ICD↔CPT crosswalk
CPT 92285: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 92285 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 92285 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 |
|---|---|
| A18.51 | Tuberculous episcleritis |
| A18.52 | Tuberculous keratitis |
| A18.54 | Tuberculous iridocyclitis |
| A18.59 | Other tuberculosis of eye |
| A50.31 | Late congenital syphilitic interstitial keratitis |
| B00.50 | Herpesviral ocular disease, unspecified |
| B00.51 | Herpesviral iridocyclitis |
| B00.52 | Herpesviral keratitis |
| B00.53 | Herpesviral conjunctivitis |
| B00.59 | Other herpesviral disease of eye |
| B02.31 | Zoster conjunctivitis |
| B02.32 | Zoster iridocyclitis |
| B02.33 | Zoster keratitis |
| B02.34 | Zoster scleritis |
| B02.39 | Other herpes zoster eye disease |
| B10.81 | Human herpesvirus 6 infection |
| B10.82 | Human herpesvirus 7 infection |
| B10.89 | Other human herpesvirus infection |
| B30.0 | Keratoconjunctivitis due to adenovirus |
| B60.12 | Conjunctivitis due to Acanthamoeba |
| B60.13 | Keratoconjunctivitis due to Acanthamoeba |
| C43.111 | Malignant melanoma of right upper eyelid, including canthus |
| C43.112 | Malignant melanoma of right lower eyelid, including canthus |
| C43.121 | Malignant melanoma of left upper eyelid, including canthus |
| C43.122 | Malignant melanoma of left lower eyelid, including canthus |
| C43.30 | Malignant melanoma of unspecified part of face |
| C43.31 | Malignant melanoma of nose |
| C43.39 | Malignant melanoma of other parts of face |
| C44.1121 | Basal cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1122 | Basal cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1191 | Basal cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1192 | Basal cell carcinoma of skin of left lower eyelid, including canthus |
| C44.1221 | Squamous cell carcinoma of skin of right upper eyelid, including canthus |
| C44.1222 | Squamous cell carcinoma of skin of right lower eyelid, including canthus |
| C44.1291 | Squamous cell carcinoma of skin of left upper eyelid, including canthus |
| C44.1292 | Squamous cell carcinoma of skin of left lower eyelid, including canthus |
| C44.1921 | Other specified malignant neoplasm of skin of right upper eyelid, including canthus |
| C44.1922 | Other specified malignant neoplasm of skin of right lower eyelid, including canthus |
| C44.1991 | Other specified malignant neoplasm of skin of left upper eyelid, including canthus |
| C44.1992 | Other specified malignant neoplasm of skin of left lower eyelid, including canthus |
| C47.0 | Malignant neoplasm of peripheral nerves of head, face and neck |
| C49.0 | Malignant neoplasm of connective and soft tissue of head, face and neck |
| C69.01 | Malignant neoplasm of right conjunctiva |
| C69.02 | Malignant neoplasm of left conjunctiva |
| C69.11 | Malignant neoplasm of right cornea |
| C69.12 | Malignant neoplasm of left cornea |
| C69.41 | Malignant neoplasm of right ciliary body |
| C69.42 | Malignant neoplasm of left ciliary body |
| C69.51 | Malignant neoplasm of right lacrimal gland and duct |
| C69.52 | Malignant neoplasm of left lacrimal gland and duct |
| C69.61 | Malignant neoplasm of right orbit |
| C69.62 | Malignant neoplasm of left orbit |
| C69.81 | Malignant neoplasm of overlapping sites of right eye and adnexa |
| C69.82 | Malignant neoplasm of overlapping sites of left eye and adnexa |
| C69.91 | Malignant neoplasm of unspecified site of right eye |
| C69.92 | Malignant neoplasm of unspecified site of left eye |
| D03.111 | Melanoma in situ of right upper eyelid, including canthus |
| D03.112 | Melanoma in situ of right lower eyelid, including canthus |
| D03.121 | Melanoma in situ of left upper eyelid, including canthus |
| D03.122 | Melanoma in situ of left lower eyelid, including canthus |
| D03.30 | Melanoma in situ of unspecified part of face |
