CPT 95865: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 95865 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 95865 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 |
|---|---|
| A05.0 | Foodborne staphylococcal intoxication |
| A05.1 | Botulism food poisoning |
| A05.2 | Foodborne Clostridium perfringens [Clostridium welchii] intoxication |
| A05.3 | Foodborne Vibrio parahaemolyticus intoxication |
| A05.4 | Foodborne Bacillus cereus intoxication |
| A05.5 | Foodborne Vibrio vulnificus intoxication |
| A05.8 | Other specified bacterial foodborne intoxications |
| A05.9 | Bacterial foodborne intoxication, unspecified |
| A17.83 | Tuberculous neuritis |
| A17.89 | Other tuberculosis of nervous system |
| A30.0 | Indeterminate leprosy |
| A30.1 | Tuberculoid leprosy |
| A30.2 | Borderline tuberculoid leprosy |
| A30.3 | Borderline leprosy |
| A30.4 | Borderline lepromatous leprosy |
| A30.5 | Lepromatous leprosy |
| A30.8 | Other forms of leprosy |
| A30.9 | Leprosy, unspecified |
| A33 | Tetanus neonatorum |
| A34 | Obstetrical tetanus |
| A35 | Other tetanus |
| A36.83 | Diphtheritic polyneuritis |
| A39.82 | Meningococcal retrobulbar neuritis |
| A48.51 | Infant botulism |
| A48.52 | Wound botulism |
| A50.43 | Late congenital syphilitic polyneuropathy |
| A50.44 | Late congenital syphilitic optic nerve atrophy |
| A52.15 | Late syphilitic neuropathy |
| A69.22 | Other neurologic disorders in Lyme disease |
| B02.21 | Postherpetic geniculate ganglionitis |
| B02.22 | Postherpetic trigeminal neuralgia |
| B02.23 | Postherpetic polyneuropathy |
| B26.84 | Mumps polyneuropathy |
| B27.01 | Gammaherpesviral mononucleosis with polyneuropathy |
| B27.11 | Cytomegaloviral mononucleosis with polyneuropathy |
| B27.81 | Other infectious mononucleosis with polyneuropathy |
| B91 | Sequelae of poliomyelitis |
| B92 | Sequelae of leprosy |
| C49.9 | Malignant neoplasm of connective and soft tissue, unspecified |
| C70.0 | Malignant neoplasm of cerebral meninges |
| C70.1 | Malignant neoplasm of spinal meninges |
| C70.9 | Malignant neoplasm of meninges, unspecified |
| C72.0 | Malignant neoplasm of spinal cord |
| C72.1 | Malignant neoplasm of cauda equina |
| C72.20 | Malignant neoplasm of unspecified olfactory nerve |
| C72.21 | Malignant neoplasm of right olfactory nerve |
| C72.22 | Malignant neoplasm of left olfactory nerve |
| C72.30 | Malignant neoplasm of unspecified optic nerve |
| C72.31 | Malignant neoplasm of right optic nerve |
| C72.32 | Malignant neoplasm of left optic nerve |
| C72.40 | Malignant neoplasm of unspecified acoustic nerve |
| C72.41 | Malignant neoplasm of right acoustic nerve |
| C72.42 | Malignant neoplasm of left acoustic nerve |
| C72.50 | Malignant neoplasm of unspecified cranial nerve |
| C72.59 | Malignant neoplasm of other cranial nerves |
| C72.9 | Malignant neoplasm of central nervous system, unspecified |
| C79.31 | Secondary malignant neoplasm of brain |
| C79.32 | Secondary malignant neoplasm of cerebral meninges |
| C79.40 | Secondary malignant neoplasm of unspecified part of nervous system |
| C79.49 | Secondary malignant neoplasm of other parts of nervous system |
| C83.390 | Primary central nervous system lymphoma |
| D21.9 | Benign neoplasm of connective and other soft tissue, unspecified |
| D32.1 | Benign neoplasm of spinal meninges |
| D33.3 | Benign neoplasm of cranial nerves |
| D33.4 | Benign neoplasm of spinal cord |
| D33.7 | Benign neoplasm of other specified parts of central nervous system |
| D86.82 | Multiple cranial nerve palsies in sarcoidosis |
| E08.40 | Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified |
| E08.41 | Diabetes mellitus due to underlying condition with diabetic mononeuropathy |
| E08.42 | Diabetes mellitus due to underlying condition with diabetic polyneuropathy |
| E08.43 | Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy |
| E08.44 | Diabetes mellitus due to underlying condition with diabetic amyotrophy |
