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ICD↔CPT crosswalk

CPT 93245: ICD-10 codes that support medical necessity

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

These ICD-10-CM diagnoses support medical necessity for CPT 93245 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 93245 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
G45.0Vertebro-basilar artery syndrome
G45.1Carotid artery syndrome (hemispheric)
G45.2Multiple and bilateral precerebral artery syndromes
G45.3Amaurosis fugax
G45.4Transient global amnesia
G45.8Other transient cerebral ischemic attacks and related syndromes
G45.9Transient cerebral ischemic attack, unspecified
G46.0Middle cerebral artery syndrome
G46.3Brain stem stroke syndrome
G46.4Cerebellar stroke syndrome
G46.5Pure motor lacunar syndrome
G46.6Pure sensory lacunar syndrome
G90.01Carotid sinus syncope
H34.01Transient retinal artery occlusion, right eye
H34.02Transient retinal artery occlusion, left eye
H53.121Transient visual loss, right eye
H53.122Transient visual loss, left eye
I20.0Unstable angina
I20.1Angina pectoris with documented spasm
I20.81Angina pectoris with coronary microvascular dysfunction
I20.89Other forms of angina pectoris
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
I21.BMyocardial infarction with coronary microvascular dysfunction
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
I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
I23.7Postinfarction angina
I24.0Acute coronary thrombosis not resulting in myocardial infarction
I24.1Dressler's syndrome
I24.81Acute coronary microvascular dysfunction
I24.89Other forms of acute ischemic heart disease
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.112Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.2Old myocardial infarction
I25.3Aneurysm of heart
I25.41Coronary artery aneurysm
I25.5Ischemic cardiomyopathy
I25.6Silent myocardial ischemia
I25.700Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.701Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.702Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
I25.708Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.710Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.711Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.712Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
I25.718Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.720Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.722Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
I25.728Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.730Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.731Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.732Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
I25.738Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.750Atherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.751Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.752Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
I25.758Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.760Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.761Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.762Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
I25.768Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.790Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.792Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
I25.798Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.810Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.812Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
I25.82Chronic total occlusion of coronary artery
I25.83Coronary atherosclerosis due to lipid rich plaque
I25.84Coronary atherosclerosis due to calcified coronary lesion
I25.85Chronic coronary microvascular dysfunction
I25.89Other forms of chronic ischemic heart disease
I42.0Dilated cardiomyopathy
I42.1Obstructive hypertrophic cardiomyopathy
I42.2Other hypertrophic cardiomyopathy
I42.3Endomyocardial (eosinophilic) disease
I42.4Endocardial fibroelastosis
I42.5Other restrictive cardiomyopathy
I42.6Alcoholic cardiomyopathy
I42.7Cardiomyopathy due to drug and external agent
I42.8Other cardiomyopathies
I43Cardiomyopathy in diseases classified elsewhere
I44.0Atrioventricular block, first degree
I44.1Atrioventricular block, second degree
I44.2Atrioventricular block, complete
I44.39Other atrioventricular block
I44.4Left anterior fascicular block
I44.5Left posterior fascicular block
I44.69Other fascicular block
I44.7Left bundle-branch block, unspecified
I45.0Right fascicular block
I45.19Other right bundle-branch block
I45.2Bifascicular block
I45.3Trifascicular block
I45.4Nonspecific intraventricular block
I45.5Other specified heart block
I45.6Pre-excitation syndrome
I45.81Long QT syndrome
I45.89Other specified conduction disorders
I46.2Cardiac arrest due to underlying cardiac condition
I46.8Cardiac arrest due to other underlying condition
I47.0Re-entry ventricular arrhythmia
I47.10Supraventricular tachycardia, unspecified
I47.11Inappropriate sinus tachycardia, so stated
I47.19Other supraventricular tachycardia
I47.20Ventricular tachycardia, unspecified
I47.21Torsades de pointes
I47.29Other ventricular tachycardia
I47.9Paroxysmal tachycardia, unspecified
I48.0Paroxysmal atrial fibrillation
I48.11Longstanding persistent atrial fibrillation
I48.19Other persistent atrial fibrillation
I48.20Chronic atrial fibrillation, unspecified
I48.21Permanent atrial fibrillation
I48.3Typical atrial flutter
I48.4Atypical atrial flutter
I48.91Unspecified atrial fibrillation
I48.92Unspecified atrial flutter
I49.01Ventricular fibrillation
I49.02Ventricular flutter
I49.1Atrial premature depolarization
I49.2Junctional premature depolarization
I49.3Ventricular premature depolarization
I49.40Unspecified premature depolarization
I49.49Other premature depolarization
I49.5Sick sinus syndrome
I49.8Other specified cardiac arrhythmias
I5ANon-ischemic myocardial injury (non-traumatic)
I63.00Cerebral infarction due to thrombosis of unspecified precerebral artery
I63.011Cerebral infarction due to thrombosis of right vertebral artery
I63.012Cerebral infarction due to thrombosis of left vertebral artery
I63.013Cerebral infarction due to thrombosis of bilateral vertebral arteries
I63.019Cerebral infarction due to thrombosis of unspecified vertebral artery
I63.02Cerebral infarction due to thrombosis of basilar artery
I63.031Cerebral infarction due to thrombosis of right carotid artery
I63.032Cerebral infarction due to thrombosis of left carotid artery
I63.033Cerebral infarction due to thrombosis of bilateral carotid arteries
I63.039Cerebral infarction due to thrombosis of unspecified carotid artery
I63.09Cerebral infarction due to thrombosis of other precerebral artery
I63.10Cerebral infarction due to embolism of unspecified precerebral artery
I63.111Cerebral infarction due to embolism of right vertebral artery
I63.112Cerebral infarction due to embolism of left vertebral artery
