ICD↔CPT crosswalk
CPT 92616: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 92616 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 92616 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 |
|---|---|
| A52.17 | General paresis |
| A81.00 | Creutzfeldt-Jakob disease, unspecified |
| A81.01 | Variant Creutzfeldt-Jakob disease |
| A81.09 | Other Creutzfeldt-Jakob disease |
| E75.00 | GM2 gangliosidosis, unspecified |
| E75.01 | Sandhoff disease |
| E75.02 | Tay-Sachs disease |
| E75.09 | Other GM2 gangliosidosis |
| E75.11 | Mucolipidosis IV |
| E75.19 | Other gangliosidosis |
| E75.27 | Pelizaeus-Merzbacher disease |
| E75.28 | Canavan disease |
| E75.4 | Neuronal ceroid lipofuscinosis |
| E83.01 | Wilson's disease |
| E83.09 | Other disorders of copper metabolism |
| F01.518 | Vascular dementia, unspecified severity, with other behavioral disturbance |
| F01.A18 | Vascular dementia, mild, with other behavioral disturbance |
| F01.B18 | Vascular dementia, moderate, with other behavioral disturbance |
| F01.C18 | Vascular dementia, severe, with other behavioral disturbance |
| F02.818 | Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance |
| F02.A18 | Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance |
| F02.B18 | Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance |
| F02.C18 | Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance |
| F07.81 | Postconcussional syndrome |
| F80.0 | Phonological disorder |
| F80.1 | Expressive language disorder |
| F80.2 | Mixed receptive-expressive language disorder |
| F80.4 | Speech and language development delay due to hearing loss |
| F80.81 | Childhood onset fluency disorder |
| F80.82 | Social pragmatic communication disorder |
| F80.89 | Other developmental disorders of speech and language |
| F80.9 | Developmental disorder of speech and language, unspecified |
| F81.0 | Specific reading disorder |
| F81.81 | Disorder of written expression |
| F82 | Specific developmental disorder of motor function |
| F88 | Other disorders of psychological development |
| F95.2 | Tourette's disorder |
| F98.29 | Other feeding disorders of infancy and early childhood |
| F98.5 | Adult onset fluency disorder |
| G10 | Huntington's disease |
| G24.09 | Other drug induced dystonia |
| G24.2 | Idiopathic nonfamilial dystonia |
| G24.4 | Idiopathic orofacial dystonia |
| G24.8 | Other dystonia |
| G30.0 | Alzheimer's disease with early onset |
| G30.1 | Alzheimer's disease with late onset |
| G30.8 | Other Alzheimer's disease |
| G31.01 | Pick's disease |
| G31.09 | Other frontotemporal neurocognitive disorder |
| G31.80 | Leukodystrophy, unspecified |
| G31.83 | Neurocognitive disorder with Lewy bodies |
| G31.85 | Corticobasal degeneration |
| G31.87 | Primary progressive apraxia of speech |
| G35.A | Relapsing-remitting multiple sclerosis |
| G35.B0 | Primary progressive multiple sclerosis, unspecified |
| G35.B1 | Active primary progressive multiple sclerosis |
| G35.B2 | Non-active primary progressive multiple sclerosis |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified |
| G35.C1 | Active secondary progressive multiple sclerosis |
| G35.C2 | Non-active secondary progressive multiple sclerosis |
| G35.D | Multiple sclerosis, unspecified |
| G36.0 | Neuromyelitis optica [Devic] |
| G36.1 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G36.8 | Other specified acute disseminated demyelination |
| G36.9 | Acute disseminated demyelination, unspecified |
| G37.0 | Diffuse sclerosis of central nervous system |
| G37.1 | Central demyelination of corpus callosum |
| G37.2 | Central pontine myelinolysis |
| G37.3 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G37.4 | Subacute necrotizing myelitis of central nervous system |
| G37.5 | Concentric sclerosis [Balo] of central nervous system |
