CPT 80352: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 80352 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 80352 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 |
|---|---|
| E87.20 | Acidosis, unspecified |
| E87.21 | Acute metabolic acidosis |
| E87.22 | Chronic metabolic acidosis |
| E87.29 | Other acidosis |
| F11.11 | Opioid abuse, in remission |
| F11.120 | Opioid abuse with intoxication, uncomplicated |
| F11.13 | Opioid abuse with withdrawal |
| F11.20 | Opioid dependence, uncomplicated |
| F11.220 | Opioid dependence with intoxication, uncomplicated |
| F11.221 | Opioid dependence with intoxication delirium |
| F11.222 | Opioid dependence with intoxication with perceptual disturbance |
| F11.229 | Opioid dependence with intoxication, unspecified |
| F11.23 | Opioid dependence with withdrawal |
| F11.24 | Opioid dependence with opioid-induced mood disorder |
| F11.250 | Opioid dependence with opioid-induced psychotic disorder with delusions |
| F11.251 | Opioid dependence with opioid-induced psychotic disorder with hallucinations |
| F11.259 | Opioid dependence with opioid-induced psychotic disorder, unspecified |
| F11.281 | Opioid dependence with opioid-induced sexual dysfunction |
| F11.282 | Opioid dependence with opioid-induced sleep disorder |
| F11.288 | Opioid dependence with other opioid-induced disorder |
| F11.29 | Opioid dependence with unspecified opioid-induced disorder |
| F12.10 | Cannabis abuse, uncomplicated |
| F12.11 | Cannabis abuse, in remission |
| F12.13 | Cannabis abuse with withdrawal |
| F12.20 | Cannabis dependence, uncomplicated |
| F12.21 | Cannabis dependence, in remission |
| F12.23 | Cannabis dependence with withdrawal |
| F12.93 | Cannabis use, unspecified with withdrawal |
| F13.10 | Sedative, hypnotic or anxiolytic abuse, uncomplicated |
| F13.11 | Sedative, hypnotic or anxiolytic abuse, in remission |
| F13.130 | Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated |
| F13.131 | Sedative, hypnotic or anxiolytic abuse with withdrawal delirium |
| F13.132 | Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance |
| F13.20 | Sedative, hypnotic or anxiolytic dependence, uncomplicated |
| F13.21 | Sedative, hypnotic or anxiolytic dependence, in remission |
| F14.10 | Cocaine abuse, uncomplicated |
| F14.11 | Cocaine abuse, in remission |
| F14.120 | Cocaine abuse with intoxication, uncomplicated |
| F14.13 | Cocaine abuse, unspecified with withdrawal |
| F14.20 | Cocaine dependence, uncomplicated |
| F14.21 | Cocaine dependence, in remission |
| F14.93 | Cocaine use, unspecified with withdrawal |
| F15.10 | Other stimulant abuse, uncomplicated |
| F15.11 | Other stimulant abuse, in remission |
| F15.13 | Other stimulant abuse with withdrawal |
| F15.20 | Other stimulant dependence, uncomplicated |
| F15.21 | Other stimulant dependence, in remission |
| F16.11 | Hallucinogen abuse, in remission |
| F17.210 | Nicotine dependence, cigarettes, uncomplicated |
| F18.10 | Inhalant abuse, uncomplicated |
| F18.11 | Inhalant abuse, in remission |
| F18.120 | Inhalant abuse with intoxication, uncomplicated |
| F18.90 | Inhalant use, unspecified, uncomplicated |
| F19.10 | Other psychoactive substance abuse, uncomplicated |
| F19.11 | Other psychoactive substance abuse, in remission |
| F19.130 | Other psychoactive substance abuse with withdrawal, uncomplicated |
| F19.131 | Other psychoactive substance abuse with withdrawal delirium |
| F19.132 | Other psychoactive substance abuse with withdrawal with perceptual disturbance |
| F19.20 | Other psychoactive substance dependence, uncomplicated |
| F19.21 | Other psychoactive substance dependence, in remission |
| F20.0 | Paranoid schizophrenia |
| F20.1 | Disorganized schizophrenia |
| F20.2 | Catatonic schizophrenia |
| F20.89 | Other schizophrenia |
| F45.42 | Pain disorder with related psychological factors |
| F55.0 | Abuse of antacids |
| F55.1 | Abuse of herbal or folk remedies |
| F55.2 | Abuse of laxatives |
| F55.3 | Abuse of steroids or hormones |
| F55.4 | Abuse of vitamins |
| F55.8 | Abuse of other non-psychoactive substances |
| G40.301 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| G40.309 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| G40.311 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus |
| G40.319 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus |
| G40.401 | Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| G40.409 | Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| G40.411 | Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus |
| G40.419 | Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus |
| G40.901 | Epilepsy, unspecified, not intractable, with status epilepticus |
| G40.909 | Epilepsy, unspecified, not intractable, without status epilepticus |
| G40.911 | Epilepsy, unspecified, intractable, with status epilepticus |
| G40.919 | Epilepsy, unspecified, intractable, without status epilepticus |
| G89.29 | Other chronic pain |
| G89.4 | Chronic pain syndrome |
| I44.0 | Atrioventricular block, first degree |
| I44.1 | Atrioventricular block, second degree |
| I44.30 | Unspecified atrioventricular block |
| I45.81 | Long QT syndrome |
| I47.0 | Re-entry ventricular arrhythmia |
| I47.10 | Supraventricular tachycardia, unspecified |
| I47.19 | Other supraventricular tachycardia |
| I47.20 | Ventricular tachycardia, unspecified |
| I47.21 | Torsades de pointes |
| I47.29 | Other ventricular tachycardia |
| I49.2 | Junctional premature depolarization |
| M25.511 | Pain in right shoulder |
| M25.512 | Pain in left shoulder |
| M25.521 | Pain in right elbow |
| M25.522 | Pain in left elbow |
| M25.531 | Pain in right wrist |
| M25.532 | Pain in left wrist |
| M25.541 | Pain in joints of right hand |
| M25.542 | Pain in joints of left hand |
| M25.551 | Pain in right hip |
| M25.552 | Pain in left hip |
| M25.561 | Pain in right knee |
| M25.562 | Pain in left knee |
| M25.571 | Pain in right ankle and joints of right foot |
| M25.572 | Pain in left ankle and joints of left foot |
| M25.59 | Pain in other specified joint |
| M47.21 | Other spondylosis with radiculopathy, occipito-atlanto-axial region |
| M47.22 | Other spondylosis with radiculopathy, cervical region |
| M47.23 | Other spondylosis with radiculopathy, cervicothoracic region |
| M47.26 | Other spondylosis with radiculopathy, lumbar region |
| M47.27 | Other spondylosis with radiculopathy, lumbosacral region |
| M47.28 | Other spondylosis with radiculopathy, sacral and sacrococcygeal region |
| M47.811 | Spondylosis without myelopathy or radiculopathy, occipito-atlanto-axial region |
| M47.812 | Spondylosis without myelopathy or radiculopathy, cervical region |
| M47.813 | Spondylosis without myelopathy or radiculopathy, cervicothoracic region |
| M47.816 | Spondylosis without myelopathy or radiculopathy, lumbar region |
| M47.817 | Spondylosis without myelopathy or radiculopathy, lumbosacral region |
| M47.818 | Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region |
| M47.891 | Other spondylosis, occipito-atlanto-axial region |
| M47.892 | Other spondylosis, cervical region |
| M47.893 | Other spondylosis, cervicothoracic region |
| M47.896 | Other spondylosis, lumbar region |
| M47.897 | Other spondylosis, lumbosacral region |
| M47.898 | Other spondylosis, sacral and sacrococcygeal region |
| M51.14 | Intervertebral disc disorders with radiculopathy, thoracic region |
| M51.15 | Intervertebral disc disorders with radiculopathy, thoracolumbar region |
| M51.16 | Intervertebral disc disorders with radiculopathy, lumbar region |
| M51.17 | Intervertebral disc disorders with radiculopathy, lumbosacral region |
| M51.369 | Other intervertebral disc degeneration, lumbar region without mention of lumbar back pain or lower extremity pain |
| M51.379 | Other intervertebral disc degeneration, lumbosacral region without mention of lumbar back pain or lower extremity pain |
| M54.14 | Radiculopathy, thoracic region |
| M54.15 | Radiculopathy, thoracolumbar region |
| M54.16 | Radiculopathy, lumbar region |
| M54.17 | Radiculopathy, lumbosacral region |
| M54.18 | Radiculopathy, sacral and sacrococcygeal region |
| M54.2 | Cervicalgia |
| M60.811 | Other myositis, right shoulder |
| M60.812 | Other myositis, left shoulder |
| M60.821 | Other myositis, right upper arm |
| M60.822 | Other myositis, left upper arm |
| M60.831 | Other myositis, right forearm |
