ICD↔CPT crosswalk
CPT 94200: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 94200 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 94200 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 |
|---|---|
| A15.0 | Tuberculosis of lung |
| A15.4 | Tuberculosis of intrathoracic lymph nodes |
| A15.5 | Tuberculosis of larynx, trachea and bronchus |
| A15.6 | Tuberculous pleurisy |
| A15.7 | Primary respiratory tuberculosis |
| A15.8 | Other respiratory tuberculosis |
| A18.01 | Tuberculosis of spine |
| A19.0 | Acute miliary tuberculosis of a single specified site |
| A19.1 | Acute miliary tuberculosis of multiple sites |
| A19.8 | Other miliary tuberculosis |
| A20.2 | Pneumonic plague |
| A20.7 | Septicemic plague |
| A22.1 | Pulmonary anthrax |
| A31.0 | Pulmonary mycobacterial infection |
| A36.2 | Laryngeal diphtheria |
| A37.00 | Whooping cough due to Bordetella pertussis without pneumonia |
| A37.01 | Whooping cough due to Bordetella pertussis with pneumonia |
| A37.10 | Whooping cough due to Bordetella parapertussis without pneumonia |
| A37.11 | Whooping cough due to Bordetella parapertussis with pneumonia |
| A37.80 | Whooping cough due to other Bordetella species without pneumonia |
| A37.81 | Whooping cough due to other Bordetella species with pneumonia |
| A37.90 | Whooping cough, unspecified species without pneumonia |
| A37.91 | Whooping cough, unspecified species with pneumonia |
| A42.0 | Pulmonary actinomycosis |
| A43.0 | Pulmonary nocardiosis |
| A52.72 | Syphilis of lung and bronchus |
| A75.3 | Typhus fever due to Rickettsia tsutsugamushi |
| A78 | Q fever |
| A80.39 | Other acute paralytic poliomyelitis |
| B01.2 | Varicella pneumonia |
| B05.2 | Measles complicated by pneumonia |
| B20 | Human immunodeficiency virus [HIV] disease |
| B25.0 | Cytomegaloviral pneumonitis |
| B37.1 | Pulmonary candidiasis |
| B38.0 | Acute pulmonary coccidioidomycosis |
| B38.1 | Chronic pulmonary coccidioidomycosis |
| B38.2 | Pulmonary coccidioidomycosis, unspecified |
| B39.0 | Acute pulmonary histoplasmosis capsulati |
| B39.1 | Chronic pulmonary histoplasmosis capsulati |
| B39.2 | Pulmonary histoplasmosis capsulati, unspecified |
| B40.0 | Acute pulmonary blastomycosis |
| B40.1 | Chronic pulmonary blastomycosis |
| B40.7 | Disseminated blastomycosis |
| B40.81 | Blastomycotic meningoencephalitis |
| B40.89 | Other forms of blastomycosis |
| B42.0 | Pulmonary sporotrichosis |
| B42.7 | Disseminated sporotrichosis |
| B42.81 | Cerebral sporotrichosis |
| B42.82 | Sporotrichosis arthritis |
| B42.89 | Other forms of sporotrichosis |
| B44.0 | Invasive pulmonary aspergillosis |
| B44.1 | Other pulmonary aspergillosis |
| B44.2 | Tonsillar aspergillosis |
| B44.7 | Disseminated aspergillosis |
| B44.81 | Allergic bronchopulmonary aspergillosis |
| B44.89 | Other forms of aspergillosis |
| B44.9 | Aspergillosis, unspecified |
| B45.0 | Pulmonary cryptococcosis |
| B45.1 | Cerebral cryptococcosis |
| B45.3 | Osseous cryptococcosis |
| B45.7 | Disseminated cryptococcosis |
| B45.8 | Other forms of cryptococcosis |
| B48.4 | Penicillosis |
| B58.3 | Pulmonary toxoplasmosis |
| B59 | Pneumocystosis |
| B77.81 | Ascariasis pneumonia |
| B91 | Sequelae of poliomyelitis |
| C33 | Malignant neoplasm of trachea |
| C34.01 | Malignant neoplasm of right main bronchus |
