CPT 90702: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 90702 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 90702 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 |
|---|---|
| A36.0 | Pharyngeal diphtheria |
| A36.1 | Nasopharyngeal diphtheria |
| A36.2 | Laryngeal diphtheria |
| A36.3 | Cutaneous diphtheria |
| A36.81 | Diphtheritic cardiomyopathy |
| A36.82 | Diphtheritic radiculomyelitis |
| A36.83 | Diphtheritic polyneuritis |
| A36.84 | Diphtheritic tubulo-interstitial nephropathy |
| A36.85 | Diphtheritic cystitis |
| A36.86 | Diphtheritic conjunctivitis |
| A36.89 | Other diphtheritic complications |
| A36.9 | Diphtheria, unspecified |
| A82.0 | Sylvatic rabies |
| A82.1 | Urban rabies |
| A82.9 | Rabies, unspecified |
| S00.01XA | Abrasion of scalp, initial encounter |
| S00.02XA | Blister (nonthermal) of scalp, initial encounter |
| S00.04XA | External constriction of part of scalp, initial encounter |
| S00.05XA | Superficial foreign body of scalp, initial encounter |
| S00.06XA | Insect bite (nonvenomous) of scalp, initial encounter |
| S00.07XA | Other superficial bite of scalp, initial encounter |
| S00.201A | Unspecified superficial injury of right eyelid and periocular area, initial encounter |
| S00.202A | Unspecified superficial injury of left eyelid and periocular area, initial encounter |
| S00.211A | Abrasion of right eyelid and periocular area, initial encounter |
| S00.212A | Abrasion of left eyelid and periocular area, initial encounter |
| S00.221A | Blister (nonthermal) of right eyelid and periocular area, initial encounter |
| S00.222A | Blister (nonthermal) of left eyelid and periocular area, initial encounter |
| S00.241A | External constriction of right eyelid and periocular area, initial encounter |
| S00.242A | External constriction of left eyelid and periocular area, initial encounter |
| S00.251A | Superficial foreign body of right eyelid and periocular area, initial encounter |
| S00.252A | Superficial foreign body of left eyelid and periocular area, initial encounter |
| S00.261A | Insect bite (nonvenomous) of right eyelid and periocular area, initial encounter |
| S00.262A | Insect bite (nonvenomous) of left eyelid and periocular area, initial encounter |
| S00.271A | Other superficial bite of right eyelid and periocular area, initial encounter |
| S00.272A | Other superficial bite of left eyelid and periocular area, initial encounter |
| S00.31XA | Abrasion of nose, initial encounter |
| S00.32XA | Blister (nonthermal) of nose, initial encounter |
| S00.34XA | External constriction of nose, initial encounter |
| S00.35XA | Superficial foreign body of nose, initial encounter |
| S00.36XA | Insect bite (nonvenomous) of nose, initial encounter |
| S00.37XA | Other superficial bite of nose, initial encounter |
| S00.411A | Abrasion of right ear, initial encounter |
| S00.412A | Abrasion of left ear, initial encounter |
| S00.421A | Blister (nonthermal) of right ear, initial encounter |
| S00.422A | Blister (nonthermal) of left ear, initial encounter |
| S00.441A | External constriction of right ear, initial encounter |
| S00.442A | External constriction of left ear, initial encounter |
| S00.451A | Superficial foreign body of right ear, initial encounter |
| S00.452A | Superficial foreign body of left ear, initial encounter |
| S00.461A | Insect bite (nonvenomous) of right ear, initial encounter |
| S00.462A | Insect bite (nonvenomous) of left ear, initial encounter |
| S00.471A | Other superficial bite of right ear, initial encounter |
| S00.472A | Other superficial bite of left ear, initial encounter |
| S00.511A | Abrasion of lip, initial encounter |
| S00.512A | Abrasion of oral cavity, initial encounter |
| S00.521A | Blister (nonthermal) of lip, initial encounter |
| S00.522A | Blister (nonthermal) of oral cavity, initial encounter |
| S00.541A | External constriction of lip, initial encounter |
| S00.542A | External constriction of oral cavity, initial encounter |
| S00.551A | Superficial foreign body of lip, initial encounter |
| S00.552A | Superficial foreign body of oral cavity, initial encounter |
| S00.561A | Insect bite (nonvenomous) of lip, initial encounter |
| S00.562A | Insect bite (nonvenomous) of oral cavity, initial encounter |
| S00.571A | Other superficial bite of lip, initial encounter |
| S00.572A | Other superficial bite of oral cavity, initial encounter |
| S00.81XA | Abrasion of other part of head, initial encounter |
| S00.82XA | Blister (nonthermal) of other part of head, initial encounter |
| S00.84XA | External constriction of other part of head, initial encounter |