| M60.832 | Other myositis, left forearm |
| M60.841 | Other myositis, right hand |
| M60.842 | Other myositis, left hand |
| M60.851 | Other myositis, right thigh |
| M60.852 | Other myositis, left thigh |
| M60.861 | Other myositis, right lower leg |
| M60.862 | Other myositis, left lower leg |
| M60.871 | Other myositis, right ankle and foot |
| M60.872 | Other myositis, left ankle and foot |
| M60.88 | Other myositis, other site |
| M60.89 | Other myositis, multiple sites |
| M60.9 | Myositis, unspecified |
| M79.10 | Myalgia, unspecified site |
| M79.11 | Myalgia of mastication muscle |
| M79.12 | Myalgia of auxiliary muscles, head and neck |
| M79.18 | Myalgia, other site |
| M79.2 | Neuralgia and neuritis, unspecified |
| M79.7 | Fibromyalgia |
| R40.0 | Somnolence |
| R40.1 | Stupor |
| R40.20 | Unspecified coma |
| R40.2110 | Coma scale, eyes open, never, unspecified time |
| R40.2111 | Coma scale, eyes open, never, in the field [EMT or ambulance] |
| R40.2112 | Coma scale, eyes open, never, at arrival to emergency department |
| R40.2113 | Coma scale, eyes open, never, at hospital admission |
| R40.2114 | Coma scale, eyes open, never, 24 hours or more after hospital admission |
| R40.2120 | Coma scale, eyes open, to pain, unspecified time |
| R40.2121 | Coma scale, eyes open, to pain, in the field [EMT or ambulance] |
| R40.2122 | Coma scale, eyes open, to pain, at arrival to emergency department |
| R40.2123 | Coma scale, eyes open, to pain, at hospital admission |
| R40.2124 | Coma scale, eyes open, to pain, 24 hours or more after hospital admission |
| R40.2210 | Coma scale, best verbal response, none, unspecified time |
| R40.2211 | Coma scale, best verbal response, none, in the field [EMT or ambulance] |
| R40.2212 | Coma scale, best verbal response, none, at arrival to emergency department |
| R40.2213 | Coma scale, best verbal response, none, at hospital admission |
| R40.2214 | Coma scale, best verbal response, none, 24 hours or more after hospital admission |
| R40.2220 | Coma scale, best verbal response, incomprehensible words, unspecified time |
| R40.2221 | Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance] |
| R40.2222 | Coma scale, best verbal response, incomprehensible words, at arrival to emergency department |
| R40.2223 | Coma scale, best verbal response, incomprehensible words, at hospital admission |
| R40.2224 | Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission |
| R40.2310 | Coma scale, best motor response, none, unspecified time |
| R40.2311 | Coma scale, best motor response, none, in the field [EMT or ambulance] |
| R40.2312 | Coma scale, best motor response, none, at arrival to emergency department |
| R40.2313 | Coma scale, best motor response, none, at hospital admission |
| R40.2314 | Coma scale, best motor response, none, 24 hours or more after hospital admission |
| R40.2320 | Coma scale, best motor response, extension, unspecified time |
| R40.2321 | Coma scale, best motor response, extension, in the field [EMT or ambulance] |
| R40.2322 | Coma scale, best motor response, extension, at arrival to emergency department |
| R40.2323 | Coma scale, best motor response, extension, at hospital admission |
| R40.2324 | Coma scale, best motor response, extension, 24 hours or more after hospital admission |
| R40.2340 | Coma scale, best motor response, flexion withdrawal, unspecified time |
| R40.2341 | Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance] |
| R40.2342 | Coma scale, best motor response, flexion withdrawal, at arrival to emergency department |
| R40.2343 | Coma scale, best motor response, flexion withdrawal, at hospital admission |
| R40.2344 | Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission |
| R40.2A | Nontraumatic coma due to underlying condition |
| R41.0 | Disorientation, unspecified |
| R41.82 | Altered mental status, unspecified |
| R41.85 | Anosognosia |
| R44.0 | Auditory hallucinations |
| R44.2 | Other hallucinations |
| R44.3 | Hallucinations, unspecified |
| R45.851 | Suicidal ideations |
| R56.9 | Unspecified convulsions |
| T14.91XA | Suicide attempt, initial encounter |
| T14.91XD | Suicide attempt, subsequent encounter |
| T14.91XS | Suicide attempt, sequela |
