ICD↔CPT crosswalk
CPT 90876: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 90876 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 90876 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 |
|---|---|
| F06.0 | Psychotic disorder with hallucinations due to known physiological condition |
| F06.2 | Psychotic disorder with delusions due to known physiological condition |
| F06.30 | Mood disorder due to known physiological condition, unspecified |
| F06.31 | Mood disorder due to known physiological condition with depressive features |
| F06.32 | Mood disorder due to known physiological condition with major depressive-like episode |
| F06.33 | Mood disorder due to known physiological condition with manic features |
| F06.34 | Mood disorder due to known physiological condition with mixed features |
| F06.4 | Anxiety disorder due to known physiological condition |
| F10.132 | Alcohol abuse with withdrawal with perceptual disturbance |
| F10.14 | Alcohol abuse with alcohol-induced mood disorder |
| F10.150 | Alcohol abuse with alcohol-induced psychotic disorder with delusions |
| F10.151 | Alcohol abuse with alcohol-induced psychotic disorder with hallucinations |
| F10.159 | Alcohol abuse with alcohol-induced psychotic disorder, unspecified |
| F10.180 | Alcohol abuse with alcohol-induced anxiety disorder |
| F10.20 | Alcohol dependence, uncomplicated |
| F10.232 | Alcohol dependence with withdrawal with perceptual disturbance |
| F10.24 | Alcohol dependence with alcohol-induced mood disorder |
| F10.250 | Alcohol dependence with alcohol-induced psychotic disorder with delusions |
| F10.251 | Alcohol dependence with alcohol-induced psychotic disorder with hallucinations |
| F10.259 | Alcohol dependence with alcohol-induced psychotic disorder, unspecified |
| F10.280 | Alcohol dependence with alcohol-induced anxiety disorder |
| F10.932 | Alcohol use, unspecified with withdrawal with perceptual disturbance |
| F10.94 | Alcohol use, unspecified with alcohol-induced mood disorder |
| F10.950 | Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions |
| F10.951 | Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations |
| F10.959 | Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified |
| F10.980 | Alcohol use, unspecified with alcohol-induced anxiety disorder |
| F11.14 | Opioid abuse with opioid-induced mood disorder |
| F11.150 | Opioid abuse with opioid-induced psychotic disorder with delusions |
| F11.151 | Opioid abuse with opioid-induced psychotic disorder with hallucinations |
| F11.159 | Opioid abuse with opioid-induced psychotic disorder, unspecified |
| F11.188 | Opioid abuse with other opioid-induced disorder |
| F11.20 | Opioid dependence, uncomplicated |
| 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 |
| F11.94 | Opioid use, unspecified with opioid-induced mood disorder |
| F11.950 | Opioid use, unspecified with opioid-induced psychotic disorder with delusions |
| F11.951 | Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations |
| F11.959 | Opioid use, unspecified with opioid-induced psychotic disorder, unspecified |
| F12.122 | Cannabis abuse with intoxication with perceptual disturbance |
| F12.150 | Cannabis abuse with psychotic disorder with delusions |
| F12.151 | Cannabis abuse with psychotic disorder with hallucinations |
| F12.159 | Cannabis abuse with psychotic disorder, unspecified |
| F12.180 | Cannabis abuse with cannabis-induced anxiety disorder |
| F12.222 | Cannabis dependence with intoxication with perceptual disturbance |
| F12.250 | Cannabis dependence with psychotic disorder with delusions |
| F12.251 | Cannabis dependence with psychotic disorder with hallucinations |
| F12.259 | Cannabis dependence with psychotic disorder, unspecified |
| F12.280 | Cannabis dependence with cannabis-induced anxiety disorder |
| F12.29 | Cannabis dependence with unspecified cannabis-induced disorder |
| F12.922 | Cannabis use, unspecified with intoxication with perceptual disturbance |
| F12.950 | Cannabis use, unspecified with psychotic disorder with delusions |
| F12.951 | Cannabis use, unspecified with psychotic disorder with hallucinations |
| F12.959 | Cannabis use, unspecified with psychotic disorder, unspecified |
| F12.980 | Cannabis use, unspecified with anxiety disorder |
| F13.132 | Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance |
| F13.14 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder |
| F13.150 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions |
| F13.151 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations |
| F13.159 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified |
| F13.180 | Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder |
| F13.232 | Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance |
| F13.24 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder |
| F13.250 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions |
| F13.251 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations |
| F13.259 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified |
| F13.280 | Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder |
| F13.932 | Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptual disturbances |
| F13.94 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced mood disorder |
| F13.950 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions |
| F13.951 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations |
| F13.959 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified |
| F13.980 | Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder |
| F14.122 | Cocaine abuse with intoxication with perceptual disturbance |
| F14.14 | Cocaine abuse with cocaine-induced mood disorder |
| F14.150 | Cocaine abuse with cocaine-induced psychotic disorder with delusions |
