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ICD↔CPT crosswalk

CPT 97008: ICD-10 codes that support medical necessity

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

These ICD-10-CM diagnoses support medical necessity for CPT 97008 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 97008 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
C00.0Malignant neoplasm of external upper lip
C00.1Malignant neoplasm of external lower lip
C00.2Malignant neoplasm of external lip, unspecified
C00.3Malignant neoplasm of upper lip, inner aspect
C00.4Malignant neoplasm of lower lip, inner aspect
C00.5Malignant neoplasm of lip, unspecified, inner aspect
C00.6Malignant neoplasm of commissure of lip, unspecified
C00.8Malignant neoplasm of overlapping sites of lip
C00.9Malignant neoplasm of lip, unspecified
C01Malignant neoplasm of base of tongue
C02.0Malignant neoplasm of dorsal surface of tongue
C02.1Malignant neoplasm of border of tongue
C02.2Malignant neoplasm of ventral surface of tongue
C02.3Malignant neoplasm of anterior two-thirds of tongue, part unspecified
C02.4Malignant neoplasm of lingual tonsil
C02.8Malignant neoplasm of overlapping sites of tongue
C02.9Malignant neoplasm of tongue, unspecified
C03.0Malignant neoplasm of upper gum
C03.1Malignant neoplasm of lower gum
C03.9Malignant neoplasm of gum, unspecified
C04.0Malignant neoplasm of anterior floor of mouth
C04.1Malignant neoplasm of lateral floor of mouth
C04.8Malignant neoplasm of overlapping sites of floor of mouth
C04.9Malignant neoplasm of floor of mouth, unspecified
C05.0Malignant neoplasm of hard palate
C05.1Malignant neoplasm of soft palate
C05.2Malignant neoplasm of uvula
C05.8Malignant neoplasm of overlapping sites of palate
C05.9Malignant neoplasm of palate, unspecified
C06.0Malignant neoplasm of cheek mucosa
C06.1Malignant neoplasm of vestibule of mouth
C06.2Malignant neoplasm of retromolar area
C06.80Malignant neoplasm of overlapping sites of unspecified parts of mouth
C06.89Malignant neoplasm of overlapping sites of other parts of mouth
C06.9Malignant neoplasm of mouth, unspecified
C07Malignant neoplasm of parotid gland
C08.0Malignant neoplasm of submandibular gland
C08.1Malignant neoplasm of sublingual gland
C08.9Malignant neoplasm of major salivary gland, unspecified
C09.0Malignant neoplasm of tonsillar fossa
C09.1Malignant neoplasm of tonsillar pillar (anterior) (posterior)
C09.8Malignant neoplasm of overlapping sites of tonsil
C09.9Malignant neoplasm of tonsil, unspecified
C10.0Malignant neoplasm of vallecula
C10.1Malignant neoplasm of anterior surface of epiglottis
C10.2Malignant neoplasm of lateral wall of oropharynx
C10.3Malignant neoplasm of posterior wall of oropharynx
C10.4Malignant neoplasm of branchial cleft
C10.8Malignant neoplasm of overlapping sites of oropharynx
C10.9Malignant neoplasm of oropharynx, unspecified
C11.0Malignant neoplasm of superior wall of nasopharynx
C11.1Malignant neoplasm of posterior wall of nasopharynx
C11.2Malignant neoplasm of lateral wall of nasopharynx
C11.3Malignant neoplasm of anterior wall of nasopharynx
C11.8Malignant neoplasm of overlapping sites of nasopharynx
C11.9Malignant neoplasm of nasopharynx, unspecified
C12Malignant neoplasm of pyriform sinus
C13.0Malignant neoplasm of postcricoid region
C13.1Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect
C13.2Malignant neoplasm of posterior wall of hypopharynx
C13.8Malignant neoplasm of overlapping sites of hypopharynx
C13.9Malignant neoplasm of hypopharynx, unspecified
C14.0Malignant neoplasm of pharynx, unspecified
C14.2Malignant neoplasm of Waldeyer's ring
C14.8Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx
C15.3Malignant neoplasm of upper third of esophagus
C15.4Malignant neoplasm of middle third of esophagus
C15.5Malignant neoplasm of lower third of esophagus
C15.8Malignant neoplasm of overlapping sites of esophagus
C15.9Malignant neoplasm of esophagus, unspecified
C16.0Malignant neoplasm of cardia
C16.1Malignant neoplasm of fundus of stomach