| T39.011A | Poisoning by aspirin, accidental (unintentional), initial encounter |
| T39.012A | Poisoning by aspirin, intentional self-harm, initial encounter |
| T39.013A | Poisoning by aspirin, assault, initial encounter |
| T39.014A | Poisoning by aspirin, undetermined, initial encounter |
| T39.091A | Poisoning by salicylates, accidental (unintentional), initial encounter |
| T39.092A | Poisoning by salicylates, intentional self-harm, initial encounter |
| T39.093A | Poisoning by salicylates, assault, initial encounter |
| T39.094A | Poisoning by salicylates, undetermined, initial encounter |
| T39.1X1A | Poisoning by 4-Aminophenol derivatives, accidental (unintentional), initial encounter |
| T39.1X2A | Poisoning by 4-Aminophenol derivatives, intentional self-harm, initial encounter |
| T39.1X3A | Poisoning by 4-Aminophenol derivatives, assault, initial encounter |
| T39.1X4A | Poisoning by 4-Aminophenol derivatives, undetermined, initial encounter |
| T39.2X1A | Poisoning by pyrazolone derivatives, accidental (unintentional), initial encounter |
| T39.2X2A | Poisoning by pyrazolone derivatives, intentional self-harm, initial encounter |
| T39.2X3A | Poisoning by pyrazolone derivatives, assault, initial encounter |
| T39.2X4A | Poisoning by pyrazolone derivatives, undetermined, initial encounter |
| T39.311A | Poisoning by propionic acid derivatives, accidental (unintentional), initial encounter |
| T39.312A | Poisoning by propionic acid derivatives, intentional self-harm, initial encounter |
| T39.313A | Poisoning by propionic acid derivatives, assault, initial encounter |
| T39.314A | Poisoning by propionic acid derivatives, undetermined, initial encounter |
| T39.391A | Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], accidental (unintentional), initial encounter |
| T39.392A | Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm, initial encounter |
| T39.393A | Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], assault, initial encounter |
| T39.394A | Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], undetermined, initial encounter |
| T40.0X1A | Poisoning by opium, accidental (unintentional), initial encounter |
| T40.0X2A | Poisoning by opium, intentional self-harm, initial encounter |
| T40.0X3A | Poisoning by opium, assault, initial encounter |
| T40.0X4A | Poisoning by opium, undetermined, initial encounter |
| T40.1X1A | Poisoning by heroin, accidental (unintentional), initial encounter |
| T40.1X2A | Poisoning by heroin, intentional self-harm, initial encounter |
| T40.1X3A | Poisoning by heroin, assault, initial encounter |
| T40.1X4A | Poisoning by heroin, undetermined, initial encounter |
| T40.2X1A | Poisoning by other opioids, accidental (unintentional), initial encounter |
| T40.2X2A | Poisoning by other opioids, intentional self-harm, initial encounter |
| T40.2X3A | Poisoning by other opioids, assault, initial encounter |
| T40.2X4A | Poisoning by other opioids, undetermined, initial encounter |
| T40.3X1A | Poisoning by methadone, accidental (unintentional), initial encounter |
| T40.3X2A | Poisoning by methadone, intentional self-harm, initial encounter |
| T40.3X3A | Poisoning by methadone, assault, initial encounter |
| T40.3X4A | Poisoning by methadone, undetermined, initial encounter |
| T40.411A | Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter |
| T40.412A | Poisoning by fentanyl or fentanyl analogs, intentional self-harm, initial encounter |
| T40.413A | Poisoning by fentanyl or fentanyl analogs, assault, initial encounter |
| T40.414A | Poisoning by fentanyl or fentanyl analogs, undetermined, initial encounter |
| T40.421A | Poisoning by tramadol, accidental (unintentional), initial encounter |
| T40.422A | Poisoning by tramadol, intentional self-harm, initial encounter |
| T40.423A | Poisoning by tramadol, assault, initial encounter |
| T40.424A | Poisoning by tramadol, undetermined, initial encounter |
| T40.491A | Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter |
| T40.492A | Poisoning by other synthetic narcotics, intentional self-harm, initial encounter |
| T40.493A | Poisoning by other synthetic narcotics, assault, initial encounter |
