ICD↔CPT crosswalk
CPT 95700: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 95700 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 95700 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 |
|---|---|
| A17.82 | Tuberculous meningoencephalitis |
| A39.81 | Meningococcal encephalitis |
| A42.82 | Actinomycotic encephalitis |
| A50.42 | Late congenital syphilitic encephalitis |
| A52.14 | Late syphilitic encephalitis |
| A83.0 | Japanese encephalitis |
| A83.1 | Western equine encephalitis |
| A83.2 | Eastern equine encephalitis |
| A83.3 | St Louis encephalitis |
| A83.4 | Australian encephalitis |
| A83.5 | California encephalitis |
| A83.8 | Other mosquito-borne viral encephalitis |
| A83.9 | Mosquito-borne viral encephalitis, unspecified |
| A84.0 | Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] |
| A84.1 | Central European tick-borne encephalitis |
| A84.89 | Other tick-borne viral encephalitis |
| A84.9 | Tick-borne viral encephalitis, unspecified |
| A85.0 | Enteroviral encephalitis |
| A85.1 | Adenoviral encephalitis |
| A85.2 | Arthropod-borne viral encephalitis, unspecified |
| A85.8 | Other specified viral encephalitis |
| A92.2 | Venezuelan equine fever |
| A92.31 | West Nile virus infection with encephalitis |
| A92.5 | Zika virus disease |
| B01.11 | Varicella encephalitis and encephalomyelitis |
| B02.0 | Zoster encephalitis |
| B05.0 | Measles complicated by encephalitis |
| B06.01 | Rubella encephalitis |
| B10.01 | Human herpesvirus 6 encephalitis |
| B10.09 | Other human herpesvirus encephalitis |
| B26.2 | Mumps encephalitis |
| B94.1 | Sequelae of viral encephalitis |
| F44.4 | Conversion disorder with motor symptom or deficit |
| F44.5 | Conversion disorder with seizures or convulsions |
| F44.6 | Conversion disorder with sensory symptom or deficit |
| F44.7 | Conversion disorder with mixed symptom presentation |
| G04.00 | Acute disseminated encephalitis and encephalomyelitis, unspecified |
| G04.01 | Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) |
| G04.02 | Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis |
| G04.30 | Acute necrotizing hemorrhagic encephalopathy, unspecified |
| G04.31 | Postinfectious acute necrotizing hemorrhagic encephalopathy |
| G04.81 | Other encephalitis and encephalomyelitis |
| G04.90 | Encephalitis and encephalomyelitis, unspecified |
| G05.3 | Encephalitis and encephalomyelitis in diseases classified elsewhere |
| G40.001 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus |
| G40.009 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus |
| G40.011 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus |
| G40.019 | Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus |
| G40.101 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus |
| G40.109 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus |
| G40.111 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus |
| G40.119 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus |
| G40.201 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus |
| G40.209 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus |
| G40.211 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus |
| G40.219 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus |
| G40.301 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| G40.309 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| G40.311 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus |
| G40.319 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus |
| G40.401 | Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus |
| G40.409 | Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus |
| G40.411 | Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus |
| G40.419 | Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus |
| G40.42 | Cyclin-Dependent Kinase-Like 5 Deficiency Disorder |
| G40.501 | Epileptic seizures related to external causes, not intractable, with status epilepticus |
| G40.509 | Epileptic seizures related to external causes, not intractable, without status epilepticus |
| G40.801 | Other epilepsy, not intractable, with status epilepticus |
| G40.802 | Other epilepsy, not intractable, without status epilepticus |
| G40.803 | Other epilepsy, intractable, with status epilepticus |
| G40.804 | Other epilepsy, intractable, without status epilepticus |
| G40.811 | Lennox-Gastaut syndrome, not intractable, with status epilepticus |
| G40.812 | Lennox-Gastaut syndrome, not intractable, without status epilepticus |
