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ICD↔CPT crosswalk

CPT 93010: ICD-10 codes that support medical necessity

2739 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 93010 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 93010 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-10Description
A01.01Typhoid meningitis
A01.02Typhoid fever with heart involvement
A01.03Typhoid pneumonia
A01.04Typhoid arthritis
A01.05Typhoid osteomyelitis
A01.09Typhoid fever with other complications
A02.1Salmonella sepsis
A05.1Botulism food poisoning
A17.83Tuberculous neuritis
A17.89Other tuberculosis of nervous system
A18.82Tuberculosis of other endocrine glands
A18.84Tuberculosis of heart
A18.89Tuberculosis of other sites
A19.0Acute miliary tuberculosis of a single specified site
A19.1Acute miliary tuberculosis of multiple sites
A19.8Other miliary tuberculosis
A20.7Septicemic plague
A22.7Anthrax sepsis
A26.7Erysipelothrix sepsis
A32.7Listerial sepsis
A36.81Diphtheritic cardiomyopathy
A39.2Acute meningococcemia
A39.3Chronic meningococcemia
A39.50Meningococcal carditis, unspecified
A39.51Meningococcal endocarditis
A39.52Meningococcal myocarditis
A39.53Meningococcal pericarditis
A40.0Sepsis due to streptococcus, group A
A40.1Sepsis due to streptococcus, group B
A40.3Sepsis due to Streptococcus pneumoniae
A40.8Other streptococcal sepsis
A41.01Sepsis due to Methicillin susceptible Staphylococcus aureus
A41.02Sepsis due to Methicillin resistant Staphylococcus aureus
A41.1Sepsis due to other specified staphylococcus
A41.3Sepsis due to Hemophilus influenzae
A41.4Sepsis due to anaerobes
A41.51Sepsis due to Escherichia coli [E. coli]
A41.52Sepsis due to Pseudomonas
A41.53Sepsis due to Serratia
A41.54Sepsis due to Acinetobacter baumannii
A41.59Other Gram-negative sepsis
A41.81Sepsis due to Enterococcus
A41.89Other specified sepsis
A42.7Actinomycotic sepsis
A48.0Gas gangrene
A52.01Syphilitic aneurysm of aorta
A52.03Syphilitic endocarditis
A52.04Syphilitic cerebral arteritis
A52.05Other cerebrovascular syphilis
A52.06Other syphilitic heart involvement
A52.09Other cardiovascular syphilis
A54.83Gonococcal heart infection
A54.86Gonococcal sepsis
B00.7Disseminated herpesviral disease
B20Human immunodeficiency virus [HIV] disease
B33.0Epidemic myalgia
B33.20Viral carditis, unspecified
B33.21Viral endocarditis
B33.22Viral myocarditis
B33.23Viral pericarditis
B33.24Viral cardiomyopathy
B37.6Candidal endocarditis
B37.7Candidal sepsis
B39.0Acute pulmonary histoplasmosis capsulati
B39.1Chronic pulmonary histoplasmosis capsulati
B39.2Pulmonary histoplasmosis capsulati, unspecified
B39.3Disseminated histoplasmosis capsulati
B39.4Histoplasmosis capsulati, unspecified
B39.5Histoplasmosis duboisii
B57.0Acute Chagas' disease with heart involvement
B57.2Chagas' disease (chronic) with heart involvement
B58.81Toxoplasma myocarditis
B58.89Toxoplasmosis with other organ involvement
B75Trichinellosis
C37Malignant neoplasm of thymus
C38.0Malignant neoplasm of heart
C38.1Malignant neoplasm of anterior mediastinum
C38.2Malignant neoplasm of posterior mediastinum
C38.4Malignant neoplasm of pleura
C38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleura
C45.0Mesothelioma of pleura
C45.2Mesothelioma of pericardium
D15.0Benign neoplasm of thymus
D15.1Benign neoplasm of heart
D15.2Benign neoplasm of mediastinum
D19.0Benign neoplasm of mesothelial tissue of pleura
D56.8Other thalassemias
D57.01Hb-SS disease with acute chest syndrome
D57.02Hb-SS disease with splenic sequestration
D57.03Hb-SS disease with cerebral vascular involvement
D57.04Hb-SS disease with dactylitis
D57.09Hb-SS disease with crisis with other specified complication
D57.1Sickle-cell disease without crisis
D57.20Sickle-cell/Hb-C disease without crisis
D57.211Sickle-cell/Hb-C disease with acute chest syndrome
D57.212Sickle-cell/Hb-C disease with splenic sequestration
D57.213Sickle-cell/Hb-C disease with cerebral vascular involvement
D57.214Sickle-cell/Hb-C disease with dactylitis
D57.218Sickle-cell/Hb-C disease with crisis with other specified complication
D57.40Sickle-cell thalassemia without crisis
D57.411Sickle-cell thalassemia, unspecified, with acute chest syndrome
D57.412Sickle-cell thalassemia, unspecified, with splenic sequestration
D57.413Sickle-cell thalassemia, unspecified, with cerebral vascular involvement
D57.414Sickle-cell thalassemia, unspecified, with dactylitis