| D03.39 | Melanoma in situ of other parts of face |
| D04.111 | Carcinoma in situ of skin of right upper eyelid, including canthus |
| D04.112 | Carcinoma in situ of skin of right lower eyelid, including canthus |
| D04.121 | Carcinoma in situ of skin of left upper eyelid, including canthus |
| D04.122 | Carcinoma in situ of skin of left lower eyelid, including canthus |
| D09.21 | Carcinoma in situ of right eye |
| D09.22 | Carcinoma in situ of left eye |
| D22.111 | Melanocytic nevi of right upper eyelid, including canthus |
| D22.112 | Melanocytic nevi of right lower eyelid, including canthus |
| D22.121 | Melanocytic nevi of left upper eyelid, including canthus |
| D22.122 | Melanocytic nevi of left lower eyelid, including canthus |
| D22.30 | Melanocytic nevi of unspecified part of face |
| D22.39 | Melanocytic nevi of other parts of face |
| D23.111 | Other benign neoplasm of skin of right upper eyelid, including canthus |
| D23.112 | Other benign neoplasm of skin of right lower eyelid, including canthus |
| D23.121 | Other benign neoplasm of skin of left upper eyelid, including canthus |
| D23.122 | Other benign neoplasm of skin of left lower eyelid, including canthus |
| D23.30 | Other benign neoplasm of skin of unspecified part of face |
| D23.39 | Other benign neoplasm of skin of other parts of face |
| D31.01 | Benign neoplasm of right conjunctiva |
| D31.02 | Benign neoplasm of left conjunctiva |
| D31.11 | Benign neoplasm of right cornea |
| D31.12 | Benign neoplasm of left cornea |
| D31.41 | Benign neoplasm of right ciliary body |
| D31.42 | Benign neoplasm of left ciliary body |
| D31.51 | Benign neoplasm of right lacrimal gland and duct |
| D31.52 | Benign neoplasm of left lacrimal gland and duct |
| D31.61 | Benign neoplasm of unspecified site of right orbit |
| D31.62 | Benign neoplasm of unspecified site of left orbit |
| D31.91 | Benign neoplasm of unspecified part of right eye |
| D31.92 | Benign neoplasm of unspecified part of left eye |
| D48.7 | Neoplasm of uncertain behavior of other specified sites |
| H00.011 | Hordeolum externum right upper eyelid |
| H00.012 | Hordeolum externum right lower eyelid |
| H00.014 | Hordeolum externum left upper eyelid |
| H00.015 | Hordeolum externum left lower eyelid |
| H00.021 | Hordeolum internum right upper eyelid |
| H00.022 | Hordeolum internum right lower eyelid |
| H00.024 | Hordeolum internum left upper eyelid |
| H00.025 | Hordeolum internum left lower eyelid |
| H00.031 | Abscess of right upper eyelid |
| H00.032 | Abscess of right lower eyelid |
| H00.034 | Abscess of left upper eyelid |
| H00.035 | Abscess of left lower eyelid |
| H00.11 | Chalazion right upper eyelid |
| H00.12 | Chalazion right lower eyelid |
| H00.14 | Chalazion left upper eyelid |
| H00.15 | Chalazion left lower eyelid |
| H01.001 | Unspecified blepharitis right upper eyelid |
| H01.002 | Unspecified blepharitis right lower eyelid |
| H01.004 | Unspecified blepharitis left upper eyelid |
| H01.005 | Unspecified blepharitis left lower eyelid |
| H01.00A | Unspecified blepharitis right eye, upper and lower eyelids |
| H01.00B | Unspecified blepharitis left eye, upper and lower eyelids |
| H01.011 | Ulcerative blepharitis right upper eyelid |
| H01.012 | Ulcerative blepharitis right lower eyelid |
| H01.014 | Ulcerative blepharitis left upper eyelid |
| H01.015 | Ulcerative blepharitis left lower eyelid |
| H01.01A | Ulcerative blepharitis right eye, upper and lower eyelids |
| H01.01B | Ulcerative blepharitis left eye, upper and lower eyelids |
| H01.021 | Squamous blepharitis right upper eyelid |
| H01.022 | Squamous blepharitis right lower eyelid |
| H01.024 | Squamous blepharitis left upper eyelid |
| H01.025 | Squamous blepharitis left lower eyelid |
| H01.02A | Squamous blepharitis right eye, upper and lower eyelids |
