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ICD↔CPT crosswalk

CPT 93289: ICD-10 codes that support medical necessity

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

These ICD-10-CM diagnoses support medical necessity for CPT 93289 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 93289 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
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
I21.3ST elevation (STEMI) myocardial infarction of unspecified site
I21.4Non-ST elevation (NSTEMI) myocardial infarction
I21.9Acute myocardial infarction, unspecified
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
I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.2Old myocardial infarction
I25.5Ischemic cardiomyopathy
I25.6Silent myocardial ischemia
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
I25.89Other forms of chronic ischemic heart disease
I25.9Chronic ischemic heart disease, unspecified
I42.0Dilated cardiomyopathy
I44.1Atrioventricular block, second degree
I44.2Atrioventricular block, complete
I44.4Left anterior fascicular block
I44.5Left posterior fascicular block
I44.60Unspecified fascicular block
I44.69Other fascicular block
I44.7Left bundle-branch block, unspecified
I45.0Right fascicular block
I45.10Unspecified right bundle-branch block
I45.19Other right bundle-branch block
I45.2Bifascicular block
I45.3Trifascicular block
I45.6Pre-excitation syndrome
I45.81Long QT syndrome
I45.9Conduction disorder, unspecified
I46.2Cardiac arrest due to underlying cardiac condition
I46.8Cardiac arrest due to other underlying condition
I46.9Cardiac arrest, cause unspecified
I47.0Re-entry ventricular arrhythmia
I47.11Inappropriate sinus tachycardia, so stated
I47.19Other supraventricular tachycardia
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
I49.2Junctional premature depolarization
I49.3Ventricular premature depolarization
I49.5Sick sinus syndrome
I49.8Other specified cardiac arrhythmias
I49.9Cardiac arrhythmia, unspecified
I50.1Left ventricular failure, unspecified
I50.20Unspecified systolic (congestive) heart failure
I50.21Acute systolic (congestive) heart failure
I50.22Chronic systolic (congestive) heart failure
I50.23Acute on chronic systolic (congestive) heart failure
I50.41Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.810Right heart failure, unspecified
I50.811Acute right heart failure
I50.812Chronic right heart failure
I50.813Acute on chronic right heart failure
I50.814Right heart failure due to left heart failure
I50.82Biventricular heart failure
I50.83High output heart failure
I50.84End stage heart failure
I50.89Other heart failure
I50.9Heart failure, unspecified
R00.0Tachycardia, unspecified
R00.1Bradycardia, unspecified
R00.2Palpitations
R42Dizziness and giddiness
R55Syncope and collapse
R93.1Abnormal findings on diagnostic imaging of heart and coronary circulation
R93.89Abnormal findings on diagnostic imaging of other specified body structures
T82.110ABreakdown (mechanical) of cardiac electrode, initial encounter
T82.110DBreakdown (mechanical) of cardiac electrode, subsequent encounter
T82.110SBreakdown (mechanical) of cardiac electrode, sequela
T82.111ABreakdown (mechanical) of cardiac pulse generator (battery), initial encounter
T82.111DBreakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter
T82.111SBreakdown (mechanical) of cardiac pulse generator (battery), sequela
T82.118ABreakdown (mechanical) of other cardiac electronic device, initial encounter
T82.118DBreakdown (mechanical) of other cardiac electronic device, subsequent encounter
T82.118SBreakdown (mechanical) of other cardiac electronic device, sequela
T82.119ABreakdown (mechanical) of unspecified cardiac electronic device, initial encounter
T82.119DBreakdown (mechanical) of unspecified cardiac electronic device, subsequent encounter
T82.119SBreakdown (mechanical) of unspecified cardiac electronic device, sequela
T82.120ADisplacement of cardiac electrode, initial encounter
T82.120DDisplacement of cardiac electrode, subsequent encounter
T82.120SDisplacement of cardiac electrode, sequela
T82.121ADisplacement of cardiac pulse generator (battery), initial encounter
T82.121DDisplacement of cardiac pulse generator (battery), subsequent encounter
T82.121SDisplacement of cardiac pulse generator (battery), sequela
T82.128ADisplacement of other cardiac electronic device, initial encounter
T82.128DDisplacement of other cardiac electronic device, subsequent encounter
T82.128SDisplacement of other cardiac electronic device, sequela
T82.129ADisplacement of unspecified cardiac electronic device, initial encounter
T82.129DDisplacement of unspecified cardiac electronic device, subsequent encounter
T82.129SDisplacement of unspecified cardiac electronic device, sequela
T82.190AOther mechanical complication of cardiac electrode, initial encounter
T82.190DOther mechanical complication of cardiac electrode, subsequent encounter
T82.190SOther mechanical complication of cardiac electrode, sequela
T82.191AOther mechanical complication of cardiac pulse generator (battery), initial encounter
T82.191DOther mechanical complication of cardiac pulse generator (battery), subsequent encounter
T82.191SOther mechanical complication of cardiac pulse generator (battery), sequela
T82.198AOther mechanical complication of other cardiac electronic device, initial encounter
T82.198DOther mechanical complication of other cardiac electronic device, subsequent encounter
T82.198SOther mechanical complication of other cardiac electronic device, sequela
T82.199AOther mechanical complication of unspecified cardiac device, initial encounter
T82.199DOther mechanical complication of unspecified cardiac device, subsequent encounter
T82.199SOther mechanical complication of unspecified cardiac device, sequela
T82.221ABreakdown (mechanical) of biological heart valve graft, initial encounter
T82.222ADisplacement of biological heart valve graft, initial encounter
T82.223ALeakage of biological heart valve graft, initial encounter
T82.228AOther mechanical complication of biological heart valve graft, initial encounter
T82.512ABreakdown (mechanical) of artificial heart, initial encounter
T82.514ABreakdown (mechanical) of infusion catheter, initial encounter
T82.518ABreakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.522ADisplacement of artificial heart, initial encounter
T82.524ADisplacement of infusion catheter, initial encounter
T82.528ADisplacement of other cardiac and vascular devices and implants, initial encounter
T82.529ADisplacement of unspecified cardiac and vascular devices and implants, initial encounter
T82.532ALeakage of artificial heart, initial encounter
T82.534ALeakage of infusion catheter, initial encounter
T82.538ALeakage of other cardiac and vascular devices and implants, initial encounter
T82.592AOther mechanical complication of artificial heart, initial encounter
T82.594AOther mechanical complication of infusion catheter, initial encounter
T82.598AOther mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.817AEmbolism due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.827AFibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.837AHemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.847APain due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.857AStenosis of other cardiac prosthetic devices, implants and grafts, initial encounter
T82.867AThrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter
T82.897AOther specified complication of cardiac prosthetic devices, implants and grafts, initial encounter
T82.9XXAUnspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter
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
Z45.09Encounter for adjustment and management of other cardiac device
Z86.74Personal history of sudden cardiac arrest
Z95.0Presence of cardiac pacemaker
Z95.810Presence of automatic (implantable) cardiac defibrillator
Z95.818Presence of other cardiac implants and grafts
Z95.9Presence of cardiac and vascular implant and graft, unspecified

Frequently asked questions

Which ICD-10 codes support medical necessity for CPT 93289?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 160 ICD-10 diagnosis codes that support medical necessity for CPT 93289. 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 93289 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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