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ICD↔CPT crosswalk

CPT 95927: ICD-10 codes that support medical necessity

1978 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 95927 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 95927 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
A18.01Tuberculosis of spine
A39.82Meningococcal retrobulbar neuritis
A52.11Tabes dorsalis
A52.13Late syphilitic meningitis
A52.14Late syphilitic encephalitis
A52.15Late syphilitic neuropathy
A52.17General paresis
A52.19Other symptomatic neurosyphilis
A69.21Meningitis due to Lyme disease
A69.22Other neurologic disorders in Lyme disease
A69.23Arthritis due to Lyme disease
A69.29Other conditions associated with Lyme disease
A83.0Japanese encephalitis
A83.1Western equine encephalitis
A83.2Eastern equine encephalitis
A83.3St Louis encephalitis
A83.4Australian encephalitis
A83.5California encephalitis
A83.6Rocio virus disease
A83.8Other mosquito-borne viral encephalitis
A84.0Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
A84.1Central European tick-borne encephalitis
A84.81Powassan virus disease
A84.89Other tick-borne viral encephalitis
A85.2Arthropod-borne viral encephalitis, unspecified
B00.4Herpesviral encephalitis
B00.82Herpes simplex myelitis
B02.24Postherpetic myelitis
B05.0Measles complicated by encephalitis
B06.01Rubella encephalitis
C41.2Malignant neoplasm of vertebral column
C70.0Malignant neoplasm of cerebral meninges
C70.1Malignant neoplasm of spinal meninges
C71.6Malignant neoplasm of cerebellum
C72.0Malignant neoplasm of spinal cord
C72.1Malignant neoplasm of cauda equina
C72.21Malignant neoplasm of right olfactory nerve
C72.22Malignant neoplasm of left olfactory nerve
C72.31Malignant neoplasm of right optic nerve
C72.32Malignant neoplasm of left optic nerve
C72.41Malignant neoplasm of right acoustic nerve
C72.42Malignant neoplasm of left acoustic nerve
C72.50Malignant neoplasm of unspecified cranial nerve
C72.59Malignant neoplasm of other cranial nerves
C72.9Malignant neoplasm of central nervous system, unspecified
C73Malignant neoplasm of thyroid gland
C79.31Secondary malignant neoplasm of brain
C79.32Secondary malignant neoplasm of cerebral meninges
C79.40Secondary malignant neoplasm of unspecified part of nervous system
C79.49Secondary malignant neoplasm of other parts of nervous system
D21.0Benign neoplasm of connective and other soft tissue of head, face and neck
D32.0Benign neoplasm of cerebral meninges
D32.1Benign neoplasm of spinal meninges
D32.9Benign neoplasm of meninges, unspecified
D33.0Benign neoplasm of brain, supratentorial
D33.1Benign neoplasm of brain, infratentorial
D33.2Benign neoplasm of brain, unspecified
D33.3Benign neoplasm of cranial nerves
D33.4Benign neoplasm of spinal cord
D33.7Benign neoplasm of other specified parts of central nervous system
D33.9Benign neoplasm of central nervous system, unspecified
D42.0Neoplasm of uncertain behavior of cerebral meninges
D42.1Neoplasm of uncertain behavior of spinal meninges
D43.0Neoplasm of uncertain behavior of brain, supratentorial
D43.1Neoplasm of uncertain behavior of brain, infratentorial
D43.2Neoplasm of uncertain behavior of brain, unspecified
D43.3Neoplasm of uncertain behavior of cranial nerves
D43.4Neoplasm of uncertain behavior of spinal cord
D43.8Neoplasm of uncertain behavior of other specified parts of central nervous system
D43.9Neoplasm of uncertain behavior of central nervous system, unspecified
D44.3Neoplasm of uncertain behavior of pituitary gland
D44.4Neoplasm of uncertain behavior of craniopharyngeal duct
D44.5Neoplasm of uncertain behavior of pineal gland
D44.6Neoplasm of uncertain behavior of carotid body
D44.7Neoplasm of uncertain behavior of aortic body and other paraganglia
D49.6Neoplasm of unspecified behavior of brain