| H01.02B | Squamous blepharitis left eye, upper and lower eyelids |
| H01.111 | Allergic dermatitis of right upper eyelid |
| H01.112 | Allergic dermatitis of right lower eyelid |
| H01.114 | Allergic dermatitis of left upper eyelid |
| H01.115 | Allergic dermatitis of left lower eyelid |
| H01.121 | Discoid lupus erythematosus of right upper eyelid |
| H01.122 | Discoid lupus erythematosus of right lower eyelid |
| H01.124 | Discoid lupus erythematosus of left upper eyelid |
| H01.125 | Discoid lupus erythematosus of left lower eyelid |
| H01.131 | Eczematous dermatitis of right upper eyelid |
| H01.132 | Eczematous dermatitis of right lower eyelid |
| H01.134 | Eczematous dermatitis of left upper eyelid |
| H01.135 | Eczematous dermatitis of left lower eyelid |
| H01.141 | Xeroderma of right upper eyelid |
| H01.142 | Xeroderma of right lower eyelid |
| H01.144 | Xeroderma of left upper eyelid |
| H01.145 | Xeroderma of left lower eyelid |
| H01.81 | Other specified inflammation of right upper eyelid |
| H01.82 | Other specified inflammation of right lower eyelid |
| H01.84 | Other specified inflammation of left upper eyelid |
| H01.85 | Other specified inflammation of left lower eyelid |
| H01.8A | Other specified inflammation of right eye, upper and lower eyelids |
| H01.8B | Other specified inflammation of left eye, upper and lower eyelids |
| H01.9 | Unspecified inflammation of eyelid |
| H02.001 | Unspecified entropion of right upper eyelid |
| H02.002 | Unspecified entropion of right lower eyelid |
| H02.004 | Unspecified entropion of left upper eyelid |
| H02.005 | Unspecified entropion of left lower eyelid |
| H02.011 | Cicatricial entropion of right upper eyelid |
| H02.012 | Cicatricial entropion of right lower eyelid |
| H02.014 | Cicatricial entropion of left upper eyelid |
| H02.015 | Cicatricial entropion of left lower eyelid |
| H02.021 | Mechanical entropion of right upper eyelid |
| H02.022 | Mechanical entropion of right lower eyelid |
| H02.024 | Mechanical entropion of left upper eyelid |
| H02.025 | Mechanical entropion of left lower eyelid |
| H02.031 | Senile entropion of right upper eyelid |
| H02.032 | Senile entropion of right lower eyelid |
| H02.034 | Senile entropion of left upper eyelid |
| H02.035 | Senile entropion of left lower eyelid |
| H02.041 | Spastic entropion of right upper eyelid |
| H02.042 | Spastic entropion of right lower eyelid |
| H02.044 | Spastic entropion of left upper eyelid |
| H02.045 | Spastic entropion of left lower eyelid |
| H02.051 | Trichiasis without entropion right upper eyelid |
| H02.052 | Trichiasis without entropion right lower eyelid |
| H02.054 | Trichiasis without entropion left upper eyelid |
| H02.055 | Trichiasis without entropion left lower eyelid |
| H02.101 | Unspecified ectropion of right upper eyelid |
| H02.102 | Unspecified ectropion of right lower eyelid |
| H02.104 | Unspecified ectropion of left upper eyelid |
| H02.105 | Unspecified ectropion of left lower eyelid |
| H02.111 | Cicatricial ectropion of right upper eyelid |
| H02.112 | Cicatricial ectropion of right lower eyelid |
| H02.114 | Cicatricial ectropion of left upper eyelid |
| H02.115 | Cicatricial ectropion of left lower eyelid |
| H02.121 | Mechanical ectropion of right upper eyelid |
| H02.122 | Mechanical ectropion of right lower eyelid |
| H02.124 | Mechanical ectropion of left upper eyelid |
| H02.125 | Mechanical ectropion of left lower eyelid |
| H02.131 | Senile ectropion of right upper eyelid |
| H02.132 | Senile ectropion of right lower eyelid |
| H02.134 | Senile ectropion of left upper eyelid |
| H02.135 | Senile ectropion of left lower eyelid |
| H02.141 | Spastic ectropion of right upper eyelid |
| H02.142 | Spastic ectropion of right lower eyelid |
| H02.144 | Spastic ectropion of left upper eyelid |
| H02.145 | Spastic ectropion of left lower eyelid |
| H02.151 | Paralytic ectropion of right upper eyelid |
