevation (STEMI) myocardial infarction involving other sites
I21.3ST elevation (STEMI) myocardial infarction of unspecified site
I21.4Non-ST elevation (NSTEMI) myocardial infarction
I21.9Acute myocardial infarction, unspecified
I21.A1Myocardial infarction type 2
I21.A9Other myocardial infarction type
I21.BMyocardial infarction with coronary microvascular dysfunction
I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I23.0Hemopericardium as current complication following acute myocardial infarction
I23.1Atrial septal defect as current complication following acute myocardial infarction
I23.2Ventricular septal defect as current complication following acute myocardial infarction
I23.3Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
I23.4Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5Rupture of papillary muscle as current complication following acute myocardial infarction
I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
I23.7Postinfarction angina
I23.8Other current complications following acute myocardial infarction
I24.0Acute coronary thrombosis not resulting in myocardial infarction
I24.1Dressler's syndrome
I24.81Acute coronary microvascular dysfunction
I24.89Other forms of acute ischemic heart disease
I24.9Acute ischemic heart disease, unspecified
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.112Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I25.2Old myocardial infarction
I25.3Aneurysm of heart
I25.41Coronary artery aneurysm
I25.42Coronary artery dissection
I25.5Ischemic cardiomyopathy
I25.6Silent myocardial ischemia
I25.700Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.701Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.702Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
I25.708Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.709Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
I25.710Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.711Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.712Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
I25.718Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.719Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
I25.720Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.722Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
I25.728Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.729Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
I25.730Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.731Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.732Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
I25.738Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.739Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
I25.750Atherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.751Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.752Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
I25.758Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.759Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris
I25.760Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.761Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.762Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
I25.768Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.769Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
I25.790Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.792Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
I25.798Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.799Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
I25.810Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.812Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
I25.82Chronic total occlusion of coronary artery
I25.83Coronary atherosclerosis due to lipid rich plaque
I25.84Coronary atherosclerosis due to calcified coronary lesion
I25.85Chronic coronary microvascular dysfunction
I25.89Other forms of chronic ischemic heart disease
I25.9Chronic ischemic heart disease, unspecified
I26.01Septic pulmonary embolism with acute cor pulmonale
I26.02Saddle embolus of pulmonary artery with acute cor pulmonale
I26.03Cement embolism of pulmonary artery with acute cor pulmonale
I26.04Fat embolism of pulmonary artery with acute cor pulmonale
I26.09Other pulmonary embolism with acute cor pulmonale
I26.93Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale
I26.94Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale
I26.95Cement embolism of pulmonary artery without acute cor pulmonale
I26.96Fat embolism of pulmonary artery without acute cor pulmonale
I27.0Primary pulmonary hypertension
I27.20Pulmonary hypertension, unspecified
I27.21Secondary pulmonary arterial hypertension
I27.22Pulmonary hypertension due to left heart disease
I27.23Pulmonary hypertension due to lung diseases and hypoxia
I27.24Chronic thromboembolic pulmonary hypertension
I27.29Other secondary pulmonary hypertension
I27.81Cor pulmonale (chronic)
I27.82Chronic pulmonary embolism
I27.83Eisenmenger's syndrome
I27.840Fontan-associated liver disease [FALD]
I27.841Fontan-associated lymphatic dysfunction
I27.848Other Fontan-associated condition
I27.849Fontan related circulation, unspecified
I27.89Other specified pulmonary heart diseases
I27.9Pulmonary heart disease, unspecified
I34.0Nonrheumatic mitral (valve) insufficiency
I34.1Nonrheumatic mitral (valve) prolapse
I34.2Nonrheumatic mitral (valve) stenosis
I34.81Nonrheumatic mitral (valve) annulus calcification
I34.89Other nonrheumatic mitral valve disorders
I34.9Nonrheumatic mitral valve disorder, unspecified
I35.0Nonrheumatic aortic (valve) stenosis
I35.1Nonrheumatic aortic (valve) insufficiency