| G37.89 | Other specified demyelinating diseases of central nervous system |
| G37.9 | Demyelinating disease of central nervous system, unspecified |
| G40.001 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus |
| G40.009 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus |
| G40.011 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus |
| G40.019 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus |
| G40.101 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus |
| G40.109 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus |
| G40.111 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus |
| G40.119 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus |
| G40.201 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus |
| G40.209 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus |
| G40.211 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus |
| G40.219 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus |
| 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 |
| G40.42 | Cyclin-Dependent Kinase-Like 5 Deficiency Disorder |
| G40.501 | Epileptic seizures related to external causes, not intractable, with status epilepticus |
| G40.509 | Epileptic seizures related to external causes, not intractable, without status epilepticus |
| G40.801 | Other epilepsy, not intractable, with status epilepticus |
| G40.802 | Other epilepsy, not intractable, without status epilepticus |
| G40.803 | Other epilepsy, intractable, with status epilepticus |
| G40.804 | Other epilepsy, intractable, without status epilepticus |
| G40.811 | Lennox-Gastaut syndrome, not intractable, with status epilepticus |
| G40.812 | Lennox-Gastaut syndrome, not intractable, without status epilepticus |
| G40.813 | Lennox-Gastaut syndrome, intractable, with status epilepticus |
| G40.814 | Lennox-Gastaut syndrome, intractable, without status epilepticus |
| G40.821 | Epileptic spasms, not intractable, with status epilepticus |
| G40.822 | Epileptic spasms, not intractable, without status epilepticus |
| G40.823 | Epileptic spasms, intractable, with status epilepticus |
| G40.824 | Epileptic spasms, intractable, without status epilepticus |
| G40.833 | Dravet syndrome, intractable, with status epilepticus |
| G40.834 | Dravet syndrome, intractable, without status epilepticus |
| G40.841 | KCNQ2-related epilepsy, not intractable, with status epilepticus |
| G40.842 | KCNQ2-related epilepsy, not intractable, without status epilepticus |
| G40.843 | KCNQ2-related epilepsy, intractable, with status epilepticus |
| G40.844 | KCNQ2-related epilepsy, intractable, without status epilepticus |
| G40.89 | Other seizures |
| 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 |
| G40.A01 | Absence epileptic syndrome, not intractable, with status epilepticus |
| G40.A09 | Absence epileptic syndrome, not intractable, without status epilepticus |
| G40.A11 | Absence epileptic syndrome, intractable, with status epilepticus |
| G40.A19 | Absence epileptic syndrome, intractable, without status epilepticus |
| G40.B01 | Juvenile myoclonic epilepsy, not intractable, with status epilepticus |
| G40.B09 | Juvenile myoclonic epilepsy, not intractable, without status epilepticus |
| G40.B11 | Juvenile myoclonic epilepsy, intractable, with status epilepticus |
| G40.B19 | Juvenile myoclonic epilepsy, intractable, without status epilepticus |
| G51.0 | Bell's palsy |
| G51.1 | Geniculate ganglionitis |
| G51.2 | Melkersson's syndrome |
| G51.4 | Facial myokymia |
| G51.8 | Other disorders of facial nerve |
| G51.9 | Disorder of facial nerve, unspecified |
| G52.1 | Disorders of glossopharyngeal nerve |
| G70.00 | Myasthenia gravis without (acute) exacerbation |
| G70.01 | Myasthenia gravis with (acute) exacerbation |