| C34.02 | Malignant neoplasm of left main bronchus |
| C34.11 | Malignant neoplasm of upper lobe, right bronchus or lung |
| C34.12 | Malignant neoplasm of upper lobe, left bronchus or lung |
| C34.2 | Malignant neoplasm of middle lobe, bronchus or lung |
| C34.31 | Malignant neoplasm of lower lobe, right bronchus or lung |
| C34.32 | Malignant neoplasm of lower lobe, left bronchus or lung |
| C34.81 | Malignant neoplasm of overlapping sites of right bronchus and lung |
| C34.82 | Malignant neoplasm of overlapping sites of left bronchus and lung |
| C37 | Malignant neoplasm of thymus |
| 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 |
| C39.9 | Malignant neoplasm of lower respiratory tract, part unspecified |
| C45.0 | Mesothelioma of pleura |
| C45.2 | Mesothelioma of pericardium |
| C45.7 | Mesothelioma of other sites |
| C46.51 | Kaposi's sarcoma of right lung |
| C46.52 | Kaposi's sarcoma of left lung |
| C76.8 | Malignant neoplasm of other specified ill-defined sites |
| C78.01 | Secondary malignant neoplasm of right lung |
| C78.02 | Secondary malignant neoplasm of left lung |
| C78.1 | Secondary malignant neoplasm of mediastinum |
| C78.2 | Secondary malignant neoplasm of pleura |
| C78.39 | Secondary malignant neoplasm of other respiratory organs |
| C96.5 | Multifocal and unisystemic Langerhans-cell histiocytosis |
| C96.6 | Unifocal Langerhans-cell histiocytosis |
| D02.0 | Carcinoma in situ of larynx |
| D02.1 | Carcinoma in situ of trachea |
| D02.21 | Carcinoma in situ of right bronchus and lung |
| D02.22 | Carcinoma in situ of left bronchus and lung |
| D02.3 | Carcinoma in situ of other parts of respiratory system |
| D14.1 | Benign neoplasm of larynx |
| D14.2 | Benign neoplasm of trachea |
| D14.31 | Benign neoplasm of right bronchus and lung |
| D14.32 | Benign neoplasm of left bronchus and lung |
| D15.2 | Benign neoplasm of mediastinum |
| D18.1 | Lymphangioma, any site |
| D19.0 | Benign neoplasm of mesothelial tissue of pleura |
| D37.1 | Neoplasm of uncertain behavior of stomach |
| D37.2 | Neoplasm of uncertain behavior of small intestine |
| D37.3 | Neoplasm of uncertain behavior of appendix |
| D37.4 | Neoplasm of uncertain behavior of colon |
| D37.5 | Neoplasm of uncertain behavior of rectum |
| D38.1 | Neoplasm of uncertain behavior of trachea, bronchus and lung |
| D38.2 | Neoplasm of uncertain behavior of pleura |
| D38.3 | Neoplasm of uncertain behavior of mediastinum |
| D38.4 | Neoplasm of uncertain behavior of thymus |
| D38.5 | Neoplasm of uncertain behavior of other respiratory organs |
| D45 | Polycythemia vera |
| D57.01 | Hb-SS disease with acute chest syndrome |
| D57.04 | Hb-SS disease with dactylitis |
| D57.211 | Sickle-cell/Hb-C disease with acute chest syndrome |
| D57.214 | Sickle-cell/Hb-C disease with dactylitis |
| D57.411 | Sickle-cell thalassemia, unspecified, with acute chest syndrome |
| D57.414 | Sickle-cell thalassemia, unspecified, with dactylitis |
| D57.431 | Sickle-cell thalassemia beta zero with acute chest syndrome |
| D57.434 | Sickle-cell thalassemia beta zero with dactylitis |
| D57.451 | Sickle-cell thalassemia beta plus with acute chest syndrome |
| D57.454 | Sickle-cell thalassemia beta plus with dactylitis |
| D57.811 | Other sickle-cell disorders with acute chest syndrome |
| D57.814 | Other sickle-cell disorders with dactylitis |