| G40.813 | Lennox-Gastaut syndrome, intractable, with status epilepticus |
| G40.814 | Lennox-Gastaut syndrome, intractable, without status epilepticus |
| G40.821 | Epileptic spasms, not intractable, with status epilepticus |
| G40.822 | Epileptic spasms, not intractable, without status epilepticus |
| G40.823 | Epileptic spasms, intractable, with status epilepticus |
| G40.824 | Epileptic spasms, intractable, without status epilepticus |
| G40.833 | Dravet syndrome, intractable, with status epilepticus |
| G40.834 | Dravet syndrome, intractable, without status epilepticus |
| G40.841 | KCNQ2-related epilepsy, not intractable, with status epilepticus |
| G40.842 | KCNQ2-related epilepsy, not intractable, without status epilepticus |
| G40.843 | KCNQ2-related epilepsy, intractable, with status epilepticus |
| G40.844 | KCNQ2-related epilepsy, intractable, without status epilepticus |
| G40.89 | Other seizures |
| G40.901 | Epilepsy, unspecified, not intractable, with status epilepticus |
| G40.909 | Epilepsy, unspecified, not intractable, without status epilepticus |
| G40.911 | Epilepsy, unspecified, intractable, with status epilepticus |
| G40.919 | Epilepsy, unspecified, intractable, without status epilepticus |
| G40.A01 | Absence epileptic syndrome, not intractable, with status epilepticus |
| G40.A09 | Absence epileptic syndrome, not intractable, without status epilepticus |
| G40.A11 | Absence epileptic syndrome, intractable, with status epilepticus |
| G40.A19 | Absence epileptic syndrome, intractable, without status epilepticus |
| G40.B01 | Juvenile myoclonic epilepsy, not intractable, with status epilepticus |
| G40.B09 | Juvenile myoclonic epilepsy, not intractable, without status epilepticus |
| G40.B11 | Juvenile myoclonic epilepsy, intractable, with status epilepticus |
| G40.B19 | Juvenile myoclonic epilepsy, intractable, without status epilepticus |
| G90.81 | Serotonin syndrome |
| G90.89 | Other disorders of autonomic nervous system |
| G93.1 | Anoxic brain damage, not elsewhere classified |
| G93.40 | Encephalopathy, unspecified |
| G93.45 | Developmental and epileptic encephalopathy |
| G93.49 | Other encephalopathy |
| G93.5 | Compression of brain |
| G93.6 | Cerebral edema |
| H55.00 | Unspecified nystagmus |
| I45.9 | Conduction disorder, unspecified |
| I60.01 | Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation |
| I60.02 | Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation |
| I60.11 | Nontraumatic subarachnoid hemorrhage from right middle cerebral artery |
| I60.12 | Nontraumatic subarachnoid hemorrhage from left middle cerebral artery |
| I60.2 | Nontraumatic subarachnoid hemorrhage from anterior communicating artery |
| I60.31 | Nontraumatic subarachnoid hemorrhage from right posterior communicating artery |
| I60.32 | Nontraumatic subarachnoid hemorrhage from left posterior communicating artery |
| I60.4 | Nontraumatic subarachnoid hemorrhage from basilar artery |
| I60.51 | Nontraumatic subarachnoid hemorrhage from right vertebral artery |
| I60.52 | Nontraumatic subarachnoid hemorrhage from left vertebral artery |
| I60.6 | Nontraumatic subarachnoid hemorrhage from other intracranial arteries |
| I60.8 | Other nontraumatic subarachnoid hemorrhage |
| I60.9 | Nontraumatic subarachnoid hemorrhage, unspecified |
| I61.0 | Nontraumatic intracerebral hemorrhage in hemisphere, subcortical |
| I61.1 | Nontraumatic intracerebral hemorrhage in hemisphere, cortical |
| I61.2 | Nontraumatic intracerebral hemorrhage in hemisphere, unspecified |
| I61.3 | Nontraumatic intracerebral hemorrhage in brain stem |
| I61.4 | Nontraumatic intracerebral hemorrhage in cerebellum |
| I61.5 | Nontraumatic intracerebral hemorrhage, intraventricular |
| I61.6 | Nontraumatic intracerebral hemorrhage, multiple localized |
| I61.8 | Other nontraumatic intracerebral hemorrhage |
| I62.9 | Nontraumatic intracranial hemorrhage, unspecified |
| I67.1 | Cerebral aneurysm, nonruptured |
| I67.83 | Posterior reversible encephalopathy syndrome |
| I67.9 | Cerebrovascular disease, unspecified |
| R00.0 | Tachycardia, unspecified |
| R06.81 | Apnea, not elsewhere classified |
| R25.0 | Abnormal head movements |
| R25.1 | Tremor, unspecified |
| R25.2 | Cramp and spasm |
| R25.3 | Fasciculation |
| R25.8 | Other abnormal involuntary movements |
| R25.9 | Unspecified abnormal involuntary movements |
| R29.90 | Unspecified symptoms and signs involving the nervous system |
| R40.0 | Somnolence |
| R40.1 | Stupor |
| R40.20 | Unspecified coma |
| R40.2110 | Coma scale, eyes open, never, unspecified time |