| H02.152 | Paralytic ectropion of right lower eyelid |
| H02.153 | Paralytic ectropion of right eye, unspecified eyelid |
| H02.154 | Paralytic ectropion of left upper eyelid |
| H02.155 | Paralytic ectropion of left lower eyelid |
| H02.156 | Paralytic ectropion of left eye, unspecified eyelid |
| H02.521 | Blepharophimosis right upper eyelid |
| H02.522 | Blepharophimosis right lower eyelid |
| H02.524 | Blepharophimosis left upper eyelid |
| H02.525 | Blepharophimosis left lower eyelid |
| H02.61 | Xanthelasma of right upper eyelid |
| H02.62 | Xanthelasma of right lower eyelid |
| H02.64 | Xanthelasma of left upper eyelid |
| H02.65 | Xanthelasma of left lower eyelid |
| H02.70 | Unspecified degenerative disorders of eyelid and periocular area |
| H02.711 | Chloasma of right upper eyelid and periocular area |
| H02.712 | Chloasma of right lower eyelid and periocular area |
| H02.714 | Chloasma of left upper eyelid and periocular area |
| H02.715 | Chloasma of left lower eyelid and periocular area |
| H02.721 | Madarosis of right upper eyelid and periocular area |
| H02.722 | Madarosis of right lower eyelid and periocular area |
| H02.724 | Madarosis of left upper eyelid and periocular area |
| H02.725 | Madarosis of left lower eyelid and periocular area |
| H02.731 | Vitiligo of right upper eyelid and periocular area |
| H02.732 | Vitiligo of right lower eyelid and periocular area |
| H02.734 | Vitiligo of left upper eyelid and periocular area |
| H02.735 | Vitiligo of left lower eyelid and periocular area |
| H02.79 | Other degenerative disorders of eyelid and periocular area |
| H02.811 | Retained foreign body in right upper eyelid |
| H02.812 | Retained foreign body in right lower eyelid |
| H02.814 | Retained foreign body in left upper eyelid |
| H02.815 | Retained foreign body in left lower eyelid |
| H02.821 | Cysts of right upper eyelid |
| H02.822 | Cysts of right lower eyelid |
| H02.824 | Cysts of left upper eyelid |
| H02.825 | Cysts of left lower eyelid |
| H02.841 | Edema of right upper eyelid |
| H02.842 | Edema of right lower eyelid |
| H02.844 | Edema of left upper eyelid |
| H02.845 | Edema of left lower eyelid |
| H02.851 | Elephantiasis of right upper eyelid |
| H02.852 | Elephantiasis of right lower eyelid |
| H02.854 | Elephantiasis of left upper eyelid |
| H02.855 | Elephantiasis of left lower eyelid |
| H02.861 | Hypertrichosis of right upper eyelid |
| H02.862 | Hypertrichosis of right lower eyelid |
| H02.864 | Hypertrichosis of left upper eyelid |
| H02.865 | Hypertrichosis of left lower eyelid |
| H02.871 | Vascular anomalies of right upper eyelid |
| H02.872 | Vascular anomalies of right lower eyelid |
| H02.874 | Vascular anomalies of left upper eyelid |
| H02.875 | Vascular anomalies of left lower eyelid |
| H02.881 | Meibomian gland dysfunction right upper eyelid |
| H02.882 | Meibomian gland dysfunction right lower eyelid |
| H02.884 | Meibomian gland dysfunction left upper eyelid |
| H02.885 | Meibomian gland dysfunction left lower eyelid |
| H02.88A | Meibomian gland dysfunction right eye, upper and lower eyelids |
| H02.88B | Meibomian gland dysfunction left eye, upper and lower eyelids |
| H02.89 | Other specified disorders of eyelid |
| H02.9 | Unspecified disorder of eyelid |
| H04.001 | Unspecified dacryoadenitis, right lacrimal gland |
| H04.002 | Unspecified dacryoadenitis, left lacrimal gland |
| H04.003 | Unspecified dacryoadenitis, bilateral lacrimal glands |
| H04.011 | Acute dacryoadenitis, right lacrimal gland |
| H04.012 | Acute dacryoadenitis, left lacrimal gland |
| H04.013 | Acute dacryoadenitis, bilateral lacrimal glands |
| H04.021 | Chronic dacryoadenitis, right lacrimal gland |
| H04.022 | Chronic dacryoadenitis, left lacrimal gland |
| H04.023 | Chronic dacryoadenitis, bilateral lacrimal gland |