| E08.49 | Diabetes mellitus due to underlying condition with other diabetic neurological complication |
| E08.610 | Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy |
| E09.40 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified |
| E09.41 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy |
| E09.42 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy |
| E09.43 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy |
| E09.44 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy |
| E09.49 | Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication |
| E09.610 | Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy |
| E10.40 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified |
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy |
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy |
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy |
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy |
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication |
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy |
| E11.10 | Type 2 diabetes mellitus with ketoacidosis without coma |
| E11.11 | Type 2 diabetes mellitus with ketoacidosis with coma |
| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified |
| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy |
| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy |
| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy |
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy |
| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication |
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy |
| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified |
| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy |
| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy |
| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy |
| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy |
| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication |
| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy |
| E25.0 | Congenital adrenogenital disorders associated with enzyme deficiency |
| E25.8 | Other adrenogenital disorders |
| E51.11 | Dry beriberi |
| E51.2 | Wernicke's encephalopathy |
| E51.8 | Other manifestations of thiamine deficiency |
| E51.9 | Thiamine deficiency, unspecified |
| E53.1 | Pyridoxine deficiency |
| E53.8 | Deficiency of other specified B group vitamins |
| E56.0 | Deficiency of vitamin E |
| E56.8 | Deficiency of other vitamins |
| E64.8 | Sequelae of other nutritional deficiencies |
| E71.314 | Muscle carnitine palmitoyltransferase deficiency |
| E71.41 | Primary carnitine deficiency |
| E71.42 | Carnitine deficiency due to inborn errors of metabolism |
| E71.43 | Iatrogenic carnitine deficiency |
| E71.440 | Ruvalcaba-Myhre-Smith syndrome |
| E71.448 | Other secondary carnitine deficiency |
| E74.01 | von Gierke disease |
| E74.02 | Pompe disease |
| E74.03 | Cori disease |
| E74.04 | McArdle disease |
| E74.05 | Lysosome-associated membrane protein 2 [LAMP2] deficiency |
| E74.09 | Other glycogen storage disease |
| E75.27 | Pelizaeus-Merzbacher disease |
| E75.28 | Canavan disease |
| E78.6 | Lipoprotein deficiency |
| E79.2 | Myoadenylate deaminase deficiency |
| E79.81 | Aicardi-Goutieres syndrome |
| E79.82 | Hereditary xanthinuria |
| E79.89 | Other specified disorders of purine and pyrimidine metabolism |
| E85.1 | Neuropathic heredofamilial amyloidosis |
| F44.4 | Conversion disorder with motor symptom or deficit |
| F44.6 | Conversion disorder with sensory symptom or deficit |
| F44.9 | Dissociative and conversion disorder, unspecified |
| F45.42 | Pain disorder with related psychological factors |
| F95.1 | Chronic motor or vocal tic disorder |
| F95.2 | Tourette's disorder |
| G04.1 | Tropical spastic paraplegia |
| G04.82 | Acute flaccid myelitis |
| G04.90 | Encephalitis and encephalomyelitis, unspecified |
| G04.91 | Myelitis, unspecified |