E03.5Myxedema coma
E08.40Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
E08.42Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E09.40Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
E09.42Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
E10.40Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.41Type 1 diabetes mellitus with diabetic mononeuropathy
E10.42Type 1 diabetes mellitus with diabetic polyneuropathy
E10.43Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44Type 1 diabetes mellitus with diabetic amyotrophy
E10.49Type 1 diabetes mellitus with other diabetic neurological complication
E10.610Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E11.42Type 2 diabetes mellitus with diabetic polyneuropathy
E13.40Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.42Other specified diabetes mellitus with diabetic polyneuropathy
E71.50Peroxisomal disorder, unspecified
E71.510Zellweger syndrome
E71.511Neonatal adrenoleukodystrophy
E71.518Other disorders of peroxisome biogenesis
E71.520Childhood cerebral X-linked adrenoleukodystrophy
E71.521Adolescent X-linked adrenoleukodystrophy
E71.522Adrenomyeloneuropathy
E71.528Other X-linked adrenoleukodystrophy
E71.53Other group 2 peroxisomal disorders
E71.540Rhizomelic chondrodysplasia punctata
E71.541Zellweger-like syndrome
E71.542Other group 3 peroxisomal disorders
E71.548Other peroxisomal disorders
E75.23Krabbe disease
E75.25Metachromatic leukodystrophy
E75.27Pelizaeus-Merzbacher disease
E75.29Other sphingolipidosis
F44.4Conversion disorder with motor symptom or deficit
F44.5Conversion disorder with seizures or convulsions
F44.6Conversion disorder with sensory symptom or deficit
F44.7Conversion disorder with mixed symptom presentation
G04.82Acute flaccid myelitis
G05.4Myelitis in diseases classified elsewhere
G06.1Intraspinal abscess and granuloma
G10Huntington's disease
G11.0Congenital nonprogressive ataxia
G11.10Early-onset cerebellar ataxia, unspecified
G11.11Friedreich ataxia
G11.19Other early-onset cerebellar ataxia
G11.2Late-onset cerebellar ataxia
G11.3Cerebellar ataxia with defective DNA repair
G11.4Hereditary spastic paraplegia
G11.8Other hereditary ataxias
G12.23Primary lateral sclerosis
G12.24Familial motor neuron disease
G12.25Progressive spinal muscle atrophy
G13.0Paraneoplastic neuromyopathy and neuropathy
G13.1Other systemic atrophy primarily affecting central nervous system in neoplastic disease
G21.0Malignant neuroleptic syndrome
G23.0Hallervorden-Spatz disease
G23.1Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]
G23.2Striatonigral degeneration
G23.8Other specified degenerative diseases of basal ganglia
G23.9Degenerative disease of basal ganglia, unspecified
G24.01Drug induced subacute dyskinesia
G24.02Drug induced acute dystonia
G24.09Other drug induced dystonia
G24.1Genetic torsion dystonia
G24.2Idiopathic nonfamilial dystonia
G24.3Spasmodic torticollis
G24.4Idiopathic orofacial dystonia
G24.5Blepharospasm
G24.8Other dystonia
G24.9Dystonia, unspecified
G25.0Essential tremor
G25.1Drug-induced tremor
G25.2Other specified forms of tremor
G25.3Myoclonus
G25.4Drug-induced chorea
G25.5Other chorea
G25.61Drug induced tics
G25.69Other tics of organic origin
G25.70Drug induced movement disorder, unspecified
G25.71Drug induced akathisia
G25.79Other drug induced movement disorders
G25.81Restless legs syndrome
G25.82Stiff-man syndrome
G25.83Benign shuddering attacks
G25.89Other specified extrapyramidal and movement disorders
G26Extrapyramidal and movement disorders in diseases classified elsewhere
G32.0Subacute combined degeneration of spinal cord in diseases classified elsewhere
G32.81Cerebellar ataxia in diseases classified elsewhere
G35.ARelapsing-remitting multiple sclerosis
G35.B0Primary progressive multiple sclerosis, unspecified
