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ICD↔CPT crosswalk

CPT 95999: ICD-10 codes that support medical necessity

2172 covered diagnosis codes under Medicare coverage policies (LCD/NCD)

These ICD-10-CM diagnoses support medical necessity for CPT 95999 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 95999 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
A05.0Foodborne staphylococcal intoxication
A05.1Botulism food poisoning
A05.2Foodborne Clostridium perfringens [Clostridium welchii] intoxication
A05.3Foodborne Vibrio parahaemolyticus intoxication
A05.4Foodborne Bacillus cereus intoxication
A05.5Foodborne Vibrio vulnificus intoxication
A05.8Other specified bacterial foodborne intoxications
A05.9Bacterial foodborne intoxication, unspecified
A30.0Indeterminate leprosy
A30.1Tuberculoid leprosy
A30.2Borderline tuberculoid leprosy
A30.3Borderline leprosy
A30.4Borderline lepromatous leprosy
A30.5Lepromatous leprosy
A30.8Other forms of leprosy
A30.9Leprosy, unspecified
A33Tetanus neonatorum
A34Obstetrical tetanus
A35Other tetanus
A48.52Wound botulism
A52.15Late syphilitic neuropathy
B91Sequelae of poliomyelitis
B92Sequelae of leprosy
C49.9Malignant neoplasm of connective and soft tissue, unspecified
C70.0Malignant neoplasm of cerebral meninges
C70.1Malignant neoplasm of spinal meninges
C70.9Malignant neoplasm of meninges, unspecified
C72.0Malignant neoplasm of spinal cord
C72.1Malignant neoplasm of cauda equina
C72.20Malignant neoplasm of unspecified olfactory nerve
C72.21Malignant neoplasm of right olfactory nerve
C72.22Malignant neoplasm of left olfactory nerve
C72.30Malignant neoplasm of unspecified optic nerve
C72.31Malignant neoplasm of right optic nerve
C72.32Malignant neoplasm of left optic nerve
C72.40Malignant neoplasm of unspecified acoustic 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
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
C83.390Primary central nervous system lymphoma
D21.9Benign neoplasm of connective and other soft tissue, unspecified
D32.1Benign neoplasm of spinal meninges
D33.3Benign neoplasm of cranial nerves
D33.4Benign neoplasm of spinal cord
D33.7Benign neoplasm of other specified parts of central nervous system
E08.21Diabetes mellitus due to underlying condition with diabetic nephropathy
E08.40Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
E08.41Diabetes mellitus due to underlying condition with diabetic mononeuropathy
E08.42Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E08.43Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy
E08.44Diabetes mellitus due to underlying condition with diabetic amyotrophy
E08.49Diabetes mellitus due to underlying condition with other diabetic neurological complication
E08.51Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
E08.610Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy
E09.40Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
E09.41Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy
E09.42Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
E09.43Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
E09.44Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy
E09.49Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication
E09.610Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
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
E11.10Type 2 diabetes mellitus with ketoacidosis without coma
E11.11Type 2 diabetes mellitus with ketoacidosis with coma
E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44Type 2 diabetes mellitus with diabetic amyotrophy
E11.49Type 2 diabetes mellitus with other diabetic neurological complication
E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.40Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41Other specified diabetes mellitus with diabetic mononeuropathy
E13.42Other specified diabetes mellitus with diabetic polyneuropathy
E13.43Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44Other specified diabetes mellitus with diabetic amyotrophy
E13.49Other specified diabetes mellitus with other diabetic neurological complication
E13.610Other specified diabetes mellitus with diabetic neuropathic arthropathy
E25.0Congenital adrenogenital disorders associated with enzyme deficiency
E25.8Other adrenogenital disorders
E51.2Wernicke's encephalopathy
E51.8Other manifestations of thiamine deficiency
E51.9Thiamine deficiency, unspecified
E56.0Deficiency of vitamin E
E56.8Deficiency of other vitamins