C16.2Malignant neoplasm of body of stomach
C16.3Malignant neoplasm of pyloric antrum
C16.4Malignant neoplasm of pylorus
C16.5Malignant neoplasm of lesser curvature of stomach, unspecified
C16.6Malignant neoplasm of greater curvature of stomach, unspecified
C16.8Malignant neoplasm of overlapping sites of stomach
C16.9Malignant neoplasm of stomach, unspecified
C17.0Malignant neoplasm of duodenum
C17.1Malignant neoplasm of jejunum
C17.2Malignant neoplasm of ileum
C17.3Meckel's diverticulum, malignant
C17.8Malignant neoplasm of overlapping sites of small intestine
C17.9Malignant neoplasm of small intestine, unspecified
C18.0Malignant neoplasm of cecum
C18.1Malignant neoplasm of appendix
C18.2Malignant neoplasm of ascending colon
C18.3Malignant neoplasm of hepatic flexure
C18.4Malignant neoplasm of transverse colon
C18.5Malignant neoplasm of splenic flexure
C18.6Malignant neoplasm of descending colon
C18.7Malignant neoplasm of sigmoid colon
C18.8Malignant neoplasm of overlapping sites of colon
C18.9Malignant neoplasm of colon, unspecified
C19Malignant neoplasm of rectosigmoid junction
C20Malignant neoplasm of rectum
C21.0Malignant neoplasm of anus, unspecified
C21.1Malignant neoplasm of anal canal
C21.2Malignant neoplasm of cloacogenic zone
C21.8Malignant neoplasm of overlapping sites of rectum, anus and anal canal
C22.0Liver cell carcinoma
C22.1Intrahepatic bile duct carcinoma
C22.2Hepatoblastoma
C22.3Angiosarcoma of liver
C22.4Other sarcomas of liver
C22.7Other specified carcinomas of liver
C22.8Malignant neoplasm of liver, primary, unspecified as to type
C22.9Malignant neoplasm of liver, not specified as primary or secondary
C23Malignant neoplasm of gallbladder
C24.0Malignant neoplasm of extrahepatic bile duct
C24.1Malignant neoplasm of ampulla of Vater
C24.8Malignant neoplasm of overlapping sites of biliary tract
C24.9Malignant neoplasm of biliary tract, unspecified
C25.0Malignant neoplasm of head of pancreas
C25.1Malignant neoplasm of body of pancreas
C25.2Malignant neoplasm of tail of pancreas
C25.3Malignant neoplasm of pancreatic duct
C25.4Malignant neoplasm of endocrine pancreas
C25.7Malignant neoplasm of other parts of pancreas
C25.8Malignant neoplasm of overlapping sites of pancreas
C25.9Malignant neoplasm of pancreas, unspecified
C26.0Malignant neoplasm of intestinal tract, part unspecified
C26.1Malignant neoplasm of spleen
C26.9Malignant neoplasm of ill-defined sites within the digestive system
C30.0Malignant neoplasm of nasal cavity
C30.1Malignant neoplasm of middle ear
C31.0Malignant neoplasm of maxillary sinus
C31.1Malignant neoplasm of ethmoidal sinus
C31.2Malignant neoplasm of frontal sinus
C31.3Malignant neoplasm of sphenoid sinus
C31.8Malignant neoplasm of overlapping sites of accessory sinuses
C31.9Malignant neoplasm of accessory sinus, unspecified
C32.0Malignant neoplasm of glottis
C32.1Malignant neoplasm of supraglottis
C32.2Malignant neoplasm of subglottis
C32.3Malignant neoplasm of laryngeal cartilage
C32.8Malignant neoplasm of overlapping sites of larynx
C32.9Malignant neoplasm of larynx, unspecified
C33Malignant neoplasm of trachea
C34.00Malignant neoplasm of unspecified main bronchus
C34.01Malignant neoplasm of right main bronchus
C34.02Malignant neoplasm of left main bronchus
C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lung
C34.11Malignant neoplasm of upper lobe, right bronchus or lung
C34.12Malignant neoplasm of upper lobe, left bronchus or lung
C34.2Malignant neoplasm of middle lobe, bronchus or lung
C34.30Malignant neoplasm of lower lobe, unspecified bronchus or lung
C34.31Malignant neoplasm of lower lobe, right bronchus or lung
C34.32Malignant neoplasm of lower lobe, left bronchus or lung
C34.80Malignant neoplasm of overlapping sites of unspecified bronchus and lung
C34.81Malignant neoplasm of overlapping sites of right bronchus and lung
C34.82Malignant neoplasm of overlapping sites of left bronchus and lung
C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
C34.91Malignant neoplasm of unspecified part of right bronchus or lung