| D75.1 | Secondary polycythemia |
| D81.810 | Biotinidase deficiency |
| D84.1 | Defects in the complement system |
| D86.0 | Sarcoidosis of lung |
| D86.1 | Sarcoidosis of lymph nodes |
| D86.2 | Sarcoidosis of lung with sarcoidosis of lymph nodes |
| D86.81 | Sarcoid meningitis |
| D86.82 | Multiple cranial nerve palsies in sarcoidosis |
| D86.85 | Sarcoid myocarditis |
| D86.86 | Sarcoid arthropathy |
| D86.87 | Sarcoid myositis |
| D86.89 | Sarcoidosis of other sites |
| E66.2 | Morbid (severe) obesity with alveolar hypoventilation |
| E84.0 | Cystic fibrosis with pulmonary manifestations |
| E84.11 | Meconium ileus in cystic fibrosis |
| E84.19 | Cystic fibrosis with other intestinal manifestations |
| E84.8 | Cystic fibrosis with other manifestations |
| E84.9 | Cystic fibrosis, unspecified |
| 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 |
| E87.20 | Acidosis, unspecified |
| E87.21 | Acute metabolic acidosis |
| E87.22 | Chronic metabolic acidosis |
| E87.29 | Other acidosis |
| E87.3 | Alkalosis |
| E88.01 | Alpha-1-antitrypsin deficiency |
| E88.02 | Plasminogen deficiency |
| E88.3 | Tumor lysis syndrome |
| E88.41 | MELAS syndrome |
| E88.42 | MERRF syndrome |
| E88.49 | Other mitochondrial metabolism disorders |
| E88.82 | Obesity due to disruption of MC4R pathway |
| E88.89 | Other specified metabolic disorders |
| G12.21 | Amyotrophic lateral sclerosis |
| G12.22 | Progressive bulbar palsy |
| G12.23 | Primary lateral sclerosis |
| G12.24 | Familial motor neuron disease |
| G12.25 | Progressive spinal muscle atrophy |
| G14 | Postpolio syndrome |
| G47.30 | Sleep apnea, unspecified |
| G47.31 | Primary central sleep apnea |
| G47.33 | Obstructive sleep apnea (adult) (pediatric) |
| G47.34 | Idiopathic sleep related nonobstructive alveolar hypoventilation |
| G47.35 | Congenital central alveolar hypoventilation syndrome |
| G47.36 | Sleep related hypoventilation in conditions classified elsewhere |
| G47.37 | Central sleep apnea in conditions classified elsewhere |
| G47.39 | Other sleep apnea |
| G61.0 | Guillain-Barre syndrome |
| G70.00 | Myasthenia gravis without (acute) exacerbation |
| G70.01 | Myasthenia gravis with (acute) exacerbation |
| G70.80 | Lambert-Eaton syndrome, unspecified |
| G70.81 | Lambert-Eaton syndrome in disease classified elsewhere |
| G71.00 | Muscular dystrophy, unspecified |
| G71.01 | Duchenne or Becker muscular dystrophy |
| G71.02 | Facioscapulohumeral muscular dystrophy |
| G71.031 | Autosomal dominant limb girdle muscular dystrophy |
| G71.032 | Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction |
| G71.033 | Limb girdle muscular dystrophy due to dysferlin dysfunction |
| G71.0340 | Limb girdle muscular dystrophy due to sarcoglycan dysfunction, unspecified |
| G71.0341 | Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction |
| G71.0342 | Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction |
| G71.0349 | Limb girdle muscular dystrophy due to other sarcoglycan dysfunction |
| G71.035 | Limb girdle muscular dystrophy due to anoctamin-5 dysfunction |
| G71.036 | Limb girdle muscular dystrophy due to fukutin related protein dysfunction |
| G71.038 | Other limb girdle muscular dystrophy |
| G71.09 | Other specified muscular dystrophies |
| G71.11 | Myotonic muscular dystrophy |