| T40.494A | Poisoning by other synthetic narcotics, undetermined, initial encounter |
| T40.5X1A | Poisoning by cocaine, accidental (unintentional), initial encounter |
| T40.5X2A | Poisoning by cocaine, intentional self-harm, initial encounter |
| T40.5X3A | Poisoning by cocaine, assault, initial encounter |
| T40.5X4A | Poisoning by cocaine, undetermined, initial encounter |
| T40.601A | Poisoning by unspecified narcotics, accidental (unintentional), initial encounter |
| T40.602A | Poisoning by unspecified narcotics, intentional self-harm, initial encounter |
| T40.603A | Poisoning by unspecified narcotics, assault, initial encounter |
| T40.604A | Poisoning by unspecified narcotics, undetermined, initial encounter |
| T40.691A | Poisoning by other narcotics, accidental (unintentional), initial encounter |
| T40.692A | Poisoning by other narcotics, intentional self-harm, initial encounter |
| T40.693A | Poisoning by other narcotics, assault, initial encounter |
| T40.694A | Poisoning by other narcotics, undetermined, initial encounter |
| T40.711A | Poisoning by cannabis, accidental (unintentional), initial encounter |
| T40.712A | Poisoning by cannabis, intentional self-harm, initial encounter |
| T40.713A | Poisoning by cannabis, assault, initial encounter |
| T40.714A | Poisoning by cannabis, undetermined, initial encounter |
| T40.721A | Poisoning by synthetic cannabinoids, accidental (unintentional), initial encounter |
| T40.722A | Poisoning by synthetic cannabinoids, intentional self-harm, initial encounter |
| T40.723A | Poisoning by synthetic cannabinoids, assault, initial encounter |
| T40.724A | Poisoning by synthetic cannabinoids, undetermined, initial encounter |
| T40.8X1A | Poisoning by lysergide [LSD], accidental (unintentional), initial encounter |
| T40.8X2A | Poisoning by lysergide [LSD], intentional self-harm, initial encounter |
| T40.8X3A | Poisoning by lysergide [LSD], assault, initial encounter |
| T40.8X4A | Poisoning by lysergide [LSD], undetermined, initial encounter |
| T40.901A | Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), initial encounter |
| T40.902A | Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, initial encounter |
| T40.903A | Poisoning by unspecified psychodysleptics [hallucinogens], assault, initial encounter |
| T40.904A | Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, initial encounter |
| T40.991A | Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), initial encounter |
| T40.992A | Poisoning by other psychodysleptics [hallucinogens], intentional self-harm, initial encounter |
| T40.993A | Poisoning by other psychodysleptics [hallucinogens], assault, initial encounter |
| T40.994A | Poisoning by other psychodysleptics [hallucinogens], undetermined, initial encounter |
| T42.0X1A | Poisoning by hydantoin derivatives, accidental (unintentional), initial encounter |
| T42.0X2A | Poisoning by hydantoin derivatives, intentional self-harm, initial encounter |
| T42.0X3A | Poisoning by hydantoin derivatives, assault, initial encounter |
| T42.0X4A | Poisoning by hydantoin derivatives, undetermined, initial encounter |
| T42.3X1A | Poisoning by barbiturates, accidental (unintentional), initial encounter |
| T42.3X2A | Poisoning by barbiturates, intentional self-harm, initial encounter |
| T42.3X3A | Poisoning by barbiturates, assault, initial encounter |
| T42.3X4A | Poisoning by barbiturates, undetermined, initial encounter |
| T42.4X1A | Poisoning by benzodiazepines, accidental (unintentional), initial encounter |
| T42.4X2A | Poisoning by benzodiazepines, intentional self-harm, initial encounter |
| T42.4X3A | Poisoning by benzodiazepines, assault, initial encounter |
| T42.4X4A | Poisoning by benzodiazepines, undetermined, initial encounter |
| T42.6X1A | Poisoning by other antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter |
| T42.6X2A | Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter |
| T42.6X3A | Poisoning by other antiepileptic and sedative-hypnotic drugs, assault, initial encounter |
| T42.6X4A | Poisoning by other antiepileptic and sedative-hypnotic drugs, undetermined, initial encounter |
| T42.71XA | Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, accidental (unintentional), initial encounter |