| G70.1 | Toxic myoneural disorders |
| G70.2 | Congenital and developmental myasthenia |
| G70.80 | Lambert-Eaton syndrome, unspecified |
| G70.81 | Lambert-Eaton syndrome in disease classified elsewhere |
| G70.89 | Other specified myoneural disorders |
| G70.9 | Myoneural disorder, unspecified |
| G71.11 | Myotonic muscular dystrophy |
| G71.12 | Myotonia congenita |
| G71.13 | Myotonic chondrodystrophy |
| G71.14 | Drug induced myotonia |
| G71.19 | Other specified myotonic disorders |
| G71.20 | Congenital myopathy, unspecified |
| G71.21 | Nemaline myopathy |
| G71.220 | X-linked myotubular myopathy |
| G71.228 | Other centronuclear myopathy |
| G71.29 | Other congenital myopathy |
| G72.0 | Drug-induced myopathy |
| G72.1 | Alcoholic myopathy |
| G72.2 | Myopathy due to other toxic agents |
| G72.3 | Periodic paralysis |
| G73.1 | Lambert-Eaton syndrome in neoplastic disease |
| G80.0 | Spastic quadriplegic cerebral palsy |
| G80.1 | Spastic diplegic cerebral palsy |
| G80.2 | Spastic hemiplegic cerebral palsy |
| G80.3 | Athetoid cerebral palsy |
| G80.4 | Ataxic cerebral palsy |
| G80.8 | Other cerebral palsy |
| G80.9 | Cerebral palsy, unspecified |
| G81.01 | Flaccid hemiplegia affecting right dominant side |
| G81.02 | Flaccid hemiplegia affecting left dominant side |
| G81.03 | Flaccid hemiplegia affecting right nondominant side |
| G81.04 | Flaccid hemiplegia affecting left nondominant side |
| G81.11 | Spastic hemiplegia affecting right dominant side |
| G81.12 | Spastic hemiplegia affecting left dominant side |
| G81.13 | Spastic hemiplegia affecting right nondominant side |
| G81.14 | Spastic hemiplegia affecting left nondominant side |
| G81.91 | Hemiplegia, unspecified affecting right dominant side |
| G81.92 | Hemiplegia, unspecified affecting left dominant side |
| G81.93 | Hemiplegia, unspecified affecting right nondominant side |
| G81.94 | Hemiplegia, unspecified affecting left nondominant side |
| G83.5 | Locked-in state |
| G83.81 | Brown-Sequard syndrome |
| G83.82 | Anterior cord syndrome |
| G83.83 | Posterior cord syndrome |
| G83.84 | Todd's paralysis (postepileptic) |
| G83.89 | Other specified paralytic syndromes |
| G83.9 | Paralytic syndrome, unspecified |
| 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 |
| H91.3 | Deaf nonspeaking, not elsewhere classified |
| H93.221 | Diplacusis, right ear |
| H93.222 | Diplacusis, left ear |
| H93.223 | Diplacusis, bilateral |
| H93.241 | Temporary auditory threshold shift, right ear |
| H93.242 | Temporary auditory threshold shift, left ear |
| H93.243 | Temporary auditory threshold shift, bilateral |
| H93.25 | Central auditory processing disorder |
| H93.291 | Other abnormal auditory perceptions, right ear |
| H93.292 | Other abnormal auditory perceptions, left ear |
| H93.293 | Other abnormal auditory perceptions, bilateral |
| I69.010 | Attention and concentration deficit following nontraumatic subarachnoid hemorrhage |
| I69.012 | Visuospatial deficit and spatial neglect following nontraumatic subarachnoid hemorrhage |
| I69.013 | Psychomotor deficit following nontraumatic subarachnoid hemorrhage |
| I69.014 | Frontal lobe and executive function deficit following nontraumatic subarachnoid hemorrhage |
| I69.015 | Cognitive social or emotional deficit following nontraumatic subarachnoid hemorrhage |
| I69.018 | Other symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage |
| I69.019 | Unspecified symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage |
| I69.020 | Aphasia following nontraumatic subarachnoid hemorrhage |
| I69.021 | Dysphasia following nontraumatic subarachnoid hemorrhage |
| I69.022 | Dysarthria following nontraumatic subarachnoid hemorrhage |
| I69.023 | Fluency disorder following nontraumatic subarachnoid hemorrhage |