| S00.85XA | Superficial foreign body of other part of head, initial encounter |
| S00.86XA | Insect bite (nonvenomous) of other part of head, initial encounter |
| S00.87XA | Other superficial bite of other part of head, initial encounter |
| S00.94XA | External constriction of unspecified part of head, initial encounter |
| S00.97XA | Other superficial bite of unspecified part of head, initial encounter |
| S01.00XA | Unspecified open wound of scalp, initial encounter |
| S01.00XD | Unspecified open wound of scalp, subsequent encounter |
| S01.00XS | Unspecified open wound of scalp, sequela |
| S01.01XA | Laceration without foreign body of scalp, initial encounter |
| S01.01XD | Laceration without foreign body of scalp, subsequent encounter |
| S01.01XS | Laceration without foreign body of scalp, sequela |
| S01.02XA | Laceration with foreign body of scalp, initial encounter |
| S01.02XD | Laceration with foreign body of scalp, subsequent encounter |
| S01.02XS | Laceration with foreign body of scalp, sequela |
| S01.03XA | Puncture wound without foreign body of scalp, initial encounter |
| S01.04XA | Puncture wound with foreign body of scalp, initial encounter |
| S01.04XD | Puncture wound with foreign body of scalp, subsequent encounter |
| S01.04XS | Puncture wound with foreign body of scalp, sequela |
| S01.05XA | Open bite of scalp, initial encounter |
| S01.05XD | Open bite of scalp, subsequent encounter |
| S01.05XS | Open bite of scalp, sequela |
| S01.101A | Unspecified open wound of right eyelid and periocular area, initial encounter |
| S01.101D | Unspecified open wound of right eyelid and periocular area, subsequent encounter |
| S01.101S | Unspecified open wound of right eyelid and periocular area, sequela |
| S01.102A | Unspecified open wound of left eyelid and periocular area, initial encounter |
| S01.102D | Unspecified open wound of left eyelid and periocular area, subsequent encounter |
| S01.102S | Unspecified open wound of left eyelid and periocular area, sequela |
| S01.111A | Laceration without foreign body of right eyelid and periocular area, initial encounter |
| S01.111D | Laceration without foreign body of right eyelid and periocular area, subsequent encounter |
| S01.111S | Laceration without foreign body of right eyelid and periocular area, sequela |
| S01.112A | Laceration without foreign body of left eyelid and periocular area, initial encounter |
| S01.112D | Laceration without foreign body of left eyelid and periocular area, subsequent encounter |
| S01.112S | Laceration without foreign body of left eyelid and periocular area, sequela |
| S01.119A | Laceration without foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.121A | Laceration with foreign body of right eyelid and periocular area, initial encounter |
| S01.121D | Laceration with foreign body of right eyelid and periocular area, subsequent encounter |
| S01.121S | Laceration with foreign body of right eyelid and periocular area, sequela |
| S01.122A | Laceration with foreign body of left eyelid and periocular area, initial encounter |
| S01.122D | Laceration with foreign body of left eyelid and periocular area, subsequent encounter |
| S01.122S | Laceration with foreign body of left eyelid and periocular area, sequela |
| S01.129A | Laceration with foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.131A | Puncture wound without foreign body of right eyelid and periocular area, initial encounter |
| S01.131D | Puncture wound without foreign body of right eyelid and periocular area, subsequent encounter |
| S01.131S | Puncture wound without foreign body of right eyelid and periocular area, sequela |
| S01.132A | Puncture wound without foreign body of left eyelid and periocular area, initial encounter |
| S01.132D | Puncture wound without foreign body of left eyelid and periocular area, subsequent encounter |
| S01.132S | Puncture wound without foreign body of left eyelid and periocular area, sequela |
| S01.139A | Puncture wound without foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.141A | Puncture wound with foreign body of right eyelid and periocular area, initial encounter |
| S01.141D | Puncture wound with foreign body of right eyelid and periocular area, subsequent encounter |
| S01.141S | Puncture wound with foreign body of right eyelid and periocular area, sequela |
| S01.142A | Puncture wound with foreign body of left eyelid and periocular area, initial encounter |
| S01.142D | Puncture wound with foreign body of left eyelid and periocular area, subsequent encounter |
| S01.142S | Puncture wound with foreign body of left eyelid and periocular area, sequela |