| T42.72XA | Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm, initial encounter |
| T42.73XA | Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, assault, initial encounter |
| T42.74XA | Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, initial encounter |
| T43.011A | Poisoning by tricyclic antidepressants, accidental (unintentional), initial encounter |
| T43.012A | Poisoning by tricyclic antidepressants, intentional self-harm, initial encounter |
| T43.013A | Poisoning by tricyclic antidepressants, assault, initial encounter |
| T43.014A | Poisoning by tricyclic antidepressants, undetermined, initial encounter |
| T43.021A | Poisoning by tetracyclic antidepressants, accidental (unintentional), initial encounter |
| T43.022A | Poisoning by tetracyclic antidepressants, intentional self-harm, initial encounter |
| T43.023A | Poisoning by tetracyclic antidepressants, assault, initial encounter |
| T43.024A | Poisoning by tetracyclic antidepressants, undetermined, initial encounter |
| T43.1X1A | Poisoning by monoamine-oxidase-inhibitor antidepressants, accidental (unintentional), initial encounter |
| T43.1X2A | Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm, initial encounter |
| T43.1X3A | Poisoning by monoamine-oxidase-inhibitor antidepressants, assault, initial encounter |
| T43.1X4A | Poisoning by monoamine-oxidase-inhibitor antidepressants, undetermined, initial encounter |
| T43.201A | Poisoning by unspecified antidepressants, accidental (unintentional), initial encounter |
| T43.202A | Poisoning by unspecified antidepressants, intentional self-harm, initial encounter |
| T43.203A | Poisoning by unspecified antidepressants, assault, initial encounter |
| T43.204A | Poisoning by unspecified antidepressants, undetermined, initial encounter |
| T43.211A | Poisoning by selective serotonin and norepinephrine reuptake inhibitors, accidental (unintentional), initial encounter |
| T43.212A | Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm, initial encounter |
| T43.213A | Poisoning by selective serotonin and norepinephrine reuptake inhibitors, assault, initial encounter |
| T43.214A | Poisoning by selective serotonin and norepinephrine reuptake inhibitors, undetermined, initial encounter |
| T43.221A | Poisoning by selective serotonin reuptake inhibitors, accidental (unintentional), initial encounter |
| T43.222A | Poisoning by selective serotonin reuptake inhibitors, intentional self-harm, initial encounter |
| T43.223A | Poisoning by selective serotonin reuptake inhibitors, assault, initial encounter |
| T43.224A | Poisoning by selective serotonin reuptake inhibitors, undetermined, initial encounter |
| T43.291A | Poisoning by other antidepressants, accidental (unintentional), initial encounter |
| T43.292A | Poisoning by other antidepressants, intentional self-harm, initial encounter |
| T43.293A | Poisoning by other antidepressants, assault, initial encounter |
| T43.294A | Poisoning by other antidepressants, undetermined, initial encounter |
| T43.3X1A | Poisoning by phenothiazine antipsychotics and neuroleptics, accidental (unintentional), initial encounter |
| T43.3X2A | Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm, initial encounter |
| T43.3X3A | Poisoning by phenothiazine antipsychotics and neuroleptics, assault, initial encounter |
| T43.3X4A | Poisoning by phenothiazine antipsychotics and neuroleptics, undetermined, initial encounter |
| T43.4X1A | Poisoning by butyrophenone and thiothixene neuroleptics, accidental (unintentional), initial encounter |
| T43.4X2A | Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm, initial encounter |
| T43.4X3A | Poisoning by butyrophenone and thiothixene neuroleptics, assault, initial encounter |
| T43.4X4A | Poisoning by butyrophenone and thiothixene neuroleptics, undetermined, initial encounter |
| T43.501A | Poisoning by unspecified antipsychotics and neuroleptics, accidental (unintentional), initial encounter |
| T43.502A | Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm, initial encounter |
| T43.503A | Poisoning by unspecified antipsychotics and neuroleptics, assault, initial encounter |