| H04.031 | Chronic enlargement of right lacrimal gland |
| H04.032 | Chronic enlargement of left lacrimal gland |
| H04.033 | Chronic enlargement of bilateral lacrimal glands |
| H04.111 | Dacryops of right lacrimal gland |
| H04.112 | Dacryops of left lacrimal gland |
| H04.113 | Dacryops of bilateral lacrimal glands |
| H04.121 | Dry eye syndrome of right lacrimal gland |
| H04.122 | Dry eye syndrome of left lacrimal gland |
| H04.123 | Dry eye syndrome of bilateral lacrimal glands |
| H04.131 | Lacrimal cyst, right lacrimal gland |
| H04.132 | Lacrimal cyst, left lacrimal gland |
| H04.133 | Lacrimal cyst, bilateral lacrimal glands |
| H04.141 | Primary lacrimal gland atrophy, right lacrimal gland |
| H04.142 | Primary lacrimal gland atrophy, left lacrimal gland |
| H04.143 | Primary lacrimal gland atrophy, bilateral lacrimal glands |
| H04.151 | Secondary lacrimal gland atrophy, right lacrimal gland |
| H04.152 | Secondary lacrimal gland atrophy, left lacrimal gland |
| H04.153 | Secondary lacrimal gland atrophy, bilateral lacrimal glands |
| H04.161 | Lacrimal gland dislocation, right lacrimal gland |
| H04.162 | Lacrimal gland dislocation, left lacrimal gland |
| H04.163 | Lacrimal gland dislocation, bilateral lacrimal glands |
| H04.19 | Other specified disorders of lacrimal gland |
| H04.301 | Unspecified dacryocystitis of right lacrimal passage |
| H04.302 | Unspecified dacryocystitis of left lacrimal passage |
| H04.303 | Unspecified dacryocystitis of bilateral lacrimal passages |
| H04.311 | Phlegmonous dacryocystitis of right lacrimal passage |
| H04.312 | Phlegmonous dacryocystitis of left lacrimal passage |
| H04.313 | Phlegmonous dacryocystitis of bilateral lacrimal passages |
| H04.321 | Acute dacryocystitis of right lacrimal passage |
| H04.322 | Acute dacryocystitis of left lacrimal passage |
| H04.323 | Acute dacryocystitis of bilateral lacrimal passages |
| H04.331 | Acute lacrimal canaliculitis of right lacrimal passage |
| H04.332 | Acute lacrimal canaliculitis of left lacrimal passage |
| H04.333 | Acute lacrimal canaliculitis of bilateral lacrimal passages |
| H04.411 | Chronic dacryocystitis of right lacrimal passage |
| H04.412 | Chronic dacryocystitis of left lacrimal passage |
| H04.413 | Chronic dacryocystitis of bilateral lacrimal passages |
| H04.421 | Chronic lacrimal canaliculitis of right lacrimal passage |
| H04.422 | Chronic lacrimal canaliculitis of left lacrimal passage |
| H04.423 | Chronic lacrimal canaliculitis of bilateral lacrimal passages |
| H04.431 | Chronic lacrimal mucocele of right lacrimal passage |
| H04.432 | Chronic lacrimal mucocele of left lacrimal passage |
| H04.433 | Chronic lacrimal mucocele of bilateral lacrimal passages |
| H04.511 | Dacryolith of right lacrimal passage |
| H04.512 | Dacryolith of left lacrimal passage |
| H04.513 | Dacryolith of bilateral lacrimal passages |
| H04.521 | Eversion of right lacrimal punctum |
| H04.522 | Eversion of left lacrimal punctum |
| H04.523 | Eversion of bilateral lacrimal punctum |
| H04.531 | Neonatal obstruction of right nasolacrimal duct |
| H04.532 | Neonatal obstruction of left nasolacrimal duct |
| H04.533 | Neonatal obstruction of bilateral nasolacrimal duct |
| H04.541 | Stenosis of right lacrimal canaliculi |
| H04.542 | Stenosis of left lacrimal canaliculi |
| H04.543 | Stenosis of bilateral lacrimal canaliculi |
| H04.551 | Acquired stenosis of right nasolacrimal duct |
| H04.552 | Acquired stenosis of left nasolacrimal duct |
| H04.553 | Acquired stenosis of bilateral nasolacrimal duct |
| H04.561 | Stenosis of right lacrimal punctum |
| H04.562 | Stenosis of left lacrimal punctum |
| H04.563 | Stenosis of bilateral lacrimal punctum |
| H04.571 | Stenosis of right lacrimal sac |
| H04.572 | Stenosis of left lacrimal sac |
| H04.573 | Stenosis of bilateral lacrimal sac |
| H04.611 | Lacrimal fistula right lacrimal passage |