D57.418Sickle-cell thalassemia, unspecified, with crisis with other specified complication
D57.42Sickle-cell thalassemia beta zero without crisis
D57.431Sickle-cell thalassemia beta zero with acute chest syndrome
D57.432Sickle-cell thalassemia beta zero with splenic sequestration
D57.433Sickle-cell thalassemia beta zero with cerebral vascular involvement
D57.434Sickle-cell thalassemia beta zero with dactylitis
D57.438Sickle-cell thalassemia beta zero with crisis with other specified complication
D57.439Sickle-cell thalassemia beta zero with crisis, unspecified
D57.44Sickle-cell thalassemia beta plus without crisis
D57.451Sickle-cell thalassemia beta plus with acute chest syndrome
D57.452Sickle-cell thalassemia beta plus with splenic sequestration
D57.453Sickle-cell thalassemia beta plus with cerebral vascular involvement
D57.454Sickle-cell thalassemia beta plus with dactylitis
D57.458Sickle-cell thalassemia beta plus with crisis with other specified complication
D57.459Sickle-cell thalassemia beta plus with crisis, unspecified
D57.80Other sickle-cell disorders without crisis
D57.811Other sickle-cell disorders with acute chest syndrome
D57.812Other sickle-cell disorders with splenic sequestration
D57.813Other sickle-cell disorders with cerebral vascular involvement
D57.814Other sickle-cell disorders with dactylitis
D57.818Other sickle-cell disorders with crisis with other specified complication
D57.819Other sickle-cell disorders with crisis, unspecified
D86.0Sarcoidosis of lung
D86.1Sarcoidosis of lymph nodes
D86.2Sarcoidosis of lung with sarcoidosis of lymph nodes
D86.3Sarcoidosis of skin
D86.81Sarcoid meningitis
D86.82Multiple cranial nerve palsies in sarcoidosis
D86.83Sarcoid iridocyclitis
D86.84Sarcoid pyelonephritis
D86.85Sarcoid myocarditis
D86.86Sarcoid arthropathy
D86.87Sarcoid myositis
D86.89Sarcoidosis of other sites
E00.0Congenital iodine-deficiency syndrome, neurological type
E00.1Congenital iodine-deficiency syndrome, myxedematous type
E00.2Congenital iodine-deficiency syndrome, mixed type
E01.8Other iodine-deficiency related thyroid disorders and allied conditions
E02Subclinical iodine-deficiency hypothyroidism
E03.0Congenital hypothyroidism with diffuse goiter
E03.1Congenital hypothyroidism without goiter
E03.2Hypothyroidism due to medicaments and other exogenous substances
E03.3Postinfectious hypothyroidism
E03.5Myxedema coma
E03.8Other specified hypothyroidism
E05.00Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
E05.01Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm
E05.10Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm
E05.11Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm
E05.20Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm
E05.21Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
E05.30Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm
E05.31Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm
E05.40Thyrotoxicosis factitia without thyrotoxic crisis or storm
E05.41Thyrotoxicosis factitia with thyrotoxic crisis or storm
E05.80Other thyrotoxicosis without thyrotoxic crisis or storm
E05.81Other thyrotoxicosis with thyrotoxic crisis or storm
E05.91Thyrotoxicosis, unspecified with thyrotoxic crisis or storm
E08.51Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
E08.52Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
E09.51Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
E09.52Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.51Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.51Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E20.0Idiopathic hypoparathyroidism
E20.1Pseudohypoparathyroidism
E21.0Primary hyperparathyroidism
E21.1Secondary hyperparathyroidism, not elsewhere classified
E21.2Other hyperparathyroidism
E21.4Other specified disorders of parathyroid gland
E24.0Pituitary-dependent Cushing's disease
E24.2Drug-induced Cushing's syndrome
E24.3Ectopic ACTH syndrome
E24.4Alcohol-induced pseudo-Cushing's syndrome
E24.8Other Cushing's syndrome
E25.0Congenital adrenogenital disorders associated with enzyme deficiency
E25.8Other adrenogenital disorders
E26.01Conn's syndrome
E26.02Glucocorticoid-remediable aldosteronism
E26.09Other primary hyperaldosteronism
E26.1Secondary hyperaldosteronism
E26.81Bartter's syndrome
E26.89Other hyperaldosteronism
E27.0Other adrenocortical overactivity
E27.1Primary adrenocortical insufficiency
E27.2Addisonian crisis