G35.B1Active primary progressive multiple sclerosis
G35.B2Non-active primary progressive multiple sclerosis
G35.C0Secondary progressive multiple sclerosis, unspecified
G35.C1Active secondary progressive multiple sclerosis
G35.C2Non-active secondary progressive multiple sclerosis
G35.DMultiple sclerosis, unspecified
G36.0Neuromyelitis optica [Devic]
G36.1Acute and subacute hemorrhagic leukoencephalitis [Hurst]
G36.8Other specified acute disseminated demyelination
G37.0Diffuse sclerosis of central nervous system
G37.1Central demyelination of corpus callosum
G37.2Central pontine myelinolysis
G37.3Acute transverse myelitis in demyelinating disease of central nervous system
G37.4Subacute necrotizing myelitis of central nervous system
G37.5Concentric sclerosis [Balo] of central nervous system
G37.81Myelin oligodendrocyte glycoprotein antibody disease
G37.89Other specified demyelinating diseases of central nervous system
G37.9Demyelinating disease of central nervous system, unspecified
G40.011Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus
G40.019Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus
G40.111Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus
G40.119Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
G40.211Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
G40.219Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
G45.0Vertebro-basilar artery syndrome
G45.1Carotid artery syndrome (hemispheric)
G45.2Multiple and bilateral precerebral artery syndromes
G45.8Other transient cerebral ischemic attacks and related syndromes
G46.0Middle cerebral artery syndrome
G46.1Anterior cerebral artery syndrome
G46.2Posterior cerebral artery syndrome
G50.0Trigeminal neuralgia
G50.1Atypical facial pain
G51.0Bell's palsy
G51.1Geniculate ganglionitis
G51.2Melkersson's syndrome
G51.31Clonic hemifacial spasm, right
G51.32Clonic hemifacial spasm, left
G51.33Clonic hemifacial spasm, bilateral
G51.4Facial myokymia
G51.8Other disorders of facial nerve
G52.9Cranial nerve disorder, unspecified
G53Cranial nerve disorders in diseases classified elsewhere
G54.0Brachial plexus disorders
G54.1Lumbosacral plexus disorders
G54.2Cervical root disorders, not elsewhere classified
G54.3Thoracic root disorders, not elsewhere classified
G54.4Lumbosacral root disorders, not elsewhere classified
G54.5Neuralgic amyotrophy
G54.6Phantom limb syndrome with pain
G54.7Phantom limb syndrome without pain
G54.8Other nerve root and plexus disorders
G55Nerve root and plexus compressions in diseases classified elsewhere
G56.41Causalgia of right upper limb
G56.42Causalgia of left upper limb
G56.43Causalgia of bilateral upper limbs
G57.01Lesion of sciatic nerve, right lower limb
G57.02Lesion of sciatic nerve, left lower limb
G57.03Lesion of sciatic nerve, bilateral lower limbs
G57.11Meralgia paresthetica, right lower limb
G57.12Meralgia paresthetica, left lower limb
G57.13Meralgia paresthetica, bilateral lower limbs
G57.21Lesion of femoral nerve, right lower limb
G57.22Lesion of femoral nerve, left lower limb
G57.23Lesion of femoral nerve, bilateral lower limbs
G57.31Lesion of lateral popliteal nerve, right lower limb
G57.32Lesion of lateral popliteal nerve, left lower limb
G57.33Lesion of lateral popliteal nerve, bilateral lower limbs
G57.41Lesion of medial popliteal nerve, right lower limb
G57.42Lesion of medial popliteal nerve, left lower limb
G57.43Lesion of medial popliteal nerve, bilateral lower limbs
G57.51Tarsal tunnel syndrome, right lower limb
G57.52Tarsal tunnel syndrome, left lower limb
G57.53Tarsal tunnel syndrome, bilateral lower limbs
G57.61Lesion of plantar nerve, right lower limb
G57.62Lesion of plantar nerve, left lower limb
G57.63Lesion of plantar nerve, bilateral lower limbs
G57.71Causalgia of right lower limb
G57.72Causalgia of left lower limb