C34.92Malignant neoplasm of unspecified part of left bronchus or lung
C37Malignant neoplasm of thymus
C38.0Malignant neoplasm of heart
C38.1Malignant neoplasm of anterior mediastinum
C38.2Malignant neoplasm of posterior mediastinum
C38.3Malignant neoplasm of mediastinum, part unspecified
C38.4Malignant neoplasm of pleura
C38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleura
C39.0Malignant neoplasm of upper respiratory tract, part unspecified
C39.9Malignant neoplasm of lower respiratory tract, part unspecified
C40.00Malignant neoplasm of scapula and long bones of unspecified upper limb
C40.01Malignant neoplasm of scapula and long bones of right upper limb
C40.02Malignant neoplasm of scapula and long bones of left upper limb
C40.10Malignant neoplasm of short bones of unspecified upper limb
C40.11Malignant neoplasm of short bones of right upper limb
C40.12Malignant neoplasm of short bones of left upper limb
C40.20Malignant neoplasm of long bones of unspecified lower limb
C40.21Malignant neoplasm of long bones of right lower limb
C40.22Malignant neoplasm of long bones of left lower limb
C40.30Malignant neoplasm of short bones of unspecified lower limb
C40.31Malignant neoplasm of short bones of right lower limb
C40.32Malignant neoplasm of short bones of left lower limb
C40.80Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb
C40.81Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb
C40.82Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb
C40.90Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb
C40.91Malignant neoplasm of unspecified bones and articular cartilage of right limb
C40.92Malignant neoplasm of unspecified bones and articular cartilage of left limb
C41.0Malignant neoplasm of bones of skull and face
C41.1Malignant neoplasm of mandible
C41.2Malignant neoplasm of vertebral column
C41.3Malignant neoplasm of ribs, sternum and clavicle
C41.4Malignant neoplasm of pelvic bones, sacrum and coccyx
C41.9Malignant neoplasm of bone and articular cartilage, unspecified
C45.0Mesothelioma of pleura
C45.1Mesothelioma of peritoneum
C45.2Mesothelioma of pericardium
C45.7Mesothelioma of other sites
C45.9Mesothelioma, unspecified
C46.0Kaposi's sarcoma of skin
C46.1Kaposi's sarcoma of soft tissue
C46.2Kaposi's sarcoma of palate
C46.3Kaposi's sarcoma of lymph nodes
C46.4Kaposi's sarcoma of gastrointestinal sites
C46.50Kaposi's sarcoma of unspecified lung
C46.51Kaposi's sarcoma of right lung
C46.52Kaposi's sarcoma of left lung
C46.7Kaposi's sarcoma of other sites
C46.9Kaposi's sarcoma, unspecified
C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C47.10Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder
C47.11Malignant neoplasm of peripheral nerves of right upper limb, including shoulder
C47.12Malignant neoplasm of peripheral nerves of left upper limb, including shoulder
C47.20Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip
C47.21Malignant neoplasm of peripheral nerves of right lower limb, including hip
C47.22Malignant neoplasm of peripheral nerves of left lower limb, including hip
C47.3Malignant neoplasm of peripheral nerves of thorax
C47.4Malignant neoplasm of peripheral nerves of abdomen
C47.5Malignant neoplasm of peripheral nerves of pelvis
C47.6Malignant neoplasm of peripheral nerves of trunk, unspecified
C47.8Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
C47.9Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
C48.0Malignant neoplasm of retroperitoneum
C48.1Malignant neoplasm of specified parts of peritoneum
C48.2Malignant neoplasm of peritoneum, unspecified
C48.8Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
C49.0Malignant neoplasm of connective and soft tissue of head, face and neck
C49.10Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder
C49.11Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder
C49.12Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder
C49.20Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip
C49.21Malignant neoplasm of connective and soft tissue of right lower limb, including hip