| S01.149A | Puncture wound with foreign body of unspecified eyelid and periocular area, initial encounter |
| S01.151A | Open bite of right eyelid and periocular area, initial encounter |
| S01.151D | Open bite of right eyelid and periocular area, subsequent encounter |
| S01.151S | Open bite of right eyelid and periocular area, sequela |
| S01.152A | Open bite of left eyelid and periocular area, initial encounter |
| S01.152D | Open bite of left eyelid and periocular area, subsequent encounter |
| S01.152S | Open bite of left eyelid and periocular area, sequela |
| S01.159A | Open bite of unspecified eyelid and periocular area, initial encounter |
| S01.20XA | Unspecified open wound of nose, initial encounter |
| S01.20XD | Unspecified open wound of nose, subsequent encounter |
| S01.20XS | Unspecified open wound of nose, sequela |
| S01.21XA | Laceration without foreign body of nose, initial encounter |
| S01.21XD | Laceration without foreign body of nose, subsequent encounter |
| S01.21XS | Laceration without foreign body of nose, sequela |
| S01.22XA | Laceration with foreign body of nose, initial encounter |
| S01.22XD | Laceration with foreign body of nose, subsequent encounter |
| S01.22XS | Laceration with foreign body of nose, sequela |
| S01.23XA | Puncture wound without foreign body of nose, initial encounter |
| S01.23XD | Puncture wound without foreign body of nose, subsequent encounter |
| S01.23XS | Puncture wound without foreign body of nose, sequela |
| S01.24XA | Puncture wound with foreign body of nose, initial encounter |
| S01.24XD | Puncture wound with foreign body of nose, subsequent encounter |
| S01.24XS | Puncture wound with foreign body of nose, sequela |
| S01.25XA | Open bite of nose, initial encounter |
| S01.25XD | Open bite of nose, subsequent encounter |
| S01.25XS | Open bite of nose, sequela |
| S01.301A | Unspecified open wound of right ear, initial encounter |
| S01.301D | Unspecified open wound of right ear, subsequent encounter |
| S01.301S | Unspecified open wound of right ear, sequela |
| S01.302A | Unspecified open wound of left ear, initial encounter |
| S01.302D | Unspecified open wound of left ear, subsequent encounter |
| S01.302S | Unspecified open wound of left ear, sequela |
| S01.311A | Laceration without foreign body of right ear, initial encounter |
| S01.311D | Laceration without foreign body of right ear, subsequent encounter |
| S01.311S | Laceration without foreign body of right ear, sequela |
| S01.312A | Laceration without foreign body of left ear, initial encounter |
| S01.312D | Laceration without foreign body of left ear, subsequent encounter |
| S01.312S | Laceration without foreign body of left ear, sequela |
| S01.321A | Laceration with foreign body of right ear, initial encounter |
| S01.321D | Laceration with foreign body of right ear, subsequent encounter |
| S01.321S | Laceration with foreign body of right ear, sequela |
| S01.322A | Laceration with foreign body of left ear, initial encounter |
| S01.322D | Laceration with foreign body of left ear, subsequent encounter |
| S01.322S | Laceration with foreign body of left ear, sequela |
| S01.329A | Laceration with foreign body of unspecified ear, initial encounter |
| S01.331A | Puncture wound without foreign body of right ear, initial encounter |
| S01.332A | Puncture wound without foreign body of left ear, initial encounter |
| S01.341A | Puncture wound with foreign body of right ear, initial encounter |
| S01.341D | Puncture wound with foreign body of right ear, subsequent encounter |
| S01.341S | Puncture wound with foreign body of right ear, sequela |
| S01.342A | Puncture wound with foreign body of left ear, initial encounter |
| S01.342D | Puncture wound with foreign body of left ear, subsequent encounter |
| S01.342S | Puncture wound with foreign body of left ear, sequela |
| S01.351A | Open bite of right ear, initial encounter |
| S01.351D | Open bite of right ear, subsequent encounter |
| S01.351S | Open bite of right ear, sequela |
| S01.352A | Open bite of left ear, initial encounter |
| S01.352D | Open bite of left ear, subsequent encounter |
| S01.352S | Open bite of left ear, sequela |
| S01.401A | Unspecified open wound of right cheek and temporomandibular area, initial encounter |
| S01.401D | Unspecified open wound of right cheek and temporomandibular area, subsequent encounter |
| S01.401S | Unspecified open wound of right cheek and temporomandibular area, sequela |
| S01.402A | Unspecified open wound of left cheek and temporomandibular area, initial encounter |
| S01.402D | Unspecified open wound of left cheek and temporomandibular area, subsequent encounter |