| R40.2111 | Coma scale, eyes open, never, in the field [EMT or ambulance] |
| R40.2112 | Coma scale, eyes open, never, at arrival to emergency department |
| R40.2113 | Coma scale, eyes open, never, at hospital admission |
| R40.2114 | Coma scale, eyes open, never, 24 hours or more after hospital admission |
| R40.2120 | Coma scale, eyes open, to pain, unspecified time |
| R40.2121 | Coma scale, eyes open, to pain, in the field [EMT or ambulance] |
| R40.2122 | Coma scale, eyes open, to pain, at arrival to emergency department |
| R40.2123 | Coma scale, eyes open, to pain, at hospital admission |
| R40.2124 | Coma scale, eyes open, to pain, 24 hours or more after hospital admission |
| R40.2210 | Coma scale, best verbal response, none, unspecified time |
| R40.2211 | Coma scale, best verbal response, none, in the field [EMT or ambulance] |
| R40.2212 | Coma scale, best verbal response, none, at arrival to emergency department |
| R40.2213 | Coma scale, best verbal response, none, at hospital admission |
| R40.2214 | Coma scale, best verbal response, none, 24 hours or more after hospital admission |
| R40.2220 | Coma scale, best verbal response, incomprehensible words, unspecified time |
| R40.2221 | Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance] |
| R40.2222 | Coma scale, best verbal response, incomprehensible words, at arrival to emergency department |
| R40.2223 | Coma scale, best verbal response, incomprehensible words, at hospital admission |
| R40.2224 | Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission |
| R40.2310 | Coma scale, best motor response, none, unspecified time |
| R40.2311 | Coma scale, best motor response, none, in the field [EMT or ambulance] |
| R40.2312 | Coma scale, best motor response, none, at arrival to emergency department |
| R40.2313 | Coma scale, best motor response, none, at hospital admission |
| R40.2314 | Coma scale, best motor response, none, 24 hours or more after hospital admission |
| R40.2320 | Coma scale, best motor response, extension, unspecified time |
| R40.2321 | Coma scale, best motor response, extension, in the field [EMT or ambulance] |
| R40.2322 | Coma scale, best motor response, extension, at arrival to emergency department |
| R40.2323 | Coma scale, best motor response, extension, at hospital admission |
| R40.2324 | Coma scale, best motor response, extension, 24 hours or more after hospital admission |
| R40.2340 | Coma scale, best motor response, flexion withdrawal, unspecified time |
| R40.2341 | Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance] |
| R40.2342 | Coma scale, best motor response, flexion withdrawal, at arrival to emergency department |
| R40.2343 | Coma scale, best motor response, flexion withdrawal, at hospital admission |
| R40.2344 | Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission |
| R40.2350 | Coma scale, best motor response, localizes pain, unspecified time |
| R40.2351 | Coma scale, best motor response, localizes pain, in the field [EMT or ambulance] |
| R40.2352 | Coma scale, best motor response, localizes pain, at arrival to emergency department |
| R40.2353 | Coma scale, best motor response, localizes pain, at hospital admission |
| R40.2354 | Coma scale, best motor response, localizes pain, 24 hours or more after hospital admission |
| R40.2361 | Coma scale, best motor response, obeys commands, in the field [EMT or ambulance] |
| R40.2362 | Coma scale, best motor response, obeys commands, at arrival to emergency department |
| R40.2363 | Coma scale, best motor response, obeys commands, at hospital admission |
| R40.2364 | Coma scale, best motor response, obeys commands, 24 hours or more after hospital admission |
| R40.2A | Nontraumatic coma due to underlying condition |
| R40.4 | Transient alteration of awareness |
| R41.0 | Disorientation, unspecified |
| R41.3 | Other amnesia |
| R41.82 | Altered mental status, unspecified |
| R41.85 | Anosognosia |
| R45.1 | Restlessness and agitation |
| R47.01 | Aphasia |
| R55 | Syncope and collapse |
| R56.1 | Post traumatic seizures |
| R56.9 | Unspecified convulsions |
| S06.0XAA | Concussion with loss of consciousness status unknown, initial encounter |
| S06.0XAD | Concussion with loss of consciousness status unknown, subsequent encounter |
| S06.0XAS | Concussion with loss of consciousness status unknown, sequela |
| S06.1X0S | Traumatic cerebral edema without loss of consciousness, sequela |
| S06.1X1S | Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequela |
| S06.1X2S | Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela |
| S06.1X3S | Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| S06.1X4S | Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, sequela |
| S06.1X5S | Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| S06.1X6S | Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| S06.1X9S | Traumatic cerebral edema with loss of consciousness of unspecified duration, sequela |
| S06.1XAA | Traumatic cerebral edema with loss of consciousness status unknown, initial encounter |
| S06.1XAD | Traumatic cerebral edema with loss of consciousness status unknown, subsequent encounter |
| S06.1XAS | Traumatic cerebral edema with loss of consciousness status unknown, sequela |
| S06.2XAA | Diffuse traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06.2XAD | Diffuse traumatic brain injury with loss of consciousness status unknown, subsequent encounter |
| S06.2XAS | Diffuse traumatic brain injury with loss of consciousness status unknown, sequela |
| S06.30AA | Unspecified focal traumatic brain injury with loss of consciousness status unknown, initial encounter |
| S06.30AD | Unspecified focal traumatic brain injury with loss of consciousness status unknown, subsequent encounter |
| S06.30AS | Unspecified focal traumatic brain injury with loss of consciousness status unknown, sequela |
| S06.31AA | Contusion and laceration of right cerebrum with loss of consciousness status unknown, initial encounter |
| S06.31AD | Contusion and laceration of right cerebrum with loss of consciousness status unknown, subsequent encounter |
| S06.31AS | Contusion and laceration of right cerebrum with loss of consciousness status unknown, sequela |
| S06.32AA | Contusion and laceration of left cerebrum with loss of consciousness status unknown, initial encounter |
| S06.32AD | Contusion and laceration of left cerebrum with loss of consciousness status unknown, subsequent encounter |
| S06.32AS | Contusion and laceration of left cerebrum with loss of consciousness status unknown, sequela |
| S06.33AA | Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter |
| S06.33AD | Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, subsequent encounter |
| S06.33AS | Contusion and laceration of cerebrum, unspecified, with loss of consciousness status unknown, sequela |
| S06.34AA | Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, initial encounter |
| S06.34AD | Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, subsequent encounter |
| S06.34AS | Traumatic hemorrhage of right cerebrum with loss of consciousness status unknown, sequela |
| S06.35AA | Traumatic hemorrhage of left cerebrum with loss of consciousness status unknown, initial encounter |
| S06.35AD | Traumatic hemorrhage of left cerebrum with loss of consciousness status unknown, subsequent encounter |
| S06.35AS | Traumatic hemorrhage of left cerebrum with loss of consciousness status unknown, sequela |
| S06.36AA | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter |
| S06.36AD | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, subsequent encounter |
| S06.36AS | Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, sequela |
| S06.37AA | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, initial encounter |
| S06.37AD | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, subsequent encounter |
| S06.37AS | Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness status unknown, sequela |
| S06.38AA | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, initial encounter |
| S06.38AD | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, subsequent encounter |
| S06.38AS | Contusion, laceration, and hemorrhage of brainstem with loss of consciousness status unknown, sequela |
| S06.4XAA | Epidural hemorrhage with loss of consciousness status unknown, initial encounter |
| S06.4XAD | Epidural hemorrhage with loss of consciousness status unknown, subsequent encounter |
| S06.4XAS | Epidural hemorrhage with loss of consciousness status unknown, sequela |
| S06.5XAA | Traumatic subdural hemorrhage with loss of consciousness status unknown, initial encounter |
| S06.5XAD | Traumatic subdural hemorrhage with loss of consciousness status unknown, subsequent encounter |
| S06.5XAS | Traumatic subdural hemorrhage with loss of consciousness status unknown, sequela |
| S06.6XAA | Traumatic subarachnoid hemorrhage with loss of consciousness status unknown, initial encounter |
| S06.6XAD | Traumatic subarachnoid hemorrhage with loss of consciousness status unknown, subsequent encounter |