C49.22Malignant neoplasm of connective and soft tissue of left lower limb, including hip
C49.3Malignant neoplasm of connective and soft tissue of thorax
C49.4Malignant neoplasm of connective and soft tissue of abdomen
C49.5Malignant neoplasm of connective and soft tissue of pelvis
C49.6Malignant neoplasm of connective and soft tissue of trunk, unspecified
C49.8Malignant neoplasm of overlapping sites of connective and soft tissue
C49.9Malignant neoplasm of connective and soft tissue, unspecified
C49.A0Gastrointestinal stromal tumor, unspecified site
C49.A1Gastrointestinal stromal tumor of esophagus
C49.A2Gastrointestinal stromal tumor of stomach
C49.A3Gastrointestinal stromal tumor of small intestine
C49.A4Gastrointestinal stromal tumor of large intestine
C49.A5Gastrointestinal stromal tumor of rectum
C49.A9Gastrointestinal stromal tumor of other sites
C50.011Malignant neoplasm of nipple and areola, right female breast
C50.012Malignant neoplasm of nipple and areola, left female breast
C50.019Malignant neoplasm of nipple and areola, unspecified female breast
C50.021Malignant neoplasm of nipple and areola, right male breast
C50.022Malignant neoplasm of nipple and areola, left male breast
C50.029Malignant neoplasm of nipple and areola, unspecified male breast
C50.111Malignant neoplasm of central portion of right female breast
C50.112Malignant neoplasm of central portion of left female breast
C50.119Malignant neoplasm of central portion of unspecified female breast
C50.121Malignant neoplasm of central portion of right male breast
C50.122Malignant neoplasm of central portion of left male breast
C50.129Malignant neoplasm of central portion of unspecified male breast
C50.211Malignant neoplasm of upper-inner quadrant of right female breast
C50.212Malignant neoplasm of upper-inner quadrant of left female breast
C50.219Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.221Malignant neoplasm of upper-inner quadrant of right male breast
C50.222Malignant neoplasm of upper-inner quadrant of left male breast
C50.229Malignant neoplasm of upper-inner quadrant of unspecified male breast
C50.311Malignant neoplasm of lower-inner quadrant of right female breast
C50.312Malignant neoplasm of lower-inner quadrant of left female breast
C50.319Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.321Malignant neoplasm of lower-inner quadrant of right male breast
C50.322Malignant neoplasm of lower-inner quadrant of left male breast
C50.329Malignant neoplasm of lower-inner quadrant of unspecified male breast
C50.411Malignant neoplasm of upper-outer quadrant of right female breast
C50.412Malignant neoplasm of upper-outer quadrant of left female breast
C50.419Malignant neoplasm of upper-outer quadrant of unspecified female breast
C50.421Malignant neoplasm of upper-outer quadrant of right male breast
C50.422Malignant neoplasm of upper-outer quadrant of left male breast
C50.429Malignant neoplasm of upper-outer quadrant of unspecified male breast
C50.511Malignant neoplasm of lower-outer quadrant of right female breast
C50.512Malignant neoplasm of lower-outer quadrant of left female breast
C50.519Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.521Malignant neoplasm of lower-outer quadrant of right male breast
C50.522Malignant neoplasm of lower-outer quadrant of left male breast
C50.529Malignant neoplasm of lower-outer quadrant of unspecified male breast
C50.611Malignant neoplasm of axillary tail of right female breast
C50.612Malignant neoplasm of axillary tail of left female breast
C50.619Malignant neoplasm of axillary tail of unspecified female breast
C50.621Malignant neoplasm of axillary tail of right male breast
C50.622Malignant neoplasm of axillary tail of left male breast
C50.629Malignant neoplasm of axillary tail of unspecified male breast
C50.811Malignant neoplasm of overlapping sites of right female breast
C50.812Malignant neoplasm of overlapping sites of left female breast
C50.819Malignant neoplasm of overlapping sites of unspecified female breast