| S01.402S | Unspecified open wound of left cheek and temporomandibular area, sequela |
| S01.411A | Laceration without foreign body of right cheek and temporomandibular area, initial encounter |
| S01.411D | Laceration without foreign body of right cheek and temporomandibular area, subsequent encounter |
| S01.411S | Laceration without foreign body of right cheek and temporomandibular area, sequela |
| S01.412A | Laceration without foreign body of left cheek and temporomandibular area, initial encounter |
| S01.412D | Laceration without foreign body of left cheek and temporomandibular area, subsequent encounter |
| S01.412S | Laceration without foreign body of left cheek and temporomandibular area, sequela |
| S01.421A | Laceration with foreign body of right cheek and temporomandibular area, initial encounter |
| S01.421D | Laceration with foreign body of right cheek and temporomandibular area, subsequent encounter |
| S01.421S | Laceration with foreign body of right cheek and temporomandibular area, sequela |
| S01.422A | Laceration with foreign body of left cheek and temporomandibular area, initial encounter |
| S01.422D | Laceration with foreign body of left cheek and temporomandibular area, subsequent encounter |
| S01.422S | Laceration with foreign body of left cheek and temporomandibular area, sequela |
| S01.431A | Puncture wound without foreign body of right cheek and temporomandibular area, initial encounter |
| S01.431D | Puncture wound without foreign body of right cheek and temporomandibular area, subsequent encounter |
| S01.431S | Puncture wound without foreign body of right cheek and temporomandibular area, sequela |
| S01.432A | Puncture wound without foreign body of left cheek and temporomandibular area, initial encounter |
| S01.432D | Puncture wound without foreign body of left cheek and temporomandibular area, subsequent encounter |
| S01.432S | Puncture wound without foreign body of left cheek and temporomandibular area, sequela |
| S01.441A | Puncture wound with foreign body of right cheek and temporomandibular area, initial encounter |
| S01.441D | Puncture wound with foreign body of right cheek and temporomandibular area, subsequent encounter |
| S01.441S | Puncture wound with foreign body of right cheek and temporomandibular area, sequela |
| S01.442A | Puncture wound with foreign body of left cheek and temporomandibular area, initial encounter |
| S01.442D | Puncture wound with foreign body of left cheek and temporomandibular area, subsequent encounter |
| S01.442S | Puncture wound with foreign body of left cheek and temporomandibular area, sequela |
| S01.451A | Open bite of right cheek and temporomandibular area, initial encounter |
| S01.451D | Open bite of right cheek and temporomandibular area, subsequent encounter |
| S01.451S | Open bite of right cheek and temporomandibular area, sequela |
| S01.452A | Open bite of left cheek and temporomandibular area, initial encounter |
| S01.452D | Open bite of left cheek and temporomandibular area, subsequent encounter |
| S01.452S | Open bite of left cheek and temporomandibular area, sequela |
| S01.501A | Unspecified open wound of lip, initial encounter |
| S01.501D | Unspecified open wound of lip, subsequent encounter |
| S01.501S | Unspecified open wound of lip, sequela |
| S01.502A | Unspecified open wound of oral cavity, initial encounter |
| S01.502D | Unspecified open wound of oral cavity, subsequent encounter |
| S01.502S | Unspecified open wound of oral cavity, sequela |
| S01.511A | Laceration without foreign body of lip, initial encounter |
| S01.511D | Laceration without foreign body of lip, subsequent encounter |
| S01.511S | Laceration without foreign body of lip, sequela |
| S01.512A | Laceration without foreign body of oral cavity, initial encounter |
| S01.512D | Laceration without foreign body of oral cavity, subsequent encounter |
| S01.512S | Laceration without foreign body of oral cavity, sequela |
| S01.521A | Laceration with foreign body of lip, initial encounter |
| S01.521D | Laceration with foreign body of lip, subsequent encounter |
| S01.521S | Laceration with foreign body of lip, sequela |
| S01.522A | Laceration with foreign body of oral cavity, initial encounter |
| S01.522D | Laceration with foreign body of oral cavity, subsequent encounter |
| S01.522S | Laceration with foreign body of oral cavity, sequela |
| S01.531A | Puncture wound without foreign body of lip, initial encounter |
| S01.531D | Puncture wound without foreign body of lip, subsequent encounter |
| S01.531S | Puncture wound without foreign body of lip, sequela |
| S01.532A | Puncture wound without foreign body of oral cavity, initial encounter |