I63.113Cerebral infarction due to embolism of bilateral vertebral arteries
I63.119Cerebral infarction due to embolism of unspecified vertebral artery
I63.12Cerebral infarction due to embolism of basilar artery
I63.131Cerebral infarction due to embolism of right carotid artery
I63.132Cerebral infarction due to embolism of left carotid artery
I63.133Cerebral infarction due to embolism of bilateral carotid arteries
I63.139Cerebral infarction due to embolism of unspecified carotid artery
I63.19Cerebral infarction due to embolism of other precerebral artery
I63.20Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63.211Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63.212Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63.213Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries
I63.219Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery
I63.22Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63.231Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.233Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries
I63.239Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery
I63.29Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.30Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312Cerebral infarction due to thrombosis of left middle cerebral artery
I63.313Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63.319Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.323Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63.329Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.333Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries
I63.339Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341Cerebral infarction due to thrombosis of right cerebellar artery
I63.342Cerebral infarction due to thrombosis of left cerebellar artery
I63.343Cerebral infarction due to thrombosis of bilateral cerebellar arteries
I63.349Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39Cerebral infarction due to thrombosis of other cerebral artery
I63.40Cerebral infarction due to embolism of unspecified cerebral artery
I63.411Cerebral infarction due to embolism of right middle cerebral artery
I63.412Cerebral infarction due to embolism of left middle cerebral artery
I63.413Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63.419Cerebral infarction due to embolism of unspecified middle cerebral artery
I63.421Cerebral infarction due to embolism of right anterior cerebral artery
I63.422Cerebral infarction due to embolism of left anterior cerebral artery
I63.423Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63.429Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431Cerebral infarction due to embolism of right posterior cerebral artery
I63.432Cerebral infarction due to embolism of left posterior cerebral artery
I63.433Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63.439Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441Cerebral infarction due to embolism of right cerebellar artery
I63.442Cerebral infarction due to embolism of left cerebellar artery
I63.443Cerebral infarction due to embolism of bilateral cerebellar arteries
I63.449Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49Cerebral infarction due to embolism of other cerebral artery
I63.50Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
I63.511Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.513Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
I63.519Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.523Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
I63.529Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63.531Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.533Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
I63.539Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery
I63.541Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.543Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries
I63.549Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery
I63.59Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.81Other cerebral infarction due to occlusion or stenosis of small artery
I63.89Other cerebral infarction
I63.9Cerebral infarction, unspecified
I74.2Embolism and thrombosis of arteries of the upper extremities
I74.3Embolism and thrombosis of arteries of the lower extremities
I74.4Embolism and thrombosis of arteries of extremities, unspecified
I74.8Embolism and thrombosis of other arteries
I97.120Postprocedural cardiac arrest following cardiac surgery
I97.121Postprocedural cardiac arrest following other surgery
I97.190Other postprocedural cardiac functional disturbances following cardiac surgery
I97.191Other postprocedural cardiac functional disturbances following other surgery
Q20.3Discordant ventriculoarterial connection
Q20.5Discordant atrioventricular connection
Q20.8Other congenital malformations of cardiac chambers and connections
Q20.9Congenital malformation of cardiac chambers and connections, unspecified
Q21.11Secundum atrial septal defect
Q21.12Patent foramen ovale
Q21.13Coronary sinus atrial septal defect
Q21.21Partial atrioventricular septal defect
Q21.22Transitional atrioventricular septal defect
Q21.23Complete atrioventricular septal defect
Q21.3Tetralogy of Fallot
Q24.6Congenital heart block
R00.0Tachycardia, unspecified
R00.1Bradycardia, unspecified
R00.2Palpitations
R00.8Other abnormalities of heart beat
R06.00Dyspnea, unspecified
R06.01Orthopnea
R06.02Shortness of breath
R06.03Acute respiratory distress
R06.09Other forms of dyspnea
R06.2Wheezing
R06.3Periodic breathing
R06.4Hyperventilation
R06.81Apnea, not elsewhere classified
R06.82Tachypnea, not elsewhere classified
R06.83Snoring
R06.89Other abnormalities of breathing
R07.1Chest pain on breathing
R07.2Precordial pain
R07.82Intercostal pain
R07.89Other chest pain
R07.9Chest pain, unspecified
R10.13Epigastric pain
R29.5Transient paralysis
R40.4Transient alteration of awareness
R42Dizziness and giddiness
R55Syncope and collapse
Z45.010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Z45.018Encounter for adjustment and management of other part of cardiac pacemaker
Z45.02Encounter for adjustment and management of automatic implantable cardiac defibrillator
Z79.85Long-term (current) use of injectable non-insulin antidiabetic drugs
Z79.891Long term (current) use of opiate analgesic
Z79.899Other long term (current) drug therapy
Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Z86.74Personal history of sudden cardiac arrest
Z95.0Presence of cardiac pacemaker
Z95.810Presence of automatic (implantable) cardiac defibrillator

Frequently asked questions

Which ICD-10 codes support medical necessity for CPT 93245?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 292 ICD-10 diagnosis codes that support medical necessity for CPT 93245. 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 93245 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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