| G71.12 | Myotonia congenita |
| G71.13 | Myotonic chondrodystrophy |
| G71.14 | Drug induced myotonia |
| G71.19 | Other specified myotonic disorders |
| G72.41 | Inclusion body myositis [IBM] |
| G72.49 | Other inflammatory and immune myopathies, not elsewhere classified |
| G73.1 | Lambert-Eaton syndrome in neoplastic disease |
| I26.01 | Septic pulmonary embolism with acute cor pulmonale |
| I26.02 | Saddle embolus of pulmonary artery with acute cor pulmonale |
| I26.03 | Cement embolism of pulmonary artery with acute cor pulmonale |
| I26.04 | Fat embolism of pulmonary artery with acute cor pulmonale |
| I26.09 | Other pulmonary embolism with acute cor pulmonale |
| I26.90 | Septic pulmonary embolism without acute cor pulmonale |
| I26.92 | Saddle embolus of pulmonary artery without acute cor pulmonale |
| I26.93 | Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale |
| I26.94 | Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale |
| I26.95 | Cement embolism of pulmonary artery without acute cor pulmonale |
| I26.96 | Fat embolism of pulmonary artery without acute cor pulmonale |
| I26.99 | Other pulmonary embolism without acute cor pulmonale |
| I27.0 | Primary pulmonary hypertension |
| I27.1 | Kyphoscoliotic heart disease |
| I27.20 | Pulmonary hypertension, unspecified |
| I27.21 | Secondary pulmonary arterial hypertension |
| I27.22 | Pulmonary hypertension due to left heart disease |
| I27.23 | Pulmonary hypertension due to lung diseases and hypoxia |
| I27.24 | Chronic thromboembolic pulmonary hypertension |
| I27.29 | Other secondary pulmonary hypertension |
| I27.81 | Cor pulmonale (chronic) |
| I27.82 | Chronic pulmonary embolism |
| I27.83 | Eisenmenger's syndrome |
| I27.840 | Fontan-associated liver disease [FALD] |
| I27.841 | Fontan-associated lymphatic dysfunction |
| I27.848 | Other Fontan-associated condition |
| I27.849 | Fontan related circulation, unspecified |
| I27.89 | Other specified pulmonary heart diseases |
| I28.0 | Arteriovenous fistula of pulmonary vessels |
| I28.8 | Other diseases of pulmonary vessels |
| I37.0 | Nonrheumatic pulmonary valve stenosis |
| I37.1 | Nonrheumatic pulmonary valve insufficiency |
| I37.2 | Nonrheumatic pulmonary valve stenosis with insufficiency |
| I37.8 | Other nonrheumatic pulmonary valve disorders |
| I37.9 | Nonrheumatic pulmonary valve 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 |
| 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 |
| I50.30 | Unspecified diastolic (congestive) heart failure |
| I50.31 | Acute diastolic (congestive) heart failure |
| I50.32 | Chronic diastolic (congestive) heart failure |
| I50.33 | Acute on chronic diastolic (congestive) heart failure |
| I50.40 | Unspecified combined systolic (congestive) and diastolic (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 |
| J04.10 | Acute tracheitis without obstruction |
| J04.11 | Acute tracheitis with obstruction |
| J04.2 | Acute laryngotracheitis |
| J05.0 | Acute obstructive laryngitis [croup] |
| J05.10 | Acute epiglottitis without obstruction |
| J05.11 | Acute epiglottitis with obstruction |
| J06.0 | Acute laryngopharyngitis |
| J09.X1 | Influenza due to identified novel influenza A virus with pneumonia |
| J09.X2 | Influenza due to identified novel influenza A virus with other respiratory manifestations |