E27.3Drug-induced adrenocortical insufficiency
E27.49Other adrenocortical insufficiency
E27.5Adrenomedullary hyperfunction
E27.8Other specified disorders of adrenal gland
E35Disorders of endocrine glands in diseases classified elsewhere
E51.11Dry beriberi
E51.12Wet beriberi
E51.2Wernicke's encephalopathy
E51.8Other manifestations of thiamine deficiency
E52Niacin deficiency [pellagra]
E75.21Fabry (-Anderson) disease
E75.22Gaucher disease
E75.240Niemann-Pick disease type A
E75.241Niemann-Pick disease type B
E75.242Niemann-Pick disease type C
E75.243Niemann-Pick disease type D
E75.244Niemann-Pick disease type A/B
E75.248Other Niemann-Pick disease
E75.27Pelizaeus-Merzbacher disease
E75.28Canavan disease
E75.5Other lipid storage disorders
E77.0Defects in post-translational modification of lysosomal enzymes
E77.1Defects in glycoprotein degradation
E77.8Other disorders of glycoprotein metabolism
E78.00Pure hypercholesterolemia, unspecified
E78.010Homozygous familial hypercholesterolemia [HoFH]
E78.011Heterozygous familial hypercholesterolemia [HeFH]
E78.019Familial hypercholesterolemia, unspecified
E78.1Pure hyperglyceridemia
E78.2Mixed hyperlipidemia
E78.3Hyperchylomicronemia
E78.41Elevated Lipoprotein(a)
E78.49Other hyperlipidemia
E78.6Lipoprotein deficiency
E78.79Other disorders of bile acid and cholesterol metabolism
E78.81Lipoid dermatoarthritis
E78.89Other lipoprotein metabolism disorders
E83.31Familial hypophosphatemia
E83.32Hereditary vitamin D-dependent rickets (type 1) (type 2)
E83.39Other disorders of phosphorus metabolism
E83.41Hypermagnesemia
E83.42Hypomagnesemia
E83.49Other disorders of magnesium metabolism
E83.51Hypocalcemia
E83.52Hypercalcemia
E83.59Other disorders of calcium metabolism
E83.81Hungry bone syndrome
E85.0Non-neuropathic heredofamilial amyloidosis
E85.1Neuropathic heredofamilial amyloidosis
E85.2Heredofamilial amyloidosis, unspecified
E85.3Secondary systemic amyloidosis
E85.4Organ-limited amyloidosis
E85.81Light chain (AL) amyloidosis
E85.82Wild-type transthyretin-related (ATTR) amyloidosis
E85.89Other amyloidosis
E85.9Amyloidosis, unspecified
E86.0Dehydration
E86.1Hypovolemia
E87.0Hyperosmolality and hypernatremia
E87.1Hypo-osmolality and hyponatremia
E87.20Acidosis, unspecified
E87.21Acute metabolic acidosis
E87.22Chronic metabolic acidosis
E87.29Other acidosis
E87.3Alkalosis
E87.4Mixed disorder of acid-base balance
E87.5Hyperkalemia
E87.6Hypokalemia
E87.71Transfusion associated circulatory overload
E87.79Other fluid overload
E87.8Other disorders of electrolyte and fluid balance, not elsewhere classified
E88.10Lipodystrophy, unspecified
E88.11Partial lipodystrophy
E88.12Generalized lipodystrophy
E88.13Localized lipodystrophy
E88.14HIV-associated lipodystrophy
E88.19Other lipodystrophy, not elsewhere classified
E88.2Lipomatosis, not elsewhere classified
E88.810Metabolic syndrome
E88.811Insulin resistance syndrome, Type A
E88.818Other insulin resistance
E88.819Insulin resistance, unspecified
E88.89Other specified metabolic disorders
E89.0Postprocedural hypothyroidism
E89.2Postprocedural hypoparathyroidism
E89.6Postprocedural adrenocortical (-medullary) hypofunction
F11.10Opioid abuse, uncomplicated
F11.120Opioid abuse with intoxication, uncomplicated
F11.129Opioid abuse with intoxication, unspecified
F11.13Opioid abuse with withdrawal
F14.10Cocaine abuse, uncomplicated
F14.120Cocaine abuse with intoxication, uncomplicated
F14.13Cocaine abuse, unspecified with withdrawal
F15.10Other stimulant abuse, uncomplicated
F15.120Other stimulant abuse with intoxication, uncomplicated
F15.13Other stimulant abuse with withdrawal
F45.8Other somatoform disorders
F51.8Other sleep disorders not due to a substance or known physiological condition
G45.3Amaurosis fugax
G47.11Idiopathic hypersomnia with long sleep time
G47.12Idiopathic hypersomnia without long sleep time
G47.21Circadian rhythm sleep disorder, delayed sleep phase type
G47.22Circadian rhythm sleep disorder, advanced sleep phase type
G47.23Circadian rhythm sleep disorder, irregular sleep wake type
G47.24Circadian rhythm sleep disorder, free running type
G47.31Primary central sleep apnea
G47.32High altitude periodic breathing
G47.33Obstructive sleep apnea (adult) (pediatric)
G47.34Idiopathic sleep related nonobstructive alveolar hypoventilation
G47.8Other sleep disorders
G62.0Drug-induced polyneuropathy
G90.01Carotid sinus syncope
G90.09Other idiopathic peripheral autonomic neuropathy