| G11.0 | Congenital nonprogressive ataxia |
| G11.10 | Early-onset cerebellar ataxia, unspecified |
| G11.11 | Friedreich ataxia |
| G11.19 | Other early-onset cerebellar ataxia |
| G11.2 | Late-onset cerebellar ataxia |
| G11.3 | Cerebellar ataxia with defective DNA repair |
| G11.4 | Hereditary spastic paraplegia |
| G11.8 | Other hereditary ataxias |
| G11.9 | Hereditary ataxia, unspecified |
| G12.0 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] |
| G12.1 | Other inherited spinal muscular atrophy |
| G12.20 | Motor neuron disease, unspecified |
| 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 |
| G12.29 | Other motor neuron disease |
| G12.8 | Other spinal muscular atrophies and related syndromes |
| G12.9 | Spinal muscular atrophy, unspecified |
| G13.0 | Paraneoplastic neuromyopathy and neuropathy |
| G13.1 | Other systemic atrophy primarily affecting central nervous system in neoplastic disease |
| G14 | Postpolio syndrome |
| G20.A1 | Parkinson's disease without dyskinesia, without mention of fluctuations |
| G20.A2 | Parkinson's disease without dyskinesia, with fluctuations |
| G20.B1 | Parkinson's disease with dyskinesia, without mention of fluctuations |
| G20.B2 | Parkinson's disease with dyskinesia, with fluctuations |
| G20.C | Parkinsonism, unspecified |
| G21.0 | Malignant neuroleptic syndrome |
| G21.11 | Neuroleptic induced parkinsonism |
| G21.19 | Other drug induced secondary parkinsonism |
| G21.2 | Secondary parkinsonism due to other external agents |
| G21.3 | Postencephalitic parkinsonism |
| G21.4 | Vascular parkinsonism |
| G21.8 | Other secondary parkinsonism |
| G21.9 | Secondary parkinsonism, unspecified |
| G23.0 | Hallervorden-Spatz disease |
| G23.1 | Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski] |
| G23.2 | Striatonigral degeneration |
| G23.8 | Other specified degenerative diseases of basal ganglia |
| G23.9 | Degenerative disease of basal ganglia, unspecified |
| G24.01 | Drug induced subacute dyskinesia |
| G24.02 | Drug induced acute dystonia |
| G24.09 | Other drug induced dystonia |
| G24.1 | Genetic torsion dystonia |
| G24.2 | Idiopathic nonfamilial dystonia |
| G24.3 | Spasmodic torticollis |
| G24.4 | Idiopathic orofacial dystonia |
| G24.5 | Blepharospasm |
| G24.8 | Other dystonia |
| G24.9 | Dystonia, unspecified |
| G25.0 | Essential tremor |
| G25.1 | Drug-induced tremor |
| G25.3 | Myoclonus |
| G25.61 | Drug induced tics |
| G25.69 | Other tics of organic origin |
| G25.82 | Stiff-man syndrome |
| G25.89 | Other specified extrapyramidal and movement disorders |
| G25.9 | Extrapyramidal and movement disorder, unspecified |
| G31.80 | Leukodystrophy, unspecified |
| G31.85 | Corticobasal degeneration |
| G31.86 | Alexander disease |
| G31.9 | Degenerative disease of nervous system, unspecified |
| G32.0 | Subacute combined degeneration of spinal cord in diseases classified elsewhere |
| G32.81 | Cerebellar ataxia in diseases classified elsewhere |
| G35.A | Relapsing-remitting multiple sclerosis |
| G35.B0 | Primary progressive multiple sclerosis, unspecified |
| G35.B1 | Active primary progressive multiple sclerosis |
| G35.B2 | Non-active primary progressive multiple sclerosis |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified |
| G35.C1 | Active secondary progressive multiple sclerosis |
| G35.C2 | Non-active secondary progressive multiple sclerosis |
| G35.D | Multiple sclerosis, unspecified |
| G36.0 | Neuromyelitis optica [Devic] |
| G36.1 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G36.8 | Other specified acute disseminated demyelination |
| G36.9 | Acute disseminated demyelination, unspecified |
| G37.0 | Diffuse sclerosis of central nervous system |
| G37.1 | Central demyelination of corpus callosum |
| G37.2 | Central pontine myelinolysis |
| G37.3 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G37.4 | Subacute necrotizing myelitis of central nervous system |
| G37.5 | Concentric sclerosis [Balo] of central nervous system |