| J09.X3 | Influenza due to identified novel influenza A virus with gastrointestinal manifestations |
| J09.X9 | Influenza due to identified novel influenza A virus with other manifestations |
| J10.00 | Influenza due to other identified influenza virus with unspecified type of pneumonia |
| J10.01 | Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia |
| J10.08 | Influenza due to other identified influenza virus with other specified pneumonia |
| J10.1 | Influenza due to other identified influenza virus with other respiratory manifestations |
| J11.00 | Influenza due to unidentified influenza virus with unspecified type of pneumonia |
| J11.08 | Influenza due to unidentified influenza virus with specified pneumonia |
| J11.1 | Influenza due to unidentified influenza virus with other respiratory manifestations |
| J12.0 | Adenoviral pneumonia |
| J12.1 | Respiratory syncytial virus pneumonia |
| J12.82 | Pneumonia due to coronavirus disease 2019 |
| J12.9 | Viral pneumonia, unspecified |
| J13 | Pneumonia due to Streptococcus pneumoniae |
| J15.20 | Pneumonia due to staphylococcus, unspecified |
| J15.211 | Pneumonia due to Methicillin susceptible Staphylococcus aureus |
| J15.212 | Pneumonia due to Methicillin resistant Staphylococcus aureus |
| J15.29 | Pneumonia due to other staphylococcus |
| J15.3 | Pneumonia due to streptococcus, group B |
| J15.4 | Pneumonia due to other streptococci |
| J15.61 | Pneumonia due to Acinetobacter baumannii |
| J15.69 | Pneumonia due to other Gram-negative bacteria |
| J15.7 | Pneumonia due to Mycoplasma pneumoniae |
| J16.0 | Chlamydial pneumonia |
| J17 | Pneumonia in diseases classified elsewhere |
| J18.0 | Bronchopneumonia, unspecified organism |
| J18.1 | Lobar pneumonia, unspecified organism |
| J18.2 | Hypostatic pneumonia, unspecified organism |
| J18.8 | Other pneumonia, unspecified organism |
| J18.9 | Pneumonia, unspecified organism |
| J20.0 | Acute bronchitis due to Mycoplasma pneumoniae |
| J20.1 | Acute bronchitis due to Hemophilus influenzae |
| J20.2 | Acute bronchitis due to streptococcus |
| J20.3 | Acute bronchitis due to coxsackievirus |
| J20.4 | Acute bronchitis due to parainfluenza virus |
| J20.5 | Acute bronchitis due to respiratory syncytial virus |
| J20.6 | Acute bronchitis due to rhinovirus |
| J20.7 | Acute bronchitis due to echovirus |
| J20.8 | Acute bronchitis due to other specified organisms |
| J20.9 | Acute bronchitis, unspecified |
| J21.0 | Acute bronchiolitis due to respiratory syncytial virus |
| J21.1 | Acute bronchiolitis due to human metapneumovirus |
| J21.8 | Acute bronchiolitis due to other specified organisms |
| J21.9 | Acute bronchiolitis, unspecified |
| J22 | Unspecified acute lower respiratory infection |
| J37.1 | Chronic laryngotracheitis |
| J38.01 | Paralysis of vocal cords and larynx, unilateral |
| J38.02 | Paralysis of vocal cords and larynx, bilateral |
| J38.4 | Edema of larynx |
| J38.5 | Laryngeal spasm |
| J38.6 | Stenosis of larynx |
| J38.7 | Other diseases of larynx |
| J39.3 | Upper respiratory tract hypersensitivity reaction, site unspecified |
| J39.8 | Other specified diseases of upper respiratory tract |
| J40 | Bronchitis, not specified as acute or chronic |
| J41.0 | Simple chronic bronchitis |
| J41.1 | Mucopurulent chronic bronchitis |
| J41.8 | Mixed simple and mucopurulent chronic bronchitis |