| I69.028 | Other speech and language deficits following nontraumatic subarachnoid hemorrhage |
| I69.090 | Apraxia following nontraumatic subarachnoid hemorrhage |
| I69.091 | Dysphagia following nontraumatic subarachnoid hemorrhage |
| I69.092 | Facial weakness following nontraumatic subarachnoid hemorrhage |
| I69.110 | Attention and concentration deficit following nontraumatic intracerebral hemorrhage |
| I69.112 | Visuospatial deficit and spatial neglect following nontraumatic intracerebral hemorrhage |
| I69.114 | Frontal lobe and executive function deficit following nontraumatic intracerebral hemorrhage |
| I69.115 | Cognitive social or emotional deficit following nontraumatic intracerebral hemorrhage |
| I69.118 | Other symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage |
| I69.120 | Aphasia following nontraumatic intracerebral hemorrhage |
| I69.121 | Dysphasia following nontraumatic intracerebral hemorrhage |
| I69.122 | Dysarthria following nontraumatic intracerebral hemorrhage |
| I69.123 | Fluency disorder following nontraumatic intracerebral hemorrhage |
| I69.128 | Other speech and language deficits following nontraumatic intracerebral hemorrhage |
| I69.190 | Apraxia following nontraumatic intracerebral hemorrhage |
| I69.191 | Dysphagia following nontraumatic intracerebral hemorrhage |
| I69.192 | Facial weakness following nontraumatic intracerebral hemorrhage |
| I69.210 | Attention and concentration deficit following other nontraumatic intracranial hemorrhage |
| I69.212 | Visuospatial deficit and spatial neglect following other nontraumatic intracranial hemorrhage |
| I69.214 | Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage |
| I69.215 | Cognitive social or emotional deficit following other nontraumatic intracranial hemorrhage |
| I69.220 | Aphasia following other nontraumatic intracranial hemorrhage |
| I69.221 | Dysphasia following other nontraumatic intracranial hemorrhage |
| I69.222 | Dysarthria following other nontraumatic intracranial hemorrhage |
| I69.223 | Fluency disorder following other nontraumatic intracranial hemorrhage |
| I69.228 | Other speech and language deficits following other nontraumatic intracranial hemorrhage |
| I69.290 | Apraxia following other nontraumatic intracranial hemorrhage |
| I69.291 | Dysphagia following other nontraumatic intracranial hemorrhage |
| I69.292 | Facial weakness following other nontraumatic intracranial hemorrhage |
| I69.310 | Attention and concentration deficit following cerebral infarction |
| I69.312 | Visuospatial deficit and spatial neglect following cerebral infarction |
| I69.313 | Psychomotor deficit following cerebral infarction |
| I69.314 | Frontal lobe and executive function deficit following cerebral infarction |
| I69.315 | Cognitive social or emotional deficit following cerebral infarction |
| I69.320 | Aphasia following cerebral infarction |
| I69.321 | Dysphasia following cerebral infarction |
| I69.322 | Dysarthria following cerebral infarction |
| I69.323 | Fluency disorder following cerebral infarction |
| I69.328 | Other speech and language deficits following cerebral infarction |
| I69.390 | Apraxia following cerebral infarction |
| I69.391 | Dysphagia following cerebral infarction |
| I69.392 | Facial weakness following cerebral infarction |
| I69.810 | Attention and concentration deficit following other cerebrovascular disease |
| I69.812 | Visuospatial deficit and spatial neglect following other cerebrovascular disease |
| I69.813 | Psychomotor deficit following other cerebrovascular disease |
| I69.814 | Frontal lobe and executive function deficit following other cerebrovascular disease |
| I69.815 | Cognitive social or emotional deficit following other cerebrovascular disease |
