CPT 93042: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 93042 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 93042 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 |
|---|---|
| A01.01 | Typhoid meningitis |
| A01.02 | Typhoid fever with heart involvement |
| A01.03 | Typhoid pneumonia |
| A01.04 | Typhoid arthritis |
| A01.05 | Typhoid osteomyelitis |
| A01.09 | Typhoid fever with other complications |
| A02.1 | Salmonella sepsis |
| A05.1 | Botulism food poisoning |
| A17.83 | Tuberculous neuritis |
| A17.89 | Other tuberculosis of nervous system |
| A18.82 | Tuberculosis of other endocrine glands |
| A18.84 | Tuberculosis of heart |
| A18.89 | Tuberculosis of other sites |
| A19.0 | Acute miliary tuberculosis of a single specified site |
| A19.1 | Acute miliary tuberculosis of multiple sites |
| A19.8 | Other miliary tuberculosis |
| A20.7 | Septicemic plague |
| A22.7 | Anthrax sepsis |
| A26.7 | Erysipelothrix sepsis |
| A32.7 | Listerial sepsis |
| A36.81 | Diphtheritic cardiomyopathy |
| A39.2 | Acute meningococcemia |
| A39.3 | Chronic meningococcemia |
| A39.50 | Meningococcal carditis, unspecified |
| A39.51 | Meningococcal endocarditis |
| A39.52 | Meningococcal myocarditis |
| A39.53 | Meningococcal pericarditis |
| A40.0 | Sepsis due to streptococcus, group A |
| A40.1 | Sepsis due to streptococcus, group B |
| A40.3 | Sepsis due to Streptococcus pneumoniae |
| A40.8 | Other streptococcal sepsis |
| A41.01 | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| A41.02 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| A41.1 | Sepsis due to other specified staphylococcus |
| A41.3 | Sepsis due to Hemophilus influenzae |
| A41.4 | Sepsis due to anaerobes |
| A41.51 | Sepsis due to Escherichia coli [E. coli] |
| A41.52 | Sepsis due to Pseudomonas |
| A41.53 | Sepsis due to Serratia |
| A41.54 | Sepsis due to Acinetobacter baumannii |
| A41.59 | Other Gram-negative sepsis |
| A41.81 | Sepsis due to Enterococcus |
| A41.89 | Other specified sepsis |
| A42.7 | Actinomycotic sepsis |
| A48.0 | Gas gangrene |
| A52.01 | Syphilitic aneurysm of aorta |
| A52.03 | Syphilitic endocarditis |
| A52.04 | Syphilitic cerebral arteritis |
| A52.05 | Other cerebrovascular syphilis |
| A52.06 | Other syphilitic heart involvement |
| A52.09 | Other cardiovascular syphilis |
| A54.83 | Gonococcal heart infection |
| A54.86 | Gonococcal sepsis |
| B00.7 | Disseminated herpesviral disease |
| B20 | Human immunodeficiency virus [HIV] disease |
| B33.0 | Epidemic myalgia |
| B33.20 | Viral carditis, unspecified |
| B33.21 | Viral endocarditis |
| B33.22 | Viral myocarditis |
| B33.23 | Viral pericarditis |
| B33.24 | Viral cardiomyopathy |
| B37.6 | Candidal endocarditis |
| B37.7 | Candidal sepsis |
| B39.0 | Acute pulmonary histoplasmosis capsulati |
| B39.1 | Chronic pulmonary histoplasmosis capsulati |
| B39.2 | Pulmonary histoplasmosis capsulati, unspecified |
| B39.3 | Disseminated histoplasmosis capsulati |
| B39.4 | Histoplasmosis capsulati, unspecified |
| B39.5 | Histoplasmosis duboisii |
| B57.0 | Acute Chagas' disease with heart involvement |
| B57.2 | Chagas' disease (chronic) with heart involvement |
| B58.81 | Toxoplasma myocarditis |
| B58.89 | Toxoplasmosis with other organ involvement |
| B75 | Trichinellosis |
| C37 | Malignant neoplasm of thymus |
| C38.0 | Malignant neoplasm of heart |
| C38.1 | Malignant neoplasm of anterior mediastinum |
| C38.2 | Malignant neoplasm of posterior mediastinum |
| C38.4 | Malignant neoplasm of pleura |
| C38.8 | Malignant neoplasm of overlapping sites of heart, mediastinum and pleura |
| C45.0 | Mesothelioma of pleura |
| C45.2 | Mesothelioma of pericardium |
| D15.0 | Benign neoplasm of thymus |
| D15.1 | Benign neoplasm of heart |
| D15.2 | Benign neoplasm of mediastinum |
| D19.0 | Benign neoplasm of mesothelial tissue of pleura |
| D56.8 | Other thalassemias |
| D57.01 | Hb-SS disease with acute chest syndrome |
| D57.02 | Hb-SS disease with splenic sequestration |
| D57.03 | Hb-SS disease with cerebral vascular involvement |
| D57.04 | Hb-SS disease with dactylitis |