| G37.81 | Myelin oligodendrocyte glycoprotein antibody disease |
| G37.89 | Other specified demyelinating diseases of central nervous system |
| G37.9 | Demyelinating disease of central nervous system, unspecified |
| 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 |
| G40.101 | 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.C01 | Lafora progressive myoclonus epilepsy, not intractable, with status epilepticus |
| G40.C09 | Lafora progressive myoclonus epilepsy, not intractable, without status epilepticus |
| G40.C11 | Lafora progressive myoclonus epilepsy, intractable, with status epilepticus |
| G40.C19 | Lafora progressive myoclonus epilepsy, intractable, without status epilepticus |
| G43.001 | Migraine without aura, not intractable, with status migrainosus |
| G43.009 | Migraine without aura, not intractable, without status migrainosus |
| G43.101 | Migraine with aura, not intractable, with status migrainosus |
| G43.109 | Migraine with aura, not intractable, without status migrainosus |
| G43.401 | Hemiplegic migraine, not intractable, with status migrainosus |
| G43.409 | Hemiplegic migraine, not intractable, without status migrainosus |
| G43.501 | Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus |
| G43.509 | Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus |
| G43.601 | Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus |
| G43.609 | Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus |
| G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
| G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
| G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
| G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
| G43.801 | Other migraine, not intractable, with status migrainosus |
| G43.809 | Other migraine, not intractable, without status migrainosus |
| G43.821 | Menstrual migraine, not intractable, with status migrainosus |
| G43.829 | Menstrual migraine, not intractable, without status migrainosus |
| G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
| G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
| G43.A0 | Cyclical vomiting, in migraine, not intractable |
| G43.B0 | Ophthalmoplegic migraine, not intractable |
| G43.C0 | Periodic headache syndromes in child or adult, not intractable |
| G43.D0 | Abdominal migraine, not intractable |
| G43.E01 | Chronic migraine with aura, not intractable, with status migrainosus |
| G43.E09 | Chronic migraine with aura, not intractable, without status migrainosus |
| G43.E11 | Chronic migraine with aura, intractable, with status migrainosus |
| G43.E19 | Chronic migraine with aura, intractable, without status migrainosus |
| G50.0 | Trigeminal neuralgia |
| G50.1 | Atypical facial pain |
| G50.8 | Other disorders of trigeminal nerve |
| G50.9 | Disorder of trigeminal nerve, unspecified |
| G51.0 | Bell's palsy |
| G51.1 | Geniculate ganglionitis |
| G51.2 | Melkersson's syndrome |
| G51.31 | Clonic hemifacial spasm, right |
| G51.32 | Clonic hemifacial spasm, left |
| G51.33 | Clonic hemifacial spasm, bilateral |
| G51.4 | Facial myokymia |
| G51.8 | Other disorders of facial nerve |
| G51.9 | Disorder of facial nerve, unspecified |
| G52.0 | Disorders of olfactory nerve |
| G52.1 | Disorders of glossopharyngeal nerve |
| G52.2 | Disorders of vagus nerve |
| G52.3 | Disorders of hypoglossal nerve |
| G52.7 | Disorders of multiple cranial nerves |
| G52.8 | Disorders of other specified cranial nerves |
| G52.9 | Cranial nerve disorder, unspecified |
| G53 | Cranial nerve disorders in diseases classified elsewhere |
| G54.0 | Brachial plexus disorders |
| G54.1 | Lumbosacral plexus disorders |
| G54.2 | Cervical root disorders, not elsewhere classified |
| G54.3 | Thoracic root disorders, not elsewhere classified |
| G54.4 | Lumbosacral root disorders, not elsewhere classified |
| G54.5 | Neuralgic amyotrophy |
| G54.6 | Phantom limb syndrome with pain |