E66.2Morbid (severe) obesity with alveolar hypoventilation
E74.01von Gierke disease
E74.02Pompe disease
E74.03Cori disease
E74.04McArdle disease
E74.05Lysosome-associated membrane protein 2 [LAMP2] deficiency
E74.09Other glycogen storage disease
E75.27Pelizaeus-Merzbacher disease
E75.28Canavan disease
E78.6Lipoprotein deficiency
E79.81Aicardi-Goutieres syndrome
E79.82Hereditary xanthinuria
E79.89Other specified disorders of purine and pyrimidine metabolism
E85.0Non-neuropathic heredofamilial amyloidosis
E85.1Neuropathic heredofamilial amyloidosis
E85.3Secondary systemic amyloidosis
E85.4Organ-limited amyloidosis
E85.81Light chain (AL) amyloidosis
E85.82Wild-type transthyretin-related (ATTR) amyloidosis
E85.89Other amyloidosis
F10.182Alcohol abuse with alcohol-induced sleep disorder
F10.282Alcohol dependence with alcohol-induced sleep disorder
F10.982Alcohol use, unspecified with alcohol-induced sleep disorder
F11.182Opioid abuse with opioid-induced sleep disorder
F11.282Opioid dependence with opioid-induced sleep disorder
F11.982Opioid use, unspecified with opioid-induced sleep disorder
F13.182Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder
F13.282Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
F13.982Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sleep disorder
F14.182Cocaine abuse with cocaine-induced sleep disorder
F14.282Cocaine dependence with cocaine-induced sleep disorder
F14.982Cocaine use, unspecified with cocaine-induced sleep disorder
F15.182Other stimulant abuse with stimulant-induced sleep disorder
F15.282Other stimulant dependence with stimulant-induced sleep disorder
F15.982Other stimulant use, unspecified with stimulant-induced sleep disorder
F19.182Other psychoactive substance abuse with psychoactive substance-induced sleep disorder
F19.21Other psychoactive substance dependence, in remission
F19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder
F19.982Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder
F44.4Conversion disorder with motor symptom or deficit
F44.6Conversion disorder with sensory symptom or deficit
F44.9Dissociative and conversion disorder, unspecified
F45.42Pain disorder with related psychological factors
F51.01Primary insomnia
F51.02Adjustment insomnia
F51.03Paradoxical insomnia
F51.09Other insomnia not due to a substance or known physiological condition
F51.11Primary hypersomnia
F51.12Insufficient sleep syndrome
F51.13Hypersomnia due to other mental disorder
F51.19Other hypersomnia not due to a substance or known physiological condition
F51.3Sleepwalking [somnambulism]
F51.4Sleep terrors [night terrors]
F51.5Nightmare disorder
F51.8Other sleep disorders not due to a substance or known physiological condition
G04.1Tropical spastic paraplegia
G04.82Acute flaccid myelitis
G04.90Encephalitis and encephalomyelitis, unspecified
G04.91Myelitis, unspecified
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
G11.9Hereditary ataxia, unspecified
G12.0Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
G12.1Other inherited spinal muscular atrophy
G12.20Motor neuron disease, unspecified
G12.21Amyotrophic lateral sclerosis
G12.22Progressive bulbar palsy
G12.23Primary lateral sclerosis
G12.24Familial motor neuron disease
G12.25Progressive spinal muscle atrophy
G12.29Other motor neuron disease
G12.8Other spinal muscular atrophies and related syndromes
G12.9Spinal muscular atrophy, unspecified
G13.0Paraneoplastic neuromyopathy and neuropathy
G13.1Other systemic atrophy primarily affecting central nervous system in neoplastic disease
G14Postpolio syndrome
G20.A1Parkinson's disease without dyskinesia, without mention of fluctuations
G20.A2Parkinson's disease without dyskinesia, with fluctuations
G20.B1Parkinson's disease with dyskinesia, without mention of fluctuations
G20.B2Parkinson's disease with dyskinesia, with fluctuations
G20.CParkinsonism, unspecified
G21.0Malignant neuroleptic syndrome
G21.11Neuroleptic induced parkinsonism
G21.19Other drug induced secondary parkinsonism
G21.2Secondary parkinsonism due to other external agents
G21.3Postencephalitic parkinsonism
G21.4Vascular parkinsonism
G21.8Other secondary parkinsonism
G21.9Secondary parkinsonism, unspecified
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
G25.3Myoclonus
G25.61Drug induced tics
G25.69Other tics of organic origin
G25.82Stiff-man syndrome
G25.89Other specified extrapyramidal and movement disorders