G93.31Postviral fatigue syndrome
G93.32Myalgic encephalomyelitis/chronic fatigue syndrome
G93.39Other post infection and related fatigue syndromes
H34.01Transient retinal artery occlusion, right eye
H34.02Transient retinal artery occlusion, left eye
H34.03Transient retinal artery occlusion, bilateral
H34.11Central retinal artery occlusion, right eye
H34.12Central retinal artery occlusion, left eye
H34.13Central retinal artery occlusion, bilateral
H34.211Partial retinal artery occlusion, right eye
H34.212Partial retinal artery occlusion, left eye
H34.213Partial retinal artery occlusion, bilateral
H34.231Retinal artery branch occlusion, right eye
H34.232Retinal artery branch occlusion, left eye
H34.233Retinal artery branch occlusion, bilateral
H34.8110Central retinal vein occlusion, right eye, with macular edema
H34.8111Central retinal vein occlusion, right eye, with retinal neovascularization
H34.8120Central retinal vein occlusion, left eye, with macular edema
H34.8121Central retinal vein occlusion, left eye, with retinal neovascularization
H34.8130Central retinal vein occlusion, bilateral, with macular edema
H34.8131Central retinal vein occlusion, bilateral, with retinal neovascularization
H34.821Venous engorgement, right eye
H34.822Venous engorgement, left eye
H34.823Venous engorgement, bilateral
H34.8310Tributary (branch) retinal vein occlusion, right eye, with macular edema
H34.8311Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
H34.8320Tributary (branch) retinal vein occlusion, left eye, with macular edema
H34.8321Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization
H34.8330Tributary (branch) retinal vein occlusion, bilateral, with macular edema
H34.8331Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
I00Rheumatic fever without heart involvement
I01.0Acute rheumatic pericarditis
I01.1Acute rheumatic endocarditis
I01.2Acute rheumatic myocarditis
I01.8Other acute rheumatic heart disease
I01.9Acute rheumatic heart disease, unspecified
I02.0Rheumatic chorea with heart involvement
I02.9Rheumatic chorea without heart involvement
I05.0Rheumatic mitral stenosis
I05.1Rheumatic mitral insufficiency
I05.2Rheumatic mitral stenosis with insufficiency
I05.8Other rheumatic mitral valve diseases
I05.9Rheumatic mitral valve disease, unspecified
I06.0Rheumatic aortic stenosis
I06.1Rheumatic aortic insufficiency
I06.2Rheumatic aortic stenosis with insufficiency
I06.8Other rheumatic aortic valve diseases
I06.9Rheumatic aortic valve disease, unspecified
I07.0Rheumatic tricuspid stenosis
I07.1Rheumatic tricuspid insufficiency
I07.2Rheumatic tricuspid stenosis and insufficiency
I07.8Other rheumatic tricuspid valve diseases
I08.0Rheumatic disorders of both mitral and aortic valves
I08.1Rheumatic disorders of both mitral and tricuspid valves
I08.2Rheumatic disorders of both aortic and tricuspid valves
I08.3Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8Other rheumatic multiple valve diseases
I08.9Rheumatic multiple valve disease, unspecified
I09.0Rheumatic myocarditis
I09.1Rheumatic diseases of endocardium, valve unspecified
I09.2Chronic rheumatic pericarditis
I09.81Rheumatic heart failure
I09.89Other specified rheumatic heart diseases
I10Essential (primary) hypertension
I11.0Hypertensive heart disease with heart failure
I11.9Hypertensive heart disease without heart failure
I12.0Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0Renovascular hypertension
I15.1Hypertension secondary to other renal disorders
I15.2Hypertension secondary to endocrine disorders
I15.8Other secondary hypertension
I20.0Unstable angina
I20.1Angina pectoris with documented spasm
I20.9Angina pectoris, unspecified
I21.01ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29ST elevation (STEMI) myocardial infarction involving other sites
I21.4Non-ST elevation (NSTEMI) myocardial infarction
I21.9Acute myocardial infarction, unspecified
I21.A1Myocardial infarction type 2
I21.A9Other myocardial infarction type
I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction

Showing the first 400 of 2739 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 93010?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2739 ICD-10 diagnosis codes that support medical necessity for CPT 93010. 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 93010 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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