| I69.820 | Aphasia following other cerebrovascular disease |
| I69.821 | Dysphasia following other cerebrovascular disease |
| I69.822 | Dysarthria following other cerebrovascular disease |
| I69.823 | Fluency disorder following other cerebrovascular disease |
| I69.828 | Other speech and language deficits following other cerebrovascular disease |
| I69.890 | Apraxia following other cerebrovascular disease |
| I69.891 | Dysphagia following other cerebrovascular disease |
| I69.892 | Facial weakness following other cerebrovascular disease |
| I69.910 | Attention and concentration deficit following unspecified cerebrovascular disease |
| I69.912 | Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease |
| I69.913 | Psychomotor deficit following unspecified cerebrovascular disease |
| I69.914 | Frontal lobe and executive function deficit following unspecified cerebrovascular disease |
| I69.915 | Cognitive social or emotional deficit following unspecified cerebrovascular disease |
| I69.920 | Aphasia following unspecified cerebrovascular disease |
| I69.921 | Dysphasia following unspecified cerebrovascular disease |
| I69.922 | Dysarthria following unspecified cerebrovascular disease |
| I69.923 | Fluency disorder following unspecified cerebrovascular disease |
| I69.928 | Other speech and language deficits following unspecified cerebrovascular disease |
| I69.990 | Apraxia following unspecified cerebrovascular disease |
| I69.991 | Dysphagia following unspecified cerebrovascular disease |
| I69.992 | Facial weakness following unspecified cerebrovascular disease |
| J37.0 | Chronic laryngitis |
| J37.1 | Chronic laryngotracheitis |
| J38.01 | Paralysis of vocal cords and larynx, unilateral |
| J38.02 | Paralysis of vocal cords and larynx, bilateral |
| J38.1 | Polyp of vocal cord and larynx |
| J38.2 | Nodules of vocal cords |
| J38.3 | Other diseases of vocal cords |
| J38.4 | Edema of larynx |
| J38.5 | Laryngeal spasm |
| J38.6 | Stenosis of larynx |
| J38.7 | Other diseases of larynx |
| J39.0 | Retropharyngeal and parapharyngeal abscess |
| J39.1 | Other abscess of pharynx |
| J39.2 | Other diseases of pharynx |
| K14.8 | Other diseases of tongue |
| M26.20 | Unspecified anomaly of dental arch relationship |
| M26.211 | Malocclusion, Angle's class I |
| M26.212 | Malocclusion, Angle's class II |
| M26.213 | Malocclusion, Angle's class III |
| M26.220 | Open anterior occlusal relationship |
| M26.221 | Open posterior occlusal relationship |
| M26.23 | Excessive horizontal overlap |
| M26.24 | Reverse articulation |
| M26.25 | Anomalies of interarch distance |
| M26.29 | Other anomalies of dental arch relationship |
| M26.50 | Dentofacial functional abnormalities, unspecified |
| M30.0 | Polyarteritis nodosa |
| M30.2 | Juvenile polyarteritis |
| M30.8 | Other conditions related to polyarteritis nodosa |
| M31.7 | Microscopic polyangiitis |
| Q31.1 | Congenital subglottic stenosis |
| Q31.2 | Laryngeal hypoplasia |
| Q31.3 | Laryngocele |
| Q31.5 | Congenital laryngomalacia |
| Q31.8 | Other congenital malformations of larynx |
| Q31.9 | Congenital malformation of larynx, unspecified |
| Q32.0 | Congenital tracheomalacia |
| Q32.1 | Other congenital malformations of trachea |
| Q32.2 | Congenital bronchomalacia |
| Q32.3 | Congenital stenosis of bronchus |
| Q32.4 | Other congenital malformations of bronchus |
| Q35.1 | Cleft hard palate |
| Q35.3 | Cleft soft palate |
| Q35.5 | Cleft hard palate with cleft soft palate |
| Q35.7 | Cleft uvula |
| Q36.0 | Cleft lip, bilateral |
| Q36.1 | Cleft lip, median |
| Q36.9 | Cleft lip, unilateral |
| Q37.0 | Cleft hard palate with bilateral cleft lip |
| Q37.1 | Cleft hard palate with unilateral cleft lip |
| Q37.2 | Cleft soft palate with bilateral cleft lip |
| Q37.3 | Cleft soft palate with unilateral cleft lip |