| H04.612 | Lacrimal fistula left lacrimal passage |
| H04.613 | Lacrimal fistula bilateral lacrimal passages |
| H04.69 | Other changes of lacrimal passages |
| H04.811 | Granuloma of right lacrimal passage |
| H04.812 | Granuloma of left lacrimal passage |
| H04.813 | Granuloma of bilateral lacrimal passages |
| H04.89 | Other disorders of lacrimal system |
| H04.9 | Disorder of lacrimal system, unspecified |
| H05.00 | Unspecified acute inflammation of orbit |
| H05.011 | Cellulitis of right orbit |
| H05.012 | Cellulitis of left orbit |
| H05.013 | Cellulitis of bilateral orbits |
| H05.021 | Osteomyelitis of right orbit |
| H05.022 | Osteomyelitis of left orbit |
| H05.023 | Osteomyelitis of bilateral orbits |
| H05.031 | Periostitis of right orbit |
| H05.032 | Periostitis of left orbit |
| H05.033 | Periostitis of bilateral orbits |
| H05.041 | Tenonitis of right orbit |
| H05.042 | Tenonitis of left orbit |
| H05.043 | Tenonitis of bilateral orbits |
| H05.10 | Unspecified chronic inflammatory disorders of orbit |
| H05.111 | Granuloma of right orbit |
| H05.112 | Granuloma of left orbit |
| H05.113 | Granuloma of bilateral orbits |
| H05.121 | Orbital myositis, right orbit |
| H05.122 | Orbital myositis, left orbit |
| H05.123 | Orbital myositis, bilateral |
| H05.20 | Unspecified exophthalmos |
| H05.211 | Displacement (lateral) of globe, right eye |
| H05.212 | Displacement (lateral) of globe, left eye |
| H05.213 | Displacement (lateral) of globe, bilateral |
| H05.221 | Edema of right orbit |
| H05.222 | Edema of left orbit |
| H05.223 | Edema of bilateral orbit |
| H05.231 | Hemorrhage of right orbit |
| H05.232 | Hemorrhage of left orbit |
| H05.233 | Hemorrhage of bilateral orbit |
| H05.241 | Constant exophthalmos, right eye |
| H05.242 | Constant exophthalmos, left eye |
| H05.243 | Constant exophthalmos, bilateral |
| H05.251 | Intermittent exophthalmos, right eye |
| H05.252 | Intermittent exophthalmos, left eye |
| H05.253 | Intermittent exophthalmos, bilateral |
| H05.261 | Pulsating exophthalmos, right eye |
| H05.262 | Pulsating exophthalmos, left eye |
| H05.263 | Pulsating exophthalmos, bilateral |
| H05.30 | Unspecified deformity of orbit |
| H05.311 | Atrophy of right orbit |
| H05.312 | Atrophy of left orbit |
| H05.313 | Atrophy of bilateral orbit |
| H05.321 | Deformity of right orbit due to bone disease |
| H05.322 | Deformity of left orbit due to bone disease |
| H05.323 | Deformity of bilateral orbits due to bone disease |
| H05.331 | Deformity of right orbit due to trauma or surgery |
| H05.332 | Deformity of left orbit due to trauma or surgery |
| H05.333 | Deformity of bilateral orbits due to trauma or surgery |
| H05.341 | Enlargement of right orbit |
| H05.342 | Enlargement of left orbit |
| H05.343 | Enlargement of bilateral orbits |
| H05.351 | Exostosis of right orbit |
| H05.352 | Exostosis of left orbit |
| H05.353 | Exostosis of bilateral orbits |
| H05.401 | Unspecified enophthalmos, right eye |
| H05.402 | Unspecified enophthalmos, left eye |
| H05.403 | Unspecified enophthalmos, bilateral |
| H05.411 | Enophthalmos due to atrophy of orbital tissue, right eye |
| H05.412 | Enophthalmos due to atrophy of orbital tissue, left eye |
| H05.413 | Enophthalmos due to atrophy of orbital tissue, bilateral |
| H05.421 | Enophthalmos due to trauma or surgery, right eye |
| H05.422 | Enophthalmos due to trauma or surgery, left eye |
| H05.423 | Enophthalmos due to trauma or surgery, bilateral |
Showing the first 400 of 1056 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 92285?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 1056 ICD-10 diagnosis codes that support medical necessity for CPT 92285. 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 92285 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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