| J43.0 | Unilateral pulmonary emphysema [MacLeod's syndrome] |
| J43.1 | Panlobular emphysema |
| J43.2 | Centrilobular emphysema |
| J43.8 | Other emphysema |
| J43.9 | Emphysema, unspecified |
| J44.0 | Chronic obstructive pulmonary disease with (acute) lower respiratory infection |
| J44.1 | Chronic obstructive pulmonary disease with (acute) exacerbation |
| J44.81 | Bronchiolitis obliterans and bronchiolitis obliterans syndrome |
| J44.89 | Other specified chronic obstructive pulmonary disease |
| J44.9 | Chronic obstructive pulmonary disease, unspecified |
| J45.20 | Mild intermittent asthma, uncomplicated |
| J45.21 | Mild intermittent asthma with (acute) exacerbation |
| J45.22 | Mild intermittent asthma with status asthmaticus |
| J45.30 | Mild persistent asthma, uncomplicated |
| J45.31 | Mild persistent asthma with (acute) exacerbation |
| J45.32 | Mild persistent asthma with status asthmaticus |
| J45.40 | Moderate persistent asthma, uncomplicated |
| J45.41 | Moderate persistent asthma with (acute) exacerbation |
| J45.42 | Moderate persistent asthma with status asthmaticus |
| J45.50 | Severe persistent asthma, uncomplicated |
| J45.51 | Severe persistent asthma with (acute) exacerbation |
| J45.52 | Severe persistent asthma with status asthmaticus |
| J45.901 | Unspecified asthma with (acute) exacerbation |
| J45.902 | Unspecified asthma with status asthmaticus |
| J45.909 | Unspecified asthma, uncomplicated |
| J45.990 | Exercise induced bronchospasm |
| J45.991 | Cough variant asthma |
| J45.998 | Other asthma |
| J47.0 | Bronchiectasis with acute lower respiratory infection |
| J47.1 | Bronchiectasis with (acute) exacerbation |
| J47.9 | Bronchiectasis, uncomplicated |
| J60 | Coalworker's pneumoconiosis |
| J61 | Pneumoconiosis due to asbestos and other mineral fibers |
| J62.0 | Pneumoconiosis due to talc dust |
| J62.8 | Pneumoconiosis due to other dust containing silica |
| J63.0 | Aluminosis (of lung) |
| J63.1 | Bauxite fibrosis (of lung) |
| J63.2 | Berylliosis |
| J63.3 | Graphite fibrosis (of lung) |
| J63.4 | Siderosis |
| J63.5 | Stannosis |
| J63.6 | Pneumoconiosis due to other specified inorganic dusts |
| J64 | Unspecified pneumoconiosis |
| J65 | Pneumoconiosis associated with tuberculosis |
| J66.0 | Byssinosis |
| J66.1 | Flax-dressers' disease |
| J66.2 | Cannabinosis |
| J66.8 | Airway disease due to other specific organic dusts |
| J67.0 | Farmer's lung |
| J67.1 | Bagassosis |
| J67.2 | Bird fancier's lung |
| J67.3 | Suberosis |
| J67.4 | Maltworker's lung |
| J67.5 | Mushroom-worker's lung |
| J67.6 | Maple-bark-stripper's lung |
| J67.7 | Air conditioner and humidifier lung |
| J67.8 | Hypersensitivity pneumonitis due to other organic dusts |
| J68.0 | Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors |
| J68.1 | Pulmonary edema due to chemicals, gases, fumes and vapors |
| J68.2 | Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified |
Showing the first 400 of 1109 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 94200?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 1109 ICD-10 diagnosis codes that support medical necessity for CPT 94200. 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 94200 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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