| Q37.4 | Cleft hard and soft palate with bilateral cleft lip |
| Q37.5 | Cleft hard and soft palate with unilateral cleft lip |
| Q38.1 | Ankyloglossia |
| Q38.2 | Macroglossia |
| Q38.3 | Other congenital malformations of tongue |
| R05.8 | Other specified cough |
| R06.89 | Other abnormalities of breathing |
| R13.0 | Aphagia |
| R13.10 | Dysphagia, unspecified |
| R13.11 | Dysphagia, oral phase |
| R13.12 | Dysphagia, oropharyngeal phase |
| R13.13 | Dysphagia, pharyngeal phase |
| R13.14 | Dysphagia, pharyngoesophageal phase |
| R13.19 | Other dysphagia |
| R41.4 | Neurologic neglect syndrome |
| R41.841 | Cognitive communication deficit |
| R41.85 | Anosognosia |
| R47.01 | Aphasia |
| R47.02 | Dysphasia |
| R47.1 | Dysarthria and anarthria |
| R47.81 | Slurred speech |
| R47.82 | Fluency disorder in conditions classified elsewhere |
| R47.89 | Other speech disturbances |
| R48.0 | Dyslexia and alexia |
| R48.1 | Agnosia |
| R48.2 | Apraxia |
| R48.8 | Other symbolic dysfunctions |
| R49.0 | Dysphonia |
| R49.1 | Aphonia |
| R49.8 | Other voice and resonance disorders |
| R62.0 | Delayed milestone in childhood |
| R63.39 | Other feeding difficulties |
| S01.522S | Laceration with foreign body of oral cavity, sequela |
| S01.531S | Puncture wound without foreign body of lip, sequela |
| S01.532S | Puncture wound without foreign body of oral cavity, sequela |
| S01.541S | Puncture wound with foreign body of lip, sequela |
| S01.542S | Puncture wound with foreign body of oral cavity, sequela |
| S06.0X0S | Concussion without loss of consciousness, sequela |
| S06.0X1S | Concussion with loss of consciousness of 30 minutes or less, sequela |
| S06.0X9S | Concussion with loss of consciousness of unspecified duration, sequela |
| S06.1X0S | Traumatic cerebral edema without loss of consciousness, sequela |
| S06.1X1S | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequela |
| S06.1X2S | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela |
| S06.1X3S | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| S06.1X4S | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, sequela |
| S06.1X5S | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| S06.1X9S | Traumatic cerebral edema with loss of consciousness of unspecified duration, sequela |
| S06.1XAA | Traumatic cerebral edema with loss of consciousness status unknown, initial encounter |
| S06.1XAD | Traumatic cerebral edema with loss of consciousness status unknown, subsequent encounter |
| S06.1XAS | Traumatic cerebral edema with loss of consciousness status unknown, sequela |
| S06.2X0S | Diffuse traumatic brain injury without loss of consciousness, sequela |
| S06.2X1S | Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, sequela |
| S06.2X2S | Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela |
| S06.2X3S | Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| S06.2X4S | Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela |
| S06.2X5S | Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, sequela |
| S06.2X9S | Diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequela |
| S06.2XAA | Diffuse traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06.2XAD | Diffuse traumatic brain injury with loss of consciousness status unknown, subsequent encounter |
| S06.2XAS | Diffuse traumatic brain injury with loss of consciousness status unknown, sequela |
Showing the first 400 of 591 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 92616?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 591 ICD-10 diagnosis codes that support medical necessity for CPT 92616. 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 92616 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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