G57.73Causalgia of bilateral lower limbs
G57.81Other specified mononeuropathies of right lower limb
G57.82Other specified mononeuropathies of left lower limb
G57.83Other specified mononeuropathies of bilateral lower limbs
G58.7Mononeuritis multiplex
G60.0Hereditary motor and sensory neuropathy
G60.1Refsum's disease
G60.2Neuropathy in association with hereditary ataxia
G60.3Idiopathic progressive neuropathy
G60.8Other hereditary and idiopathic neuropathies
G60.9Hereditary and idiopathic neuropathy, unspecified
G61.0Guillain-Barre syndrome
G61.1Serum neuropathy
G61.81Chronic inflammatory demyelinating polyneuritis
G61.82Multifocal motor neuropathy
G61.89Other inflammatory polyneuropathies
G61.9Inflammatory polyneuropathy, unspecified
G62.0Drug-induced polyneuropathy
G62.1Alcoholic polyneuropathy
G62.2Polyneuropathy due to other toxic agents
G62.81Critical illness polyneuropathy
G62.82Radiation-induced polyneuropathy
G62.89Other specified polyneuropathies
G62.9Polyneuropathy, unspecified
G63Polyneuropathy in diseases classified elsewhere
G64Other disorders of peripheral nervous system
G65.0Sequelae of Guillain-Barre syndrome
G65.1Sequelae of other inflammatory polyneuropathy
G65.2Sequelae of toxic polyneuropathy
G70.00Myasthenia gravis without (acute) exacerbation
G70.01Myasthenia gravis with (acute) exacerbation
G70.1Toxic myoneural disorders
G70.2Congenital and developmental myasthenia
G70.81Lambert-Eaton syndrome in disease classified elsewhere
G70.89Other specified myoneural disorders
G73.1Lambert-Eaton syndrome in neoplastic disease
G73.3Myasthenic syndromes in other diseases classified elsewhere
G80.0Spastic quadriplegic cerebral palsy
G80.1Spastic diplegic cerebral palsy
G80.2Spastic hemiplegic cerebral palsy
G80.3Athetoid cerebral palsy
G80.4Ataxic cerebral palsy
G80.8Other cerebral palsy
G80.9Cerebral palsy, unspecified
G81.01Flaccid hemiplegia affecting right dominant side
G81.02Flaccid hemiplegia affecting left dominant side
G81.03Flaccid hemiplegia affecting right nondominant side
G81.04Flaccid hemiplegia affecting left nondominant side
G81.11Spastic hemiplegia affecting right dominant side
G81.12Spastic hemiplegia affecting left dominant side
G81.13Spastic hemiplegia affecting right nondominant side
G81.14Spastic hemiplegia affecting left nondominant side
G83.4Cauda equina syndrome
G90.3Multi-system degeneration of the autonomic nervous system
G93.2Benign intracranial hypertension
G93.5Compression of brain
G95.0Syringomyelia and syringobulbia
G95.11Acute infarction of spinal cord (embolic) (nonembolic)
G95.19Other vascular myelopathies
G95.20Unspecified cord compression
G95.29Other cord compression
G95.81Conus medullaris syndrome
G95.89Other specified diseases of spinal cord
G95.9Disease of spinal cord, unspecified
G99.2Myelopathy in diseases classified elsewhere
H35.54Dystrophies primarily involving the retinal pigment epithelium
H46.00Optic papillitis, unspecified eye
H46.01Optic papillitis, right eye
H46.02Optic papillitis, left eye
H46.03Optic papillitis, bilateral
H46.10Retrobulbar neuritis, unspecified eye
H46.11Retrobulbar neuritis, right eye
H46.12Retrobulbar neuritis, left eye
H46.13Retrobulbar neuritis, bilateral
H46.2Nutritional optic neuropathy
H46.3Toxic optic neuropathy
H46.8Other optic neuritis
H46.9Unspecified optic neuritis
H47.011Ischemic optic neuropathy, right eye
H47.012Ischemic optic neuropathy, left eye
H47.013Ischemic optic neuropathy, bilateral
H47.021Hemorrhage in optic nerve sheath, right eye
H47.022Hemorrhage in optic nerve sheath, left eye
H47.023Hemorrhage in optic nerve sheath, bilateral
H47.031Optic nerve hypoplasia, right eye
H47.032Optic nerve hypoplasia, left eye
H47.033Optic nerve hypoplasia, bilateral
H47.091Other disorders of optic nerve, not elsewhere classified, right eye