| S06.6XAS | Traumatic subarachnoid hemorrhage with loss of consciousness status unknown, sequela |
| S06.81AA | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter |
| S06.81AD | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, subsequent encounter |
| S06.81AS | Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, sequela |
| S06.82AA | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, initial encounter |
| S06.82AD | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, subsequent encounter |
| S06.82AS | Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness status unknown, sequela |
| S06.890S | Other specified intracranial injury without loss of consciousness, sequela |
| S06.891S | Other specified intracranial injury with loss of consciousness of 30 minutes or less, sequela |
| S06.892S | Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela |
| S06.893S | Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| S06.894S | Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela |
| S06.895S | Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| S06.896S | Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| S06.89AA | Other specified intracranial injury with loss of consciousness status unknown, initial encounter |
| S06.89AD | Other specified intracranial injury with loss of consciousness status unknown, subsequent encounter |
| S06.89AS | Other specified intracranial injury with loss of consciousness status unknown, sequela |
| S06.8A0A | Primary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter |
| S06.8A0D | Primary blast injury of brain, not elsewhere classified without loss of consciousness, subsequent encounter |
| S06.8A0S | Primary blast injury of brain, not elsewhere classified without loss of consciousness, sequela |
| S06.8A1A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter |
| S06.8A1D | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, subsequent encounter |
| S06.8A1S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela |
| S06.8A2A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter |
| S06.8A2D | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter |
| S06.8A2S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela |
| S06.8A3A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter |
| S06.8A3D | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter |
| S06.8A3S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela |
| S06.8A4A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter |
| S06.8A4D | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, subsequent encounter |
| S06.8A4S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela |
| S06.8A5A | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter |
| S06.8A5D | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter |
| S06.8A5S | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela |
| S06.8A6A | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter |
| S06.8A6D | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter |
| S06.8A6S | Primary blast injury of brain, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela |
| S06.8A7A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter |
| S06.8A8A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter |
| S06.8A9A | Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter |
| S06.8A9D | Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, subsequent encounter |
| S06.8A9S | Primary blast injury of brain, not elsewhere classified with loss of consciousness of unspecified duration, sequela |
| S06.8AAA | Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, initial encounter |
| S06.8AAD | Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, subsequent encounter |
| S06.8AAS | Primary blast injury of brain, not elsewhere classified with loss of consciousness status unknown, sequela |
| S06.9XAA | Unspecified intracranial injury with loss of consciousness status unknown, initial encounter |
| S06.9XAD | Unspecified intracranial injury with loss of consciousness status unknown, subsequent encounter |
| S06.9XAS | Unspecified intracranial injury with loss of consciousness status unknown, sequela |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT 95700?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 301 ICD-10 diagnosis codes that support medical necessity for CPT 95700. 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 95700 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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