G25.9Extrapyramidal and movement disorder, unspecified
G31.80Leukodystrophy, unspecified
G31.85Corticobasal degeneration
G31.86Alexander disease
G31.9Degenerative disease of nervous system, unspecified
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
G36.9Acute disseminated demyelination, unspecified
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
G40.001Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus
G40.009Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus
G40.101Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus
G40.109Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not 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
G40.201Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
G40.209Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not 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
G40.301Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.309Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.311Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.319Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.401Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.409Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.411Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.419Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.42Cyclin-Dependent Kinase-Like 5 Deficiency Disorder
G40.501Epileptic seizures related to external causes, not intractable, with status epilepticus
G40.509Epileptic seizures related to external causes, not intractable, without status epilepticus
G40.801Other epilepsy, not intractable, with status epilepticus
G40.802Other epilepsy, not intractable, without status epilepticus
G40.803Other epilepsy, intractable, with status epilepticus
G40.804Other epilepsy, intractable, without status epilepticus
G40.811Lennox-Gastaut syndrome, not intractable, with status epilepticus
G40.812Lennox-Gastaut syndrome, not intractable, without status epilepticus
G40.813Lennox-Gastaut syndrome, intractable, with status epilepticus
G40.814Lennox-Gastaut syndrome, intractable, without status epilepticus
G40.821Epileptic spasms, not intractable, with status epilepticus
G40.822Epileptic spasms, not intractable, without status epilepticus
G40.823Epileptic spasms, intractable, with status epilepticus
G40.824Epileptic spasms, intractable, without status epilepticus
G40.833Dravet syndrome, intractable, with status epilepticus
G40.834Dravet syndrome, intractable, without status epilepticus
G40.841KCNQ2-related epilepsy, not intractable, with status epilepticus
G40.842KCNQ2-related epilepsy, not intractable, without status epilepticus
G40.843KCNQ2-related epilepsy, intractable, with status epilepticus
G40.844KCNQ2-related epilepsy, intractable, without status epilepticus
G40.89Other seizures
G40.901Epilepsy, unspecified, not intractable, with status epilepticus
G40.909Epilepsy, unspecified, not intractable, without status epilepticus
G40.911Epilepsy, unspecified, intractable, with status epilepticus
G40.919Epilepsy, unspecified, intractable, without status epilepticus
G40.A01Absence epileptic syndrome, not intractable, with status epilepticus
G40.A09Absence epileptic syndrome, not intractable, without status epilepticus
G40.A11Absence epileptic syndrome, intractable, with status epilepticus
G40.A19Absence epileptic syndrome, intractable, without status epilepticus
G40.C01Lafora progressive myoclonus epilepsy, not intractable, with status epilepticus
G40.C09Lafora progressive myoclonus epilepsy, not intractable, without status epilepticus
G40.C11Lafora progressive myoclonus epilepsy, intractable, with status epilepticus
G40.C19Lafora progressive myoclonus epilepsy, intractable, without status epilepticus
G43.001Migraine without aura, not intractable, with status migrainosus
G43.009Migraine without aura, not intractable, without status migrainosus
G43.101Migraine with aura, not intractable, with status migrainosus
G43.109Migraine with aura, not intractable, without status migrainosus
G43.401Hemiplegic migraine, not intractable, with status migrainosus
G43.409Hemiplegic migraine, not intractable, without status migrainosus
G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
G43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
G43.601Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus
G43.609Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
G43.701Chronic migraine without aura, not intractable, with status migrainosus
