CPT 92549: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 92549 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 92549 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 |
|---|---|
| D33.3 | Benign neoplasm of cranial nerves |
| H81.01 | Meniere's disease, right ear |
| H81.02 | Meniere's disease, left ear |
| H81.03 | Meniere's disease, bilateral |
| H81.11 | Benign paroxysmal vertigo, right ear |
| H81.12 | Benign paroxysmal vertigo, left ear |
| H81.13 | Benign paroxysmal vertigo, bilateral |
| H81.21 | Vestibular neuronitis, right ear |
| H81.22 | Vestibular neuronitis, left ear |
| H81.23 | Vestibular neuronitis, bilateral |
| H81.311 | Aural vertigo, right ear |
| H81.312 | Aural vertigo, left ear |
| H81.313 | Aural vertigo, bilateral |
| H81.391 | Other peripheral vertigo, right ear |
| H81.392 | Other peripheral vertigo, left ear |
| H81.393 | Other peripheral vertigo, bilateral |
| H81.4 | Vertigo of central origin |
| H81.8X1 | Other disorders of vestibular function, right ear |
| H81.8X2 | Other disorders of vestibular function, left ear |
| H81.8X3 | Other disorders of vestibular function, bilateral |
| H81.91 | Unspecified disorder of vestibular function, right ear |
| H81.92 | Unspecified disorder of vestibular function, left ear |
| H81.93 | Unspecified disorder of vestibular function, bilateral |
| H82.1 | Vertiginous syndromes in diseases classified elsewhere, right ear |
| H82.2 | Vertiginous syndromes in diseases classified elsewhere, left ear |
| H82.3 | Vertiginous syndromes in diseases classified elsewhere, bilateral |
| H83.01 | Labyrinthitis, right ear |
| H83.02 | Labyrinthitis, left ear |
| H83.03 | Labyrinthitis, bilateral |
| H83.11 | Labyrinthine fistula, right ear |
| H83.12 | Labyrinthine fistula, left ear |
| H83.13 | Labyrinthine fistula, bilateral |
| H83.2X1 | Labyrinthine dysfunction, right ear |
| H83.2X2 | Labyrinthine dysfunction, left ear |
| H83.2X3 | Labyrinthine dysfunction, bilateral |
| H83.8X1 | Other specified diseases of right inner ear |
| H83.8X2 | Other specified diseases of left inner ear |
| H83.8X3 | Other specified diseases of inner ear, bilateral |
| H83.91 | Unspecified disease of right inner ear |
| H83.92 | Unspecified disease of left inner ear |
| H83.93 | Unspecified disease of inner ear, bilateral |
| H90.0 | Conductive hearing loss, bilateral |
| H90.11 | Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side |
| H90.12 | Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side |
| H90.3 | Sensorineural hearing loss, bilateral |
| H90.41 | Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side |
| H90.42 | Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side |
| H90.6 | Mixed conductive and sensorineural hearing loss, bilateral |
| H90.71 | Mixed conductive and sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side |
| H90.72 | Mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side |
| H90.A11 | Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side |
| H90.A12 | Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral side |
| H90.A21 | Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side |
| H90.A22 | Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side |
| H90.A31 | Mixed conductive and sensorineural hearing loss, unilateral, right ear with restricted hearing on the contralateral side |
| H90.A32 | Mixed conductive and sensorineural hearing loss, unilateral, left ear with restricted hearing on the contralateral side |
| R42 | Dizziness and giddiness |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 92549?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 57 ICD-10 diagnosis codes that support medical necessity for CPT 92549. 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 92549 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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