| F14.151 | Cocaine abuse with cocaine-induced psychotic disorder with hallucinations |
| F14.159 | Cocaine abuse with cocaine-induced psychotic disorder, unspecified |
| F14.180 | Cocaine abuse with cocaine-induced anxiety disorder |
| F14.222 | Cocaine dependence with intoxication with perceptual disturbance |
| F14.24 | Cocaine dependence with cocaine-induced mood disorder |
| F14.250 | Cocaine dependence with cocaine-induced psychotic disorder with delusions |
| F14.251 | Cocaine dependence with cocaine-induced psychotic disorder with hallucinations |
| F14.259 | Cocaine dependence with cocaine-induced psychotic disorder, unspecified |
| F14.280 | Cocaine dependence with cocaine-induced anxiety disorder |
| F14.922 | Cocaine use, unspecified with intoxication with perceptual disturbance |
| F14.94 | Cocaine use, unspecified with cocaine-induced mood disorder |
| F14.950 | Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions |
| F14.951 | Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations |
| F14.959 | Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified |
| F14.980 | Cocaine use, unspecified with cocaine-induced anxiety disorder |
| F15.122 | Other stimulant abuse with intoxication with perceptual disturbance |
| F15.14 | Other stimulant abuse with stimulant-induced mood disorder |
| F15.150 | Other stimulant abuse with stimulant-induced psychotic disorder with delusions |
| F15.151 | Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations |
| F15.159 | Other stimulant abuse with stimulant-induced psychotic disorder, unspecified |
| F15.180 | Other stimulant abuse with stimulant-induced anxiety disorder |
| F15.222 | Other stimulant dependence with intoxication with perceptual disturbance |
| F15.24 | Other stimulant dependence with stimulant-induced mood disorder |
| F15.250 | Other stimulant dependence with stimulant-induced psychotic disorder with delusions |
| F15.251 | Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations |
| F15.259 | Other stimulant dependence with stimulant-induced psychotic disorder, unspecified |
| F15.280 | Other stimulant dependence with stimulant-induced anxiety disorder |
| F15.922 | Other stimulant use, unspecified with intoxication with perceptual disturbance |
| F15.94 | Other stimulant use, unspecified with stimulant-induced mood disorder |
| F15.950 | Other stimulant use, unspecified with stimulant-induced psychotic disorder with delusions |
| F15.951 | Other stimulant use, unspecified with stimulant-induced psychotic disorder with hallucinations |
| F15.959 | Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified |
| F15.980 | Other stimulant use, unspecified with stimulant-induced anxiety disorder |
| F16.122 | Hallucinogen abuse with intoxication with perceptual disturbance |
| F16.14 | Hallucinogen abuse with hallucinogen-induced mood disorder |
| F16.150 | Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions |
| F16.151 | Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations |
| F16.159 | Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified |
| F16.180 | Hallucinogen abuse with hallucinogen-induced anxiety disorder |
| F16.183 | Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks) |
| F16.24 | Hallucinogen dependence with hallucinogen-induced mood disorder |
| F16.250 | Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions |
| F16.251 | Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations |
| F16.259 | Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified |
| F16.280 | Hallucinogen dependence with hallucinogen-induced anxiety disorder |
| F16.283 | Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks) |
| F16.94 | Hallucinogen use, unspecified with hallucinogen-induced mood disorder |
| F16.950 | Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions |
| F16.951 | Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations |
| F16.959 | Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified |
| F16.980 | Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder |
| F16.983 | Hallucinogen use, unspecified with hallucinogen persisting perception disorder (flashbacks) |
| F18.14 | Inhalant abuse with inhalant-induced mood disorder |
| F18.150 | Inhalant abuse with inhalant-induced psychotic disorder with delusions |
| F18.151 | Inhalant abuse with inhalant-induced psychotic disorder with hallucinations |
| F18.159 | Inhalant abuse with inhalant-induced psychotic disorder, unspecified |
| F18.180 | Inhalant abuse with inhalant-induced anxiety disorder |
| F18.24 | Inhalant dependence with inhalant-induced mood disorder |
| F18.250 | Inhalant dependence with inhalant-induced psychotic disorder with delusions |
| F18.251 | Inhalant dependence with inhalant-induced psychotic disorder with hallucinations |
| F18.259 | Inhalant dependence with inhalant-induced psychotic disorder, unspecified |
| F18.280 | Inhalant dependence with inhalant-induced anxiety disorder |
| F18.94 | Inhalant use, unspecified with inhalant-induced mood disorder |
| F18.950 | Inhalant use, unspecified with inhalant-induced psychotic disorder with delusions |
| F18.951 | Inhalant use, unspecified with inhalant-induced psychotic disorder with hallucinations |
| F18.959 | Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified |
| F18.980 | Inhalant use, unspecified with inhalant-induced anxiety disorder |
| F19.122 | Other psychoactive substance abuse with intoxication with perceptual disturbances |
| F19.132 | Other psychoactive substance abuse with withdrawal with perceptual disturbance |
| F19.14 | Other psychoactive substance abuse with psychoactive substance-induced mood disorder |
| F19.150 | Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions |
| F19.151 | Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations |
| F19.159 | Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified |
| F19.180 | Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder |
| F19.232 | Other psychoactive substance dependence with withdrawal with perceptual disturbance |
| F19.24 | Other psychoactive substance dependence with psychoactive substance-induced mood disorder |
| F19.250 | Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions |
| F19.251 | Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations |
| F19.259 | Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified |
| F19.280 | Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder |
| F19.922 | Other psychoactive substance use, unspecified with intoxication with perceptual disturbance |
| F19.932 | Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance |
| F19.94 | Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder |
| F19.950 | Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions |
| F19.951 | Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations |
| F19.959 | Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder, unspecified |
| F19.980 | Other psychoactive substance use, unspecified with psychoactive substance-induced anxiety disorder |
| F20.0 | Paranoid schizophrenia |
| F20.1 | Disorganized schizophrenia |
| F20.2 | Catatonic schizophrenia |
| F20.3 | Undifferentiated schizophrenia |
| F20.5 | Residual schizophrenia |
| F20.81 | Schizophreniform disorder |
| F22 | Delusional disorders |
| F23 | Brief psychotic disorder |
| F24 | Shared psychotic disorder |
| F25.0 | Schizoaffective disorder, bipolar type |
| F25.1 | Schizoaffective disorder, depressive type |
| F25.8 | Other schizoaffective disorders |
| F25.9 | Schizoaffective disorder, unspecified |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| F30.11 | Manic episode without psychotic symptoms, mild |
| F30.12 | Manic episode without psychotic symptoms, moderate |
| F30.13 | Manic episode, severe, without psychotic symptoms |
| F30.2 | Manic episode, severe with psychotic symptoms |
| F30.3 | Manic episode in partial remission |
| F30.8 | Other manic episodes |
| F31.11 | Bipolar disorder, current episode manic without psychotic features, mild |
| F31.12 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F31.13 | Bipolar disorder, current episode manic without psychotic features, severe |
| F31.2 | Bipolar disorder, current episode manic severe with psychotic features |
| F31.31 | Bipolar disorder, current episode depressed, mild |
| F31.32 | Bipolar disorder, current episode depressed, moderate |
| F31.4 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F31.5 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F31.61 | Bipolar disorder, current episode mixed, mild |
| F31.62 | Bipolar disorder, current episode mixed, moderate |
| F31.63 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F31.64 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F31.71 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F31.72 | Bipolar disorder, in full remission, most recent episode hypomanic |
| F31.73 | Bipolar disorder, in partial remission, most recent episode manic |
| F31.75 | Bipolar disorder, in partial remission, most recent episode depressed |
| F31.77 | Bipolar disorder, in partial remission, most recent episode mixed |
| F31.81 | Bipolar II disorder |
| F32.0 | Major depressive disorder, single episode, mild |
| F32.1 | Major depressive disorder, single episode, moderate |
| F32.2 | Major depressive disorder, single episode, severe without psychotic features |
| F32.3 | Major depressive disorder, single episode, severe with psychotic features |
| F32.4 | Major depressive disorder, single episode, in partial remission |
| F33.0 | Major depressive disorder, recurrent, mild |
| F33.1 | Major depressive disorder, recurrent, moderate |
| F33.2 | Major depressive disorder, recurrent severe without psychotic features |
| F33.3 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F33.41 | Major depressive disorder, recurrent, in partial remission |
| F50.010 | Anorexia nervosa, restricting type, mild |
| F50.011 | Anorexia nervosa, restricting type, moderate |
| F50.012 | Anorexia nervosa, restricting type, severe |
| F50.013 | Anorexia nervosa, restricting type, extreme |
| F50.019 | Anorexia nervosa, restricting type, unspecified |
| F50.020 | Anorexia nervosa, binge eating/purging type, mild |
| F50.021 | Anorexia nervosa, binge eating/purging type, moderate |
| F50.022 | Anorexia nervosa, binge eating/purging type, severe |
| F50.023 | Anorexia nervosa, binge eating/purging type, extreme |
| F50.029 | Anorexia nervosa, binge eating/purging type, unspecified |
| F50.20 | Bulimia nervosa, unspecified |
| F50.21 | Bulimia nervosa, mild |
| F50.22 | Bulimia nervosa, moderate |
| F50.23 | Bulimia nervosa, severe |
| F50.24 | Bulimia nervosa, extreme |
| F50.810 | Binge eating disorder, mild |
| F50.811 | Binge eating disorder, moderate |
| F50.812 | Binge eating disorder, severe |
| F50.813 | Binge eating disorder, extreme |
| F50.819 | Binge eating disorder, unspecified |
| F53.0 | Postpartum depression |
| F53.1 | Puerperal psychosis |
| F68.A | Factitious disorder imposed on another |
| F94.0 | Selective mutism |
| F94.1 | Reactive attachment disorder of childhood |
| F94.2 | Disinhibited attachment disorder of childhood |
| F94.9 | Childhood disorder of social functioning, unspecified |
| F98.8 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 90876?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 242 ICD-10 diagnosis codes that support medical necessity for CPT 90876. 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 90876 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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