| G54.7 | Phantom limb syndrome without pain |
| G54.8 | Other nerve root and plexus disorders |
| G54.9 | Nerve root and plexus disorder, unspecified |
| G55 | Nerve root and plexus compressions in diseases classified elsewhere |
| G56.01 | Carpal tunnel syndrome, right upper limb |
| G56.02 | Carpal tunnel syndrome, left upper limb |
| G56.03 | Carpal tunnel syndrome, bilateral upper limbs |
| G56.10 | Other lesions of median nerve, unspecified upper limb |
| G56.11 | Other lesions of median nerve, right upper limb |
| G56.12 | Other lesions of median nerve, left upper limb |
| G56.13 | Other lesions of median nerve, bilateral upper limbs |
| G56.20 | Lesion of ulnar nerve, unspecified upper limb |
| G56.21 | Lesion of ulnar nerve, right upper limb |
| G56.22 | Lesion of ulnar nerve, left upper limb |
| G56.23 | Lesion of ulnar nerve, bilateral upper limbs |
| G56.30 | Lesion of radial nerve, unspecified upper limb |
| G56.31 | Lesion of radial nerve, right upper limb |
| G56.32 | Lesion of radial nerve, left upper limb |
| G56.33 | Lesion of radial nerve, bilateral upper limbs |
| G56.40 | Causalgia of unspecified upper limb |
| G56.41 | Causalgia of right upper limb |
| G56.42 | Causalgia of left upper limb |
| G56.43 | Causalgia of bilateral upper limbs |
| G56.80 | Other specified mononeuropathies of unspecified upper limb |
| G56.81 | Other specified mononeuropathies of right upper limb |
| G56.82 | Other specified mononeuropathies of left upper limb |
| G56.83 | Other specified mononeuropathies of bilateral upper limbs |
| G56.90 | Unspecified mononeuropathy of unspecified upper limb |
| G56.91 | Unspecified mononeuropathy of right upper limb |
| G56.92 | Unspecified mononeuropathy of left upper limb |
| G56.93 | Unspecified mononeuropathy of bilateral upper limbs |
| G57.00 | Lesion of sciatic nerve, unspecified lower limb |
| G57.01 | Lesion of sciatic nerve, right lower limb |
| G57.02 | Lesion of sciatic nerve, left lower limb |
| G57.03 | Lesion of sciatic nerve, bilateral lower limbs |
| G57.10 | Meralgia paresthetica, unspecified lower limb |
| G57.11 | Meralgia paresthetica, right lower limb |
| G57.12 | Meralgia paresthetica, left lower limb |
| G57.13 | Meralgia paresthetica, bilateral lower limbs |
| G57.20 | Lesion of femoral nerve, unspecified lower limb |
| G57.21 | Lesion of femoral nerve, right lower limb |
| G57.22 | Lesion of femoral nerve, left lower limb |
| G57.23 | Lesion of femoral nerve, bilateral lower limbs |
| G57.30 | Lesion of lateral popliteal nerve, unspecified lower limb |
| G57.31 | Lesion of lateral popliteal nerve, right lower limb |
| G57.32 | Lesion of lateral popliteal nerve, left lower limb |
| G57.33 | Lesion of lateral popliteal nerve, bilateral lower limbs |
| G57.40 | Lesion of medial popliteal nerve, unspecified lower limb |
| G57.41 | Lesion of medial popliteal nerve, right lower limb |
| G57.42 | Lesion of medial popliteal nerve, left lower limb |
| G57.43 | Lesion of medial popliteal nerve, bilateral lower limbs |
| G57.50 | Tarsal tunnel syndrome, unspecified lower limb |
| G57.51 | Tarsal tunnel syndrome, right lower limb |
| G57.52 | Tarsal tunnel syndrome, left lower limb |
| G57.53 | Tarsal tunnel syndrome, bilateral lower limbs |
| G57.60 | Lesion of plantar nerve, unspecified lower limb |
| G57.61 | Lesion of plantar nerve, right lower limb |
| G57.62 | Lesion of plantar nerve, left lower limb |
| G57.63 | Lesion of plantar nerve, bilateral lower limbs |
| G57.70 | Causalgia of unspecified lower limb |
| G57.71 | Causalgia of right lower limb |
Showing the first 400 of 2299 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 95865?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2299 ICD-10 diagnosis codes that support medical necessity for CPT 95865. 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 95865 view of that relationship.
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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