H47.092Other disorders of optic nerve, not elsewhere classified, left eye
H47.093Other disorders of optic nerve, not elsewhere classified, bilateral
H47.11Papilledema associated with increased intracranial pressure
H47.12Papilledema associated with decreased ocular pressure
H47.13Papilledema associated with retinal disorder
H47.141Foster-Kennedy syndrome, right eye
H47.142Foster-Kennedy syndrome, left eye
H47.143Foster-Kennedy syndrome, bilateral
H47.211Primary optic atrophy, right eye
H47.212Primary optic atrophy, left eye
H47.213Primary optic atrophy, bilateral
H47.231Glaucomatous optic atrophy, right eye
H47.232Glaucomatous optic atrophy, left eye
H47.233Glaucomatous optic atrophy, bilateral
H47.291Other optic atrophy, right eye
H47.292Other optic atrophy, left eye
H47.293Other optic atrophy, bilateral
H47.311Coloboma of optic disc, right eye
H47.312Coloboma of optic disc, left eye
H47.313Coloboma of optic disc, bilateral
H47.321Drusen of optic disc, right eye
H47.322Drusen of optic disc, left eye
H47.323Drusen of optic disc, bilateral
H47.331Pseudopapilledema of optic disc, right eye
H47.332Pseudopapilledema of optic disc, left eye
H47.333Pseudopapilledema of optic disc, bilateral
H47.391Other disorders of optic disc, right eye
H47.392Other disorders of optic disc, left eye
H47.393Other disorders of optic disc, bilateral
H47.41Disorders of optic chiasm in (due to) inflammatory disorders
H47.42Disorders of optic chiasm in (due to) neoplasm
H47.43Disorders of optic chiasm in (due to) vascular disorders
H47.49Disorders of optic chiasm in (due to) other disorders
H47.511Disorders of visual pathways in (due to) inflammatory disorders, right side
H47.512Disorders of visual pathways in (due to) inflammatory disorders, left side
H47.521Disorders of visual pathways in (due to) neoplasm, right side
H47.522Disorders of visual pathways in (due to) neoplasm, left side
H47.531Disorders of visual pathways in (due to) vascular disorders, right side
H47.532Disorders of visual pathways in (due to) vascular disorders, left side
H47.611Cortical blindness, right side of brain
H47.612Cortical blindness, left side of brain
H47.621Disorders of visual cortex in (due to) inflammatory disorders, right side of brain
H47.622Disorders of visual cortex in (due to) inflammatory disorders, left side of brain
H47.631Disorders of visual cortex in (due to) neoplasm, right side of brain
H47.632Disorders of visual cortex in (due to) neoplasm, left side of brain
H47.641Disorders of visual cortex in (due to) vascular disorders, right side of brain
H47.642Disorders of visual cortex in (due to) vascular disorders, left side of brain
H53.011Deprivation amblyopia, right eye
H53.012Deprivation amblyopia, left eye
H53.013Deprivation amblyopia, bilateral
H53.021Refractive amblyopia, right eye
H53.022Refractive amblyopia, left eye
H53.023Refractive amblyopia, bilateral
H53.031Strabismic amblyopia, right eye
H53.032Strabismic amblyopia, left eye
H53.033Strabismic amblyopia, bilateral
H53.11Day blindness
H53.121Transient visual loss, right eye
H53.122Transient visual loss, left eye
H53.123Transient visual loss, bilateral
H53.131Sudden visual loss, right eye
H53.132Sudden visual loss, left eye
H53.133Sudden visual loss, bilateral
H53.141Visual discomfort, right eye
H53.142Visual discomfort, left eye
H53.143Visual discomfort, bilateral
H53.15Visual distortions of shape and size
H53.16Psychophysical visual disturbances

Showing the first 400 of 1978 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 95927?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 1978 ICD-10 diagnosis codes that support medical necessity for CPT 95927. 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 95927 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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