G43.709Chronic migraine without aura, not intractable, without status migrainosus
G43.801Other migraine, not intractable, with status migrainosus
G43.809Other migraine, not intractable, without status migrainosus
G43.821Menstrual migraine, not intractable, with status migrainosus
G43.829Menstrual migraine, not intractable, without status migrainosus
G43.901Migraine, unspecified, not intractable, with status migrainosus
G43.909Migraine, unspecified, not intractable, without status migrainosus
G43.A0Cyclical vomiting, in migraine, not intractable
G43.B0Ophthalmoplegic migraine, not intractable
G43.C0Periodic headache syndromes in child or adult, not intractable
G43.D0Abdominal migraine, not intractable
G43.E01Chronic migraine with aura, not intractable, with status migrainosus
G43.E09Chronic migraine with aura, not intractable, without status migrainosus
G43.E11Chronic migraine with aura, intractable, with status migrainosus
G43.E19Chronic migraine with aura, intractable, without status migrainosus
G47.10Hypersomnia, unspecified
G47.11Idiopathic hypersomnia with long sleep time
G47.12Idiopathic hypersomnia without long sleep time
G47.13Recurrent hypersomnia
G47.14Hypersomnia due to medical condition
G47.19Other hypersomnia
G47.20Circadian rhythm sleep disorder, unspecified type
G47.21Circadian rhythm sleep disorder, delayed sleep phase type
G47.22Circadian rhythm sleep disorder, advanced sleep phase type
G47.23Circadian rhythm sleep disorder, irregular sleep wake type
G47.24Circadian rhythm sleep disorder, free running type
G47.25Circadian rhythm sleep disorder, jet lag type
G47.26Circadian rhythm sleep disorder, shift work type
G47.27Circadian rhythm sleep disorder in conditions classified elsewhere
G47.29Other circadian rhythm sleep disorder
G47.30Sleep apnea, unspecified
G47.31Primary central sleep apnea
G47.32High altitude periodic breathing
G47.33Obstructive sleep apnea (adult) (pediatric)
G47.34Idiopathic sleep related nonobstructive alveolar hypoventilation
G47.35Congenital central alveolar hypoventilation syndrome
G47.36Sleep related hypoventilation in conditions classified elsewhere
G47.39Other sleep apnea
G47.411Narcolepsy with cataplexy
G47.419Narcolepsy without cataplexy
G47.421Narcolepsy in conditions classified elsewhere with cataplexy
G47.429Narcolepsy in conditions classified elsewhere without cataplexy
G47.50Parasomnia, unspecified
G47.51Confusional arousals
G47.52REM sleep behavior disorder
G47.53Recurrent isolated sleep paralysis
G47.54Parasomnia in conditions classified elsewhere
G47.59Other parasomnia
G47.61Periodic limb movement disorder
G47.69Other sleep related movement disorders
G47.8Other sleep disorders
G50.0Trigeminal neuralgia
G50.1Atypical facial pain
G50.8Other disorders of trigeminal nerve
G50.9Disorder of trigeminal nerve, unspecified
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
G51.9Disorder of facial nerve, unspecified
G52.0Disorders of olfactory nerve
G52.1Disorders of glossopharyngeal nerve
G52.2Disorders of vagus nerve
G52.3Disorders of hypoglossal nerve
G52.7Disorders of multiple cranial nerves
G52.8Disorders of other specified cranial nerves
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
G54.9Nerve root and plexus disorder, unspecified
G55Nerve root and plexus compressions in diseases classified elsewhere
G56.01Carpal tunnel syndrome, right upper limb
G56.02Carpal tunnel syndrome, left upper limb
G56.03Carpal tunnel syndrome, bilateral upper limbs
G56.10Other lesions of median nerve, unspecified upper limb
G56.11Other lesions of median nerve, right upper limb
G56.12Other lesions of median nerve, left upper limb
G56.13Other lesions of median nerve, bilateral upper limbs
G56.20Lesion of ulnar nerve, unspecified upper limb
G56.21Lesion of ulnar nerve, right upper limb
G56.22Lesion of ulnar nerve, left upper limb
G56.23Lesion of ulnar nerve, bilateral upper limbs
G56.30Lesion of radial nerve, unspecified upper limb

Showing the first 400 of 2172 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 95999?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 2172 ICD-10 diagnosis codes that support medical necessity for CPT 95999. 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 95999 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.

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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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