ICD↔CPT crosswalk
CPT 93286: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 93286 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 93286 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 |
|---|---|
| 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 |
| I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site |
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
| I21.9 | Acute myocardial infarction, unspecified |
| 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 |
| I22.8 | Subsequent ST elevation (STEMI) myocardial infarction of other sites |
| I22.9 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| I25.2 | Old myocardial infarction |
| I25.5 | Ischemic cardiomyopathy |
| I25.6 | Silent myocardial ischemia |
| I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris |
| I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris |
| I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris |
| I25.89 | Other forms of chronic ischemic heart disease |
| I25.9 | Chronic ischemic heart disease, unspecified |
| I42.0 | Dilated cardiomyopathy |
| I44.1 | Atrioventricular block, second degree |
| I44.2 | Atrioventricular block, complete |
| I44.4 | Left anterior fascicular block |
| I44.5 | Left posterior fascicular block |
| I44.60 | Unspecified fascicular block |
| I44.69 | Other fascicular block |
| I44.7 | Left bundle-branch block, unspecified |
| I45.0 | Right fascicular block |
| I45.10 | Unspecified right bundle-branch block |
| I45.19 | Other right bundle-branch block |
| I45.2 | Bifascicular block |
| I45.3 | Trifascicular block |
| I45.6 | Pre-excitation syndrome |
| I45.81 | Long QT syndrome |
| I45.9 | Conduction disorder, unspecified |
| I46.2 | Cardiac arrest due to underlying cardiac condition |
| I46.8 | Cardiac arrest due to other underlying condition |
| I46.9 | Cardiac arrest, cause unspecified |
| I47.0 | Re-entry ventricular arrhythmia |
| I47.11 | Inappropriate sinus tachycardia, so stated |
| I47.19 | Other supraventricular tachycardia |
| I47.21 | Torsades de pointes |
| I47.29 | Other ventricular tachycardia |
| I47.9 | Paroxysmal tachycardia, unspecified |
| I48.0 | Paroxysmal atrial fibrillation |
| I48.11 | Longstanding persistent atrial fibrillation |
| I48.19 | Other persistent atrial fibrillation |
| I48.20 | Chronic atrial fibrillation, unspecified |
| I48.21 | Permanent atrial fibrillation |
| I48.3 | Typical atrial flutter |
| I48.4 | Atypical atrial flutter |
| I48.91 | Unspecified atrial fibrillation |
| I48.92 | Unspecified atrial flutter |
| I49.01 | Ventricular fibrillation |
| I49.02 | Ventricular flutter |
| I49.2 | Junctional premature depolarization |
| I49.3 | Ventricular premature depolarization |
| I49.5 | Sick sinus syndrome |
| I49.8 | Other specified cardiac arrhythmias |
| I49.9 | Cardiac arrhythmia, unspecified |
| I50.1 | Left ventricular failure, unspecified |
| I50.20 | Unspecified systolic (congestive) heart failure |
| I50.21 | Acute systolic (congestive) heart failure |
| I50.22 | Chronic systolic (congestive) heart failure |
| I50.23 | Acute on chronic systolic (congestive) heart failure |
| I50.41 | Acute combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.43 | Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| I50.810 | Right heart failure, unspecified |
| I50.811 | Acute right heart failure |
| I50.812 | Chronic right heart failure |
| I50.813 | Acute on chronic right heart failure |
| I50.814 | Right heart failure due to left heart failure |
| I50.82 | Biventricular heart failure |
| I50.83 | High output heart failure |
| I50.84 | End stage heart failure |
| I50.89 | Other heart failure |
| I50.9 | Heart failure, unspecified |
| R00.1 | Bradycardia, unspecified |
| R00.2 | Palpitations |
| R55 | Syncope and collapse |
| R93.1 | Abnormal findings on diagnostic imaging of heart and coronary circulation |
| R93.89 | Abnormal findings on diagnostic imaging of other specified body structures |
| T82.110A | Breakdown (mechanical) of cardiac electrode, initial encounter |
| T82.110D | Breakdown (mechanical) of cardiac electrode, subsequent encounter |
| T82.110S | Breakdown (mechanical) of cardiac electrode, sequela |
| T82.111A | Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter |
| T82.111D | Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter |
| T82.111S | Breakdown (mechanical) of cardiac pulse generator (battery), sequela |
| T82.118A | Breakdown (mechanical) of other cardiac electronic device, initial encounter |
| T82.118D | Breakdown (mechanical) of other cardiac electronic device, subsequent encounter |
| T82.118S | Breakdown (mechanical) of other cardiac electronic device, sequela |
| T82.119A | Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter |
| T82.119D | Breakdown (mechanical) of unspecified cardiac electronic device, subsequent encounter |
| T82.119S | Breakdown (mechanical) of unspecified cardiac electronic device, sequela |