I35.2Nonrheumatic aortic (valve) stenosis with insufficiency
I35.8Other nonrheumatic aortic valve disorders
I35.9Nonrheumatic aortic valve disorder, unspecified
I36.0Nonrheumatic tricuspid (valve) stenosis
I36.1Nonrheumatic tricuspid (valve) insufficiency
I36.2Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8Other nonrheumatic tricuspid valve disorders
I36.9Nonrheumatic tricuspid valve disorder, unspecified
I37.0Nonrheumatic pulmonary valve stenosis
I37.1Nonrheumatic pulmonary valve insufficiency
I37.2Nonrheumatic pulmonary valve stenosis with insufficiency
I37.8Other nonrheumatic pulmonary valve disorders
I37.9Nonrheumatic pulmonary valve disorder, unspecified
I38Endocarditis, valve unspecified
I39Endocarditis and heart valve disorders in diseases classified elsewhere
I42.0Dilated cardiomyopathy
I42.00Dilated cardiomyopathy, unspecified
I42.01Familial-genetic dilated cardiomyopathy
I42.09Other dilated cardiomyopathy
I42.1Obstructive hypertrophic cardiomyopathy
I42.2Other hypertrophic cardiomyopathy
I42.3Endomyocardial (eosinophilic) disease
I42.4Endocardial fibroelastosis
I42.5Other restrictive cardiomyopathy
I42.6Alcoholic cardiomyopathy
I42.7Cardiomyopathy due to drug and external agent
I42.8Other cardiomyopathies
I42.81Arrhythmogenic cardiomyopathy
I42.89Other cardiomyopathies not elsewhere classified
I42.9Cardiomyopathy, unspecified
I43Cardiomyopathy in diseases classified elsewhere
I44.0Atrioventricular block, first degree
I44.30Unspecified atrioventricular block
I44.39Other atrioventricular block
I44.4Left anterior fascicular block
I44.5Left posterior fascicular block
I44.60Unspecified fascicular block
I44.69Other fascicular block
I44.7Left bundle-branch block, unspecified
I45.0Right fascicular block
I45.10Unspecified right bundle-branch block
I45.19Other right bundle-branch block
I45.2Bifascicular block
I45.3Trifascicular block
I45.4Nonspecific intraventricular block
I45.5Other specified heart block
I45.6Pre-excitation syndrome
I46.2Cardiac arrest due to underlying cardiac condition
I46.8Cardiac arrest due to other underlying condition
I46.9Cardiac arrest, cause unspecified
I47.0Re-entry ventricular arrhythmia
I47.10Supraventricular tachycardia, unspecified
I47.11Inappropriate sinus tachycardia, so stated
I47.19Other supraventricular tachycardia
I47.20Ventricular tachycardia, unspecified
I47.21Torsades de pointes
I47.29Other ventricular tachycardia
I47.9Paroxysmal tachycardia, unspecified
I48.0Paroxysmal atrial fibrillation
I48.11Longstanding persistent atrial fibrillation
I48.19Other persistent atrial fibrillation
I48.20Chronic atrial fibrillation, unspecified
I48.21Permanent atrial fibrillation
I48.3Typical atrial flutter
I48.4Atypical atrial flutter
I48.91Unspecified atrial fibrillation
I48.92Unspecified atrial flutter
I49.01Ventricular fibrillation
I49.02Ventricular flutter
I49.1Atrial premature depolarization
I49.2Junctional premature depolarization
I49.3Ventricular premature depolarization
I49.40Unspecified premature depolarization
I49.49Other premature depolarization
I49.5Sick sinus syndrome
I49.8Other specified cardiac arrhythmias
I49.81Brugada syndrome
I49.82Ventricular bigeminy
I49.89Other specified cardiac arrhythmias not elsewhere classified
I49.9Cardiac arrhythmia, unspecified
I50.1Left ventricular failure, unspecified
I50.20Unspecified systolic (congestive) heart failure
I50.21Acute systolic (congestive) heart failure
I50.22Chronic systolic (congestive) heart failure
I50.23Acute on chronic systolic (congestive) heart failure
I50.30Unspecified diastolic (congestive) heart failure
I50.31Acute diastolic (congestive) heart failure
I50.32Chronic diastolic (congestive) heart failure
I50.33Acute on chronic diastolic (congestive) heart failure
I50.40Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.810Right heart failure, unspecified
I50.811Acute right heart failure
I50.812Chronic right heart failure
I50.813Acute on chronic right heart failure
I50.814Right heart failure due to left heart failure
I50.82Biventricular heart failure
I50.83High output heart failure
I50.84End stage heart failure
I50.89Other heart failure
I50.9Heart failure, unspecified
I51.0Cardiac septal defect, acquired
I51.1Rupture of chordae tendineae, not elsewhere classified
I51.2Rupture of papillary muscle, not elsewhere classified
I51.3Intracardiac thrombosis, not elsewhere classified
I51.4Myocarditis, unspecified
I51.5Myocardial degeneration
I51.7Cardiomegaly
I51.81Takotsubo syndrome
I51.89Other ill-defined heart diseases
I63.031Cerebral infarction due to thrombosis of right carotid artery
I63.032Cerebral infarction due to thrombosis of left carotid artery
I63.131Cerebral infarction due to embolism of right carotid artery
I63.132Cerebral infarction due to embolism of left carotid artery
I63.231Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.311Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312Cerebral infarction due to thrombosis of left middle cerebral artery
I63.321Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.331Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.341Cerebral infarction due to thrombosis of right cerebellar artery
I63.342Cerebral infarction due to thrombosis of left cerebellar artery

Showing the first 400 of 825 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 78452?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 825 ICD-10 diagnosis codes that support medical necessity for CPT 78452. 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 78452 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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