| D57.09 | Hb-SS disease with crisis with other specified complication |
| D57.1 | Sickle-cell disease without crisis |
| D57.20 | Sickle-cell/Hb-C disease without crisis |
| D57.211 | Sickle-cell/Hb-C disease with acute chest syndrome |
| D57.212 | Sickle-cell/Hb-C disease with splenic sequestration |
| D57.213 | Sickle-cell/Hb-C disease with cerebral vascular involvement |
| D57.214 | Sickle-cell/Hb-C disease with dactylitis |
| D57.218 | Sickle-cell/Hb-C disease with crisis with other specified complication |
| D57.40 | Sickle-cell thalassemia without crisis |
| D57.411 | Sickle-cell thalassemia, unspecified, with acute chest syndrome |
| D57.412 | Sickle-cell thalassemia, unspecified, with splenic sequestration |
| D57.413 | Sickle-cell thalassemia, unspecified, with cerebral vascular involvement |
| D57.414 | Sickle-cell thalassemia, unspecified, with dactylitis |
| D57.418 | Sickle-cell thalassemia, unspecified, with crisis with other specified complication |
| D57.42 | Sickle-cell thalassemia beta zero without crisis |
| D57.431 | Sickle-cell thalassemia beta zero with acute chest syndrome |
| D57.432 | Sickle-cell thalassemia beta zero with splenic sequestration |
| D57.433 | Sickle-cell thalassemia beta zero with cerebral vascular involvement |
| D57.434 | Sickle-cell thalassemia beta zero with dactylitis |
| D57.438 | Sickle-cell thalassemia beta zero with crisis with other specified complication |
| D57.439 | Sickle-cell thalassemia beta zero with crisis, unspecified |
| D57.44 | Sickle-cell thalassemia beta plus without crisis |
| D57.451 | Sickle-cell thalassemia beta plus with acute chest syndrome |
| D57.452 | Sickle-cell thalassemia beta plus with splenic sequestration |
| D57.453 | Sickle-cell thalassemia beta plus with cerebral vascular involvement |
| D57.454 | Sickle-cell thalassemia beta plus with dactylitis |
| D57.458 | Sickle-cell thalassemia beta plus with crisis with other specified complication |
| D57.459 | Sickle-cell thalassemia beta plus with crisis, unspecified |
| D57.80 | Other sickle-cell disorders without crisis |
| D57.811 | Other sickle-cell disorders with acute chest syndrome |
| D57.812 | Other sickle-cell disorders with splenic sequestration |
| D57.813 | Other sickle-cell disorders with cerebral vascular involvement |
| D57.814 | Other sickle-cell disorders with dactylitis |
| D57.818 | Other sickle-cell disorders with crisis with other specified complication |
| D57.819 | Other sickle-cell disorders with crisis, unspecified |
| D86.0 | Sarcoidosis of lung |
| D86.1 | Sarcoidosis of lymph nodes |
| D86.2 | Sarcoidosis of lung with sarcoidosis of lymph nodes |
| D86.3 | Sarcoidosis of skin |
| D86.81 | Sarcoid meningitis |
| D86.82 | Multiple cranial nerve palsies in sarcoidosis |
| D86.83 | Sarcoid iridocyclitis |
| D86.84 | Sarcoid pyelonephritis |
| D86.85 | Sarcoid myocarditis |
| D86.86 | Sarcoid arthropathy |
| D86.87 | Sarcoid myositis |
| D86.89 | Sarcoidosis of other sites |
| E00.0 | Congenital iodine-deficiency syndrome, neurological type |
| E00.1 | Congenital iodine-deficiency syndrome, myxedematous type |
| E00.2 | Congenital iodine-deficiency syndrome, mixed type |
| E01.8 | Other iodine-deficiency related thyroid disorders and allied conditions |
| E02 | Subclinical iodine-deficiency hypothyroidism |
| E03.0 | Congenital hypothyroidism with diffuse goiter |
| E03.1 | Congenital hypothyroidism without goiter |
| E03.2 | Hypothyroidism due to medicaments and other exogenous substances |
| E03.3 | Postinfectious hypothyroidism |
| E03.5 | Myxedema coma |
| E03.8 | Other specified hypothyroidism |
| E05.00 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm |
| E05.01 | Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm |
| E05.10 | Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm |
| E05.11 | Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm |
| E05.20 | Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm |
| E05.21 | Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm |
| E05.30 | Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm |
| E05.31 | Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm |
| E05.40 | Thyrotoxicosis factitia without thyrotoxic crisis or storm |
| E05.41 | Thyrotoxicosis factitia with thyrotoxic crisis or storm |
| E05.80 | Other thyrotoxicosis without thyrotoxic crisis or storm |
| E05.81 | Other thyrotoxicosis with thyrotoxic crisis or storm |
| E05.91 | Thyrotoxicosis, unspecified with thyrotoxic crisis or storm |
| E08.51 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene |
| E08.52 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene |
| E09.51 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E09.52 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E10.51 | Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E13.51 | Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene |
| E13.52 | Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E20.0 | Idiopathic hypoparathyroidism |
| E20.1 | Pseudohypoparathyroidism |
| E21.0 | Primary hyperparathyroidism |
| E21.1 | Secondary hyperparathyroidism, not elsewhere classified |
| E21.2 | Other hyperparathyroidism |
| E21.4 | Other specified disorders of parathyroid gland |
| E24.0 | Pituitary-dependent Cushing's disease |
| E24.2 | Drug-induced Cushing's syndrome |
| E24.3 | Ectopic ACTH syndrome |
| E24.4 | Alcohol-induced pseudo-Cushing's syndrome |
| E24.8 | Other Cushing's syndrome |
| E25.0 | Congenital adrenogenital disorders associated with enzyme deficiency |
| E25.8 | Other adrenogenital disorders |
| E26.01 | Conn's syndrome |
| E26.02 | Glucocorticoid-remediable aldosteronism |
| E26.09 | Other primary hyperaldosteronism |
| E26.1 | Secondary hyperaldosteronism |
| E26.81 | Bartter's syndrome |
| E26.89 | Other hyperaldosteronism |
| E27.0 | Other adrenocortical overactivity |
| E27.1 | Primary adrenocortical insufficiency |
| E27.2 | Addisonian crisis |
| E27.3 | Drug-induced adrenocortical insufficiency |
| E27.49 | Other adrenocortical insufficiency |
| E27.5 | Adrenomedullary hyperfunction |
| E27.8 | Other specified disorders of adrenal gland |
| E35 | Disorders of endocrine glands in diseases classified elsewhere |
| E51.11 | Dry beriberi |
| E51.12 | Wet beriberi |
| E51.2 | Wernicke's encephalopathy |
| E51.8 | Other manifestations of thiamine deficiency |
| E52 | Niacin deficiency [pellagra] |
| E75.21 | Fabry (-Anderson) disease |
| E75.22 | Gaucher disease |
| E75.240 | Niemann-Pick disease type A |
| E75.241 | Niemann-Pick disease type B |
| E75.242 | Niemann-Pick disease type C |
| E75.243 | Niemann-Pick disease type D |
| E75.244 | Niemann-Pick disease type A/B |
| E75.248 | Other Niemann-Pick disease |
| E75.27 | Pelizaeus-Merzbacher disease |
| E75.28 | Canavan disease |
| E75.5 | Other lipid storage disorders |
| E77.0 | Defects in post-translational modification of lysosomal enzymes |
| E77.1 | Defects in glycoprotein degradation |
| E77.8 | Other disorders of glycoprotein metabolism |
| E78.00 | Pure hypercholesterolemia, unspecified |
| E78.010 | Homozygous familial hypercholesterolemia [HoFH] |
| E78.011 | Heterozygous familial hypercholesterolemia [HeFH] |
| E78.019 | Familial hypercholesterolemia, unspecified |
| E78.1 | Pure hyperglyceridemia |
| E78.2 | Mixed hyperlipidemia |
| E78.3 | Hyperchylomicronemia |
| E78.41 | Elevated Lipoprotein(a) |
| E78.49 | Other hyperlipidemia |
| E78.6 | Lipoprotein deficiency |
| E78.79 | Other disorders of bile acid and cholesterol metabolism |
| E78.81 | Lipoid dermatoarthritis |
| E78.89 | Other lipoprotein metabolism disorders |
| E83.31 | Familial hypophosphatemia |
| E83.32 | Hereditary vitamin D-dependent rickets (type 1) (type 2) |
| E83.39 | Other disorders of phosphorus metabolism |
| E83.41 | Hypermagnesemia |
| E83.42 | Hypomagnesemia |
| E83.49 | Other disorders of magnesium metabolism |
| E83.51 | Hypocalcemia |
| E83.52 | Hypercalcemia |
| E83.59 | Other disorders of calcium metabolism |
| E83.81 | Hungry bone syndrome |
| E85.0 | Non-neuropathic heredofamilial amyloidosis |
| E85.1 | Neuropathic heredofamilial amyloidosis |
| E85.2 | Heredofamilial amyloidosis, unspecified |
| E85.3 | Secondary systemic amyloidosis |