| T43.504A | Poisoning by unspecified antipsychotics and neuroleptics, undetermined, initial encounter |
| T43.591A | Poisoning by other antipsychotics and neuroleptics, accidental (unintentional), initial encounter |
| T43.592A | Poisoning by other antipsychotics and neuroleptics, intentional self-harm, initial encounter |
| T43.593A | Poisoning by other antipsychotics and neuroleptics, assault, initial encounter |
| T43.594A | Poisoning by other antipsychotics and neuroleptics, undetermined, initial encounter |
| T43.601A | Poisoning by unspecified psychostimulants, accidental (unintentional), initial encounter |
| T43.602A | Poisoning by unspecified psychostimulants, intentional self-harm, initial encounter |
| T43.603A | Poisoning by unspecified psychostimulants, assault, initial encounter |
| T43.604A | Poisoning by unspecified psychostimulants, undetermined, initial encounter |
| T43.611A | Poisoning by caffeine, accidental (unintentional), initial encounter |
| T43.612A | Poisoning by caffeine, intentional self-harm, initial encounter |
| T43.613A | Poisoning by caffeine, assault, initial encounter |
| T43.614A | Poisoning by caffeine, undetermined, initial encounter |
| T43.621A | Poisoning by amphetamines, accidental (unintentional), initial encounter |
| T43.622A | Poisoning by amphetamines, intentional self-harm, initial encounter |
| T43.623A | Poisoning by amphetamines, assault, initial encounter |
| T43.624A | Poisoning by amphetamines, undetermined, initial encounter |
| T43.631A | Poisoning by methylphenidate, accidental (unintentional), initial encounter |
| T43.632A | Poisoning by methylphenidate, intentional self-harm, initial encounter |
| T43.633A | Poisoning by methylphenidate, assault, initial encounter |
| T43.634A | Poisoning by methylphenidate, undetermined, initial encounter |
| T43.641A | Poisoning by ecstasy, accidental (unintentional), initial encounter |
| T43.642A | Poisoning by ecstasy, intentional self-harm, initial encounter |
| T43.643A | Poisoning by ecstasy, assault, initial encounter |
| T43.644A | Poisoning by ecstasy, undetermined, initial encounter |
| T43.691A | Poisoning by other psychostimulants, accidental (unintentional), initial encounter |
| T43.692A | Poisoning by other psychostimulants, intentional self-harm, initial encounter |
| T43.693A | Poisoning by other psychostimulants, assault, initial encounter |
| T43.694A | Poisoning by other psychostimulants, undetermined, initial encounter |
| T43.8X1A | Poisoning by other psychotropic drugs, accidental (unintentional), initial encounter |
| T43.8X2A | Poisoning by other psychotropic drugs, intentional self-harm, initial encounter |
| T43.8X3A | Poisoning by other psychotropic drugs, assault, initial encounter |
| T43.8X4A | Poisoning by other psychotropic drugs, undetermined, initial encounter |
| T43.91XA | Poisoning by unspecified psychotropic drug, accidental (unintentional), initial encounter |
| T43.92XA | Poisoning by unspecified psychotropic drug, intentional self-harm, initial encounter |
| T43.93XA | Poisoning by unspecified psychotropic drug, assault, initial encounter |
| T43.94XA | Poisoning by unspecified psychotropic drug, undetermined, initial encounter |
| T45.0X1A | Poisoning by antiallergic and antiemetic drugs, accidental (unintentional), initial encounter |
| T45.0X2A | Poisoning by antiallergic and antiemetic drugs, intentional self-harm, initial encounter |
| T45.0X3A | Poisoning by antiallergic and antiemetic drugs, assault, initial encounter |
| T45.0X4A | Poisoning by antiallergic and antiemetic drugs, undetermined, initial encounter |
| T46.0X1A | Poisoning by cardiac-stimulant glycosides and drugs of similar action, accidental (unintentional), initial encounter |
| T46.0X2A | Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm, initial encounter |
Showing the first 400 of 424 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 80352?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 424 ICD-10 diagnosis codes that support medical necessity for CPT 80352. 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 80352 view of that relationship.
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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