| S01.532D | Puncture wound without foreign body of oral cavity, subsequent encounter |
| S01.532S | Puncture wound without foreign body of oral cavity, sequela |
| S01.541A | Puncture wound with foreign body of lip, initial encounter |
| S01.541D | Puncture wound with foreign body of lip, subsequent encounter |
| S01.541S | Puncture wound with foreign body of lip, sequela |
| S01.542A | Puncture wound with foreign body of oral cavity, initial encounter |
| S01.542D | Puncture wound with foreign body of oral cavity, subsequent encounter |
| S01.542S | Puncture wound with foreign body of oral cavity, sequela |
| S01.551A | Open bite of lip, initial encounter |
| S01.551D | Open bite of lip, subsequent encounter |
| S01.551S | Open bite of lip, sequela |
| S01.552A | Open bite of oral cavity, initial encounter |
| S01.552D | Open bite of oral cavity, subsequent encounter |
| S01.552S | Open bite of oral cavity, sequela |
| S01.80XA | Unspecified open wound of other part of head, initial encounter |
| S01.80XD | Unspecified open wound of other part of head, subsequent encounter |
| S01.80XS | Unspecified open wound of other part of head, sequela |
| S01.81XA | Laceration without foreign body of other part of head, initial encounter |
| S01.81XD | Laceration without foreign body of other part of head, subsequent encounter |
| S01.81XS | Laceration without foreign body of other part of head, sequela |
| S01.82XA | Laceration with foreign body of other part of head, initial encounter |
| S01.82XD | Laceration with foreign body of other part of head, subsequent encounter |
| S01.82XS | Laceration with foreign body of other part of head, sequela |
| S01.83XA | Puncture wound without foreign body of other part of head, initial encounter |
| S01.83XD | Puncture wound without foreign body of other part of head, subsequent encounter |
| S01.83XS | Puncture wound without foreign body of other part of head, sequela |
| S01.84XA | Puncture wound with foreign body of other part of head, initial encounter |
| S01.84XD | Puncture wound with foreign body of other part of head, subsequent encounter |
| S01.84XS | Puncture wound with foreign body of other part of head, sequela |
| S01.85XA | Open bite of other part of head, initial encounter |
| S01.85XD | Open bite of other part of head, subsequent encounter |
| S01.85XS | Open bite of other part of head, sequela |
| S01.90XA | Unspecified open wound of unspecified part of head, initial encounter |
| S01.90XD | Unspecified open wound of unspecified part of head, subsequent encounter |
| S01.90XS | Unspecified open wound of unspecified part of head, sequela |
| S01.91XA | Laceration without foreign body of unspecified part of head, initial encounter |
| S01.91XD | Laceration without foreign body of unspecified part of head, subsequent encounter |
| S01.91XS | Laceration without foreign body of unspecified part of head, sequela |
| S01.92XA | Laceration with foreign body of unspecified part of head, initial encounter |
| S01.92XD | Laceration with foreign body of unspecified part of head, subsequent encounter |
| S01.92XS | Laceration with foreign body of unspecified part of head, sequela |
| S01.93XA | Puncture wound without foreign body of unspecified part of head, initial encounter |
| S01.93XD | Puncture wound without foreign body of unspecified part of head, subsequent encounter |
| S01.93XS | Puncture wound without foreign body of unspecified part of head, sequela |
| S01.94XA | Puncture wound with foreign body of unspecified part of head, initial encounter |
| S01.94XD | Puncture wound with foreign body of unspecified part of head, subsequent encounter |
| S01.94XS | Puncture wound with foreign body of unspecified part of head, sequela |
| S01.95XA | Open bite of unspecified part of head, initial encounter |
| S01.95XD | Open bite of unspecified part of head, subsequent encounter |
| S01.95XS | Open bite of unspecified part of head, sequela |
| S02.0XXB | Fracture of vault of skull, initial encounter for open fracture |
| S02.101B | Fracture of base of skull, right side, initial encounter for open fracture |
| S02.102B | Fracture of base of skull, left side, initial encounter for open fracture |
| S02.110B | Type I occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02.111B | Type II occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02.112B | Type III occipital condyle fracture, unspecified side, initial encounter for open fracture |
| S02.118B | Other fracture of occiput, unspecified side, initial encounter for open fracture |
| S02.119B | Unspecified fracture of occiput, initial encounter for open fracture |