| E85.4 | Organ-limited amyloidosis |
| E85.81 | Light chain (AL) amyloidosis |
| E85.82 | Wild-type transthyretin-related (ATTR) amyloidosis |
| E85.89 | Other amyloidosis |
| E85.9 | Amyloidosis, unspecified |
| E86.0 | Dehydration |
| E86.1 | Hypovolemia |
| E87.0 | Hyperosmolality and hypernatremia |
| E87.1 | Hypo-osmolality and hyponatremia |
| E87.20 | Acidosis, unspecified |
| E87.21 | Acute metabolic acidosis |
| E87.22 | Chronic metabolic acidosis |
| E87.29 | Other acidosis |
| E87.3 | Alkalosis |
| E87.4 | Mixed disorder of acid-base balance |
| E87.5 | Hyperkalemia |
| E87.6 | Hypokalemia |
| E87.71 | Transfusion associated circulatory overload |
| E87.79 | Other fluid overload |
| E87.8 | Other disorders of electrolyte and fluid balance, not elsewhere classified |
| E88.10 | Lipodystrophy, unspecified |
| E88.11 | Partial lipodystrophy |
| E88.12 | Generalized lipodystrophy |
| E88.13 | Localized lipodystrophy |
| E88.14 | HIV-associated lipodystrophy |
| E88.19 | Other lipodystrophy, not elsewhere classified |
| E88.2 | Lipomatosis, not elsewhere classified |
| E88.810 | Metabolic syndrome |
| E88.811 | Insulin resistance syndrome, Type A |
| E88.818 | Other insulin resistance |
| E88.819 | Insulin resistance, unspecified |
| E88.89 | Other specified metabolic disorders |
| E89.0 | Postprocedural hypothyroidism |
| E89.2 | Postprocedural hypoparathyroidism |
| E89.6 | Postprocedural adrenocortical (-medullary) hypofunction |
| F11.10 | Opioid abuse, uncomplicated |
| F11.120 | Opioid abuse with intoxication, uncomplicated |
| F11.129 | Opioid abuse with intoxication, unspecified |
| F11.13 | Opioid abuse with withdrawal |
| F14.10 | Cocaine abuse, uncomplicated |
| F14.120 | Cocaine abuse with intoxication, uncomplicated |
| F14.13 | Cocaine abuse, unspecified with withdrawal |
| F15.10 | Other stimulant abuse, uncomplicated |
| F15.120 | Other stimulant abuse with intoxication, uncomplicated |
| F15.13 | Other stimulant abuse with withdrawal |
| F45.8 | Other somatoform disorders |
| F51.8 | Other sleep disorders not due to a substance or known physiological condition |
| G45.3 | Amaurosis fugax |
| G47.11 | Idiopathic hypersomnia with long sleep time |
| G47.12 | Idiopathic hypersomnia without long sleep time |
| G47.21 | Circadian rhythm sleep disorder, delayed sleep phase type |
| G47.22 | Circadian rhythm sleep disorder, advanced sleep phase type |
| G47.23 | Circadian rhythm sleep disorder, irregular sleep wake type |
| G47.24 | Circadian rhythm sleep disorder, free running type |
| G47.31 | Primary central sleep apnea |
| G47.32 | High altitude periodic breathing |
| G47.33 | Obstructive sleep apnea (adult) (pediatric) |
| G47.34 | Idiopathic sleep related nonobstructive alveolar hypoventilation |
| G47.8 | Other sleep disorders |
| G62.0 | Drug-induced polyneuropathy |
| G90.01 | Carotid sinus syncope |
| G90.09 | Other idiopathic peripheral autonomic neuropathy |
| G93.31 | Postviral fatigue syndrome |
| G93.32 | Myalgic encephalomyelitis/chronic fatigue syndrome |
| G93.39 | Other post infection and related fatigue syndromes |
| H34.01 | Transient retinal artery occlusion, right eye |
| H34.02 | Transient retinal artery occlusion, left eye |
| H34.03 | Transient retinal artery occlusion, bilateral |
| H34.11 | Central retinal artery occlusion, right eye |
| H34.12 | Central retinal artery occlusion, left eye |
| H34.13 | Central retinal artery occlusion, bilateral |
| H34.211 | Partial retinal artery occlusion, right eye |
| H34.212 | Partial retinal artery occlusion, left eye |
| H34.213 | Partial retinal artery occlusion, bilateral |
| H34.231 | Retinal artery branch occlusion, right eye |
| H34.232 | Retinal artery branch occlusion, left eye |
| H34.233 | Retinal artery branch occlusion, bilateral |
| H34.8110 | Central retinal vein occlusion, right eye, with macular edema |
| H34.8111 | Central retinal vein occlusion, right eye, with retinal neovascularization |
| H34.8120 | Central retinal vein occlusion, left eye, with macular edema |
| H34.8121 | Central retinal vein occlusion, left eye, with retinal neovascularization |