| T82.120A | Displacement of cardiac electrode, initial encounter |
| T82.120D | Displacement of cardiac electrode, subsequent encounter |
| T82.120S | Displacement of cardiac electrode, sequela |
| T82.121A | Displacement of cardiac pulse generator (battery), initial encounter |
| T82.121D | Displacement of cardiac pulse generator (battery), subsequent encounter |
| T82.121S | Displacement of cardiac pulse generator (battery), sequela |
| T82.128A | Displacement of other cardiac electronic device, initial encounter |
| T82.128D | Displacement of other cardiac electronic device, subsequent encounter |
| T82.128S | Displacement of other cardiac electronic device, sequela |
| T82.129A | Displacement of unspecified cardiac electronic device, initial encounter |
| T82.129D | Displacement of unspecified cardiac electronic device, subsequent encounter |
| T82.129S | Displacement of unspecified cardiac electronic device, sequela |
| T82.190A | Other mechanical complication of cardiac electrode, initial encounter |
| T82.190D | Other mechanical complication of cardiac electrode, subsequent encounter |
| T82.190S | Other mechanical complication of cardiac electrode, sequela |
| T82.191A | Other mechanical complication of cardiac pulse generator (battery), initial encounter |
| T82.191D | Other mechanical complication of cardiac pulse generator (battery), subsequent encounter |
| T82.191S | Other mechanical complication of cardiac pulse generator (battery), sequela |
| T82.198A | Other mechanical complication of other cardiac electronic device, initial encounter |
| T82.198D | Other mechanical complication of other cardiac electronic device, subsequent encounter |
| T82.198S | Other mechanical complication of other cardiac electronic device, sequela |
| T82.199A | Other mechanical complication of unspecified cardiac device, initial encounter |
| T82.199D | Other mechanical complication of unspecified cardiac device, subsequent encounter |
| T82.199S | Other mechanical complication of unspecified cardiac device, sequela |
| T82.221A | Breakdown (mechanical) of biological heart valve graft, initial encounter |
| T82.222A | Displacement of biological heart valve graft, initial encounter |
| T82.223A | Leakage of biological heart valve graft, initial encounter |
| T82.228A | Other mechanical complication of biological heart valve graft, initial encounter |
| T82.512A | Breakdown (mechanical) of artificial heart, initial encounter |
| T82.514A | Breakdown (mechanical) of infusion catheter, initial encounter |
| T82.518A | Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter |
| T82.522A | Displacement of artificial heart, initial encounter |
| T82.524A | Displacement of infusion catheter, initial encounter |
| T82.528A | Displacement of other cardiac and vascular devices and implants, initial encounter |
| T82.529A | Displacement of unspecified cardiac and vascular devices and implants, initial encounter |
| T82.532A | Leakage of artificial heart, initial encounter |
| T82.534A | Leakage of infusion catheter, initial encounter |
| T82.538A | Leakage of other cardiac and vascular devices and implants, initial encounter |
| T82.592A | Other mechanical complication of artificial heart, initial encounter |
| T82.594A | Other mechanical complication of infusion catheter, initial encounter |
| T82.598A | Other mechanical complication of other cardiac and vascular devices and implants, initial encounter |
| T82.817A | Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.827A | Fibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.837A | Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.847A | Pain due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.857A | Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.867A | Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.897A | Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter |
| T82.9XXA | Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter |
| Z45.010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] |
| Z45.018 | Encounter for adjustment and management of other part of cardiac pacemaker |
| Z45.02 | Encounter for adjustment and management of automatic implantable cardiac defibrillator |
| Z45.09 | Encounter for adjustment and management of other cardiac device |
| Z86.74 | Personal history of sudden cardiac arrest |
| Z95.0 | Presence of cardiac pacemaker |
| Z95.810 | Presence of automatic (implantable) cardiac defibrillator |
| Z95.818 | Presence of other cardiac implants and grafts |
| Z95.9 | Presence of cardiac and vascular implant and graft, unspecified |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 93286?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 158 ICD-10 diagnosis codes that support medical necessity for CPT 93286. 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 93286 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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