| S02.11AB | Type I occipital condyle fracture, right side, initial encounter for open fracture |
| S02.11BB | Type I occipital condyle fracture, left side, initial encounter for open fracture |
| S02.11CB | Type II occipital condyle fracture, right side, initial encounter for open fracture |
| S02.11DB | Type II occipital condyle fracture, left side, initial encounter for open fracture |
| S02.11EB | Type III occipital condyle fracture, right side, initial encounter for open fracture |
| S02.11FB | Type III occipital condyle fracture, left side, initial encounter for open fracture |
| S02.11GB | Other fracture of occiput, right side, initial encounter for open fracture |
| S02.11HB | Other fracture of occiput, left side, initial encounter for open fracture |
| S02.121B | Fracture of orbital roof, right side, initial encounter for open fracture |
| S02.122B | Fracture of orbital roof, left side, initial encounter for open fracture |
| S02.129B | Fracture of orbital roof, unspecified side, initial encounter for open fracture |
| S02.19XB | Other fracture of base of skull, initial encounter for open fracture |
| S02.2XXB | Fracture of nasal bones, initial encounter for open fracture |
| S02.31XB | Fracture of orbital floor, right side, initial encounter for open fracture |
| S02.32XB | Fracture of orbital floor, left side, initial encounter for open fracture |
| S02.401B | Maxillary fracture, unspecified side, initial encounter for open fracture |
| S02.402B | Zygomatic fracture, unspecified side, initial encounter for open fracture |
| S02.40AB | Malar fracture, right side, initial encounter for open fracture |
| S02.40BB | Malar fracture, left side, initial encounter for open fracture |
| S02.40CB | Maxillary fracture, right side, initial encounter for open fracture |
| S02.40DB | Maxillary fracture, left side, initial encounter for open fracture |
| S02.40EB | Zygomatic fracture, right side, initial encounter for open fracture |
| S02.40FB | Zygomatic fracture, left side, initial encounter for open fracture |
| S02.411B | LeFort I fracture, initial encounter for open fracture |
| S02.412B | LeFort II fracture, initial encounter for open fracture |
| S02.413B | LeFort III fracture, initial encounter for open fracture |
| S02.42XB | Fracture of alveolus of maxilla, initial encounter for open fracture |
| S02.5XXA | Fracture of tooth (traumatic), initial encounter for closed fracture |
| S02.5XXB | Fracture of tooth (traumatic), initial encounter for open fracture |
| S02.600B | Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture |
| S02.601B | Fracture of unspecified part of body of right mandible, initial encounter for open fracture |
| S02.602B | Fracture of unspecified part of body of left mandible, initial encounter for open fracture |
| S02.609B | Fracture of mandible, unspecified, initial encounter for open fracture |
| S02.611B | Fracture of condylar process of right mandible, initial encounter for open fracture |
| S02.612B | Fracture of condylar process of left mandible, initial encounter for open fracture |
| S02.621B | Fracture of subcondylar process of right mandible, initial encounter for open fracture |
| S02.622B | Fracture of subcondylar process of left mandible, initial encounter for open fracture |
| S02.631B | Fracture of coronoid process of right mandible, initial encounter for open fracture |
| S02.632B | Fracture of coronoid process of left mandible, initial encounter for open fracture |
| S02.641B | Fracture of ramus of right mandible, initial encounter for open fracture |
| S02.642B | Fracture of ramus of left mandible, initial encounter for open fracture |
| S02.651B | Fracture of angle of right mandible, initial encounter for open fracture |
| S02.652B | Fracture of angle of left mandible, initial encounter for open fracture |
| S02.66XB | Fracture of symphysis of mandible, initial encounter for open fracture |
| S02.671B | Fracture of alveolus of right mandible, initial encounter for open fracture |
| S02.672B | Fracture of alveolus of left mandible, initial encounter for open fracture |
| S02.69XB | Fracture of mandible of other specified site, initial encounter for open fracture |
| S02.81XB | Fracture of other specified skull and facial bones, right side, initial encounter for open fracture |
| S02.82XB | Fracture of other specified skull and facial bones, left side, initial encounter for open fracture |
| S02.831B | Fracture of medial orbital wall, right side, initial encounter for open fracture |
| S02.832B | Fracture of medial orbital wall, left side, initial encounter for open fracture |