| H34.8130 | Central retinal vein occlusion, bilateral, with macular edema |
| H34.8131 | Central retinal vein occlusion, bilateral, with retinal neovascularization |
| H34.821 | Venous engorgement, right eye |
| H34.822 | Venous engorgement, left eye |
| H34.823 | Venous engorgement, bilateral |
| H34.8310 | Tributary (branch) retinal vein occlusion, right eye, with macular edema |
| H34.8311 | Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization |
| H34.8320 | Tributary (branch) retinal vein occlusion, left eye, with macular edema |
| H34.8321 | Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization |
| H34.8330 | Tributary (branch) retinal vein occlusion, bilateral, with macular edema |
| H34.8331 | Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization |
| I00 | Rheumatic fever without heart involvement |
| I01.0 | Acute rheumatic pericarditis |
| I01.1 | Acute rheumatic endocarditis |
| I01.2 | Acute rheumatic myocarditis |
| I01.8 | Other acute rheumatic heart disease |
| I01.9 | Acute rheumatic heart disease, unspecified |
| I02.0 | Rheumatic chorea with heart involvement |
| I02.9 | Rheumatic chorea without heart involvement |
| I05.0 | Rheumatic mitral stenosis |
| I05.1 | Rheumatic mitral insufficiency |
| I05.2 | Rheumatic mitral stenosis with insufficiency |
| I05.8 | Other rheumatic mitral valve diseases |
| I05.9 | Rheumatic mitral valve disease, unspecified |
| I06.0 | Rheumatic aortic stenosis |
| I06.1 | Rheumatic aortic insufficiency |
| I06.2 | Rheumatic aortic stenosis with insufficiency |
| I06.8 | Other rheumatic aortic valve diseases |
| I06.9 | Rheumatic aortic valve disease, unspecified |
| I07.0 | Rheumatic tricuspid stenosis |
| I07.1 | Rheumatic tricuspid insufficiency |
| I07.2 | Rheumatic tricuspid stenosis and insufficiency |
| I07.8 | Other rheumatic tricuspid valve diseases |
| I08.0 | Rheumatic disorders of both mitral and aortic valves |
| I08.1 | Rheumatic disorders of both mitral and tricuspid valves |
| I08.2 | Rheumatic disorders of both aortic and tricuspid valves |
| I08.3 | Combined rheumatic disorders of mitral, aortic and tricuspid valves |
| I08.8 | Other rheumatic multiple valve diseases |
| I08.9 | Rheumatic multiple valve disease, unspecified |
| I09.0 | Rheumatic myocarditis |
| I09.1 | Rheumatic diseases of endocardium, valve unspecified |
| I09.2 | Chronic rheumatic pericarditis |
| I09.81 | Rheumatic heart failure |
| I09.89 | Other specified rheumatic heart diseases |
| I10 | Essential (primary) hypertension |
| I11.0 | Hypertensive heart disease with heart failure |
| I11.9 | Hypertensive heart disease without heart failure |
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| I13.11 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| I15.0 | Renovascular hypertension |
| I15.1 | Hypertension secondary to other renal disorders |
| I15.2 | Hypertension secondary to endocrine disorders |
| I15.8 | Other secondary hypertension |
| I20.0 | Unstable angina |
| I20.1 | Angina pectoris with documented spasm |
| I20.9 | Angina pectoris, unspecified |
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
| I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall |
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
| I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall |
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
| I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
| I21.9 | Acute myocardial infarction, unspecified |
| I21.A1 | Myocardial infarction type 2 |
| I21.A9 | Other myocardial infarction type |
| I22.0 | Subsequent ST elevation (STEMI) myocardial infarction of anterior wall |
| I22.1 | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall |
| I22.2 | Subsequent 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 93042?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2739 ICD-10 diagnosis codes that support medical necessity for CPT 93042. 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 93042 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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