| S02.839B | Fracture of medial orbital wall, unspecified side, initial encounter for open fracture |
| S02.841B | Fracture of lateral orbital wall, right side, initial encounter for open fracture |
| S02.842B | Fracture of lateral orbital wall, left side, initial encounter for open fracture |
| S02.849B | Fracture of lateral orbital wall, unspecified side, initial encounter for open fracture |
| S02.85XB | Fracture of orbit, unspecified, initial encounter for open fracture |
| S02.91XB | Unspecified fracture of skull, initial encounter for open fracture |
| S02.92XB | Unspecified fracture of facial bones, initial encounter for open fracture |
| S03.2XXA | Dislocation of tooth, initial encounter |
| S05.01XA | Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter |
| S05.02XA | Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter |
| S05.21XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter |
| S05.21XD | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, subsequent encounter |
| S05.21XS | Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, sequela |
| S05.22XA | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter |
| S05.22XD | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, subsequent encounter |
| S05.22XS | Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, sequela |
| S05.30XA | Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter |
| S05.31XA | Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter |
| S05.31XD | Ocular laceration without prolapse or loss of intraocular tissue, right eye, subsequent encounter |
| S05.31XS | Ocular laceration without prolapse or loss of intraocular tissue, right eye, sequela |
| S05.32XA | Ocular laceration without prolapse or loss of intraocular tissue, left eye, initial encounter |
| S05.32XD | Ocular laceration without prolapse or loss of intraocular tissue, left eye, subsequent encounter |
| S05.32XS | Ocular laceration without prolapse or loss of intraocular tissue, left eye, sequela |
| S05.41XA | Penetrating wound of orbit with or without foreign body, right eye, initial encounter |
| S05.41XD | Penetrating wound of orbit with or without foreign body, right eye, subsequent encounter |
| S05.41XS | Penetrating wound of orbit with or without foreign body, right eye, sequela |
| S05.42XA | Penetrating wound of orbit with or without foreign body, left eye, initial encounter |
| S05.42XD | Penetrating wound of orbit with or without foreign body, left eye, subsequent encounter |
| S05.42XS | Penetrating wound of orbit with or without foreign body, left eye, sequela |
| S05.51XA | Penetrating wound with foreign body of right eyeball, initial encounter |
| S05.51XD | Penetrating wound with foreign body of right eyeball, subsequent encounter |
| S05.51XS | Penetrating wound with foreign body of right eyeball, sequela |
| S05.52XA | Penetrating wound with foreign body of left eyeball, initial encounter |
| S05.52XD | Penetrating wound with foreign body of left eyeball, subsequent encounter |
| S05.52XS | Penetrating wound with foreign body of left eyeball, sequela |
| S05.61XA | Penetrating wound without foreign body of right eyeball, initial encounter |
| S05.61XD | Penetrating wound without foreign body of right eyeball, subsequent encounter |
| S05.61XS | Penetrating wound without foreign body of right eyeball, sequela |
| S05.62XA | Penetrating wound without foreign body of left eyeball, initial encounter |
| S05.62XD | Penetrating wound without foreign body of left eyeball, subsequent encounter |
| S05.62XS | Penetrating wound without foreign body of left eyeball, sequela |
| S05.71XA | Avulsion of right eye, initial encounter |
| S05.71XD | Avulsion of right eye, subsequent encounter |
| S05.71XS | Avulsion of right eye, sequela |
| S05.72XA | Avulsion of left eye, initial encounter |
| S05.72XD | Avulsion of left eye, subsequent encounter |
| S05.72XS | Avulsion of left eye, sequela |
| S05.8X1A | Other injuries of right eye and orbit, initial encounter |
| S05.8X2A | Other injuries of left eye and orbit, initial encounter |
| S05.90XA | Unspecified injury of unspecified eye and orbit, initial encounter |
| S05.91XA | Unspecified injury of right eye and orbit, initial encounter |
| S05.92XA | Unspecified injury of left eye and orbit, initial encounter |
Showing the first 400 of 5193 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 90702?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 5193 ICD-10 diagnosis codes that support medical necessity for CPT 90702. 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 90702 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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