C50.821Malignant neoplasm of overlapping sites of right male breast
C50.822Malignant neoplasm of overlapping sites of left male breast
C50.829Malignant neoplasm of overlapping sites of unspecified male breast
C50.911Malignant neoplasm of unspecified site of right female breast
C50.912Malignant neoplasm of unspecified site of left female breast
C50.919Malignant neoplasm of unspecified site of unspecified female breast
C50.921Malignant neoplasm of unspecified site of right male breast
C50.922Malignant neoplasm of unspecified site of left male breast
C50.929Malignant neoplasm of unspecified site of unspecified male breast
C50.A1Malignant inflammatory neoplasm of right breast
C50.A2Malignant inflammatory neoplasm of left breast
C51.0Malignant neoplasm of labium majus
C51.1Malignant neoplasm of labium minus
C51.2Malignant neoplasm of clitoris
C51.8Malignant neoplasm of overlapping sites of vulva
C51.9Malignant neoplasm of vulva, unspecified
C52Malignant neoplasm of vagina
C53.0Malignant neoplasm of endocervix
C53.1Malignant neoplasm of exocervix
C53.8Malignant neoplasm of overlapping sites of cervix uteri
C53.9Malignant neoplasm of cervix uteri, unspecified
C54.0Malignant neoplasm of isthmus uteri
C54.1Malignant neoplasm of endometrium
C54.2Malignant neoplasm of myometrium
C54.3Malignant neoplasm of fundus uteri
C54.8Malignant neoplasm of overlapping sites of corpus uteri
C54.9Malignant neoplasm of corpus uteri, unspecified
C55Malignant neoplasm of uterus, part unspecified
C56.1Malignant neoplasm of right ovary
C56.2Malignant neoplasm of left ovary
C56.3Malignant neoplasm of bilateral ovaries
C56.9Malignant neoplasm of unspecified ovary
C57.00Malignant neoplasm of unspecified fallopian tube
C57.01Malignant neoplasm of right fallopian tube
C57.02Malignant neoplasm of left fallopian tube
C57.10Malignant neoplasm of unspecified broad ligament
C57.11Malignant neoplasm of right broad ligament
C57.12Malignant neoplasm of left broad ligament
C57.20Malignant neoplasm of unspecified round ligament
C57.21Malignant neoplasm of right round ligament
C57.22Malignant neoplasm of left round ligament
C57.3Malignant neoplasm of parametrium
C57.4Malignant neoplasm of uterine adnexa, unspecified
C57.7Malignant neoplasm of other specified female genital organs
C57.8Malignant neoplasm of overlapping sites of female genital organs
C57.9Malignant neoplasm of female genital organ, unspecified
C58Malignant neoplasm of placenta
C60.0Malignant neoplasm of prepuce
C60.1Malignant neoplasm of glans penis
C60.2Malignant neoplasm of body of penis
C60.8Malignant neoplasm of overlapping sites of penis
C60.9Malignant neoplasm of penis, unspecified
C61Malignant neoplasm of prostate
C62.00Malignant neoplasm of unspecified undescended testis
C62.01Malignant neoplasm of undescended right testis
C62.02Malignant neoplasm of undescended left testis
C62.10Malignant neoplasm of unspecified descended testis
C62.11Malignant neoplasm of descended right testis
C62.12Malignant neoplasm of descended left testis
C62.90Malignant neoplasm of unspecified testis, unspecified whether descended or undescended
C62.91Malignant neoplasm of right testis, unspecified whether descended or undescended
C62.92Malignant neoplasm of left testis, unspecified whether descended or undescended
C63.00Malignant neoplasm of unspecified epididymis
C63.01Malignant neoplasm of right epididymis
C63.02Malignant neoplasm of left epididymis
C63.10Malignant neoplasm of unspecified spermatic cord
C63.11Malignant neoplasm of right spermatic cord
C63.12Malignant neoplasm of left spermatic cord
C63.2Malignant neoplasm of scrotum
C63.7Malignant neoplasm of other specified male genital organs
C63.8Malignant neoplasm of overlapping sites of male genital organs
C63.9Malignant neoplasm of male genital organ, unspecified
C64.1Malignant neoplasm of right kidney, except renal pelvis
C64.2Malignant neoplasm of left kidney, except renal pelvis
C64.9Malignant neoplasm of unspecified kidney, except renal pelvis
C65.1Malignant neoplasm of right renal pelvis
C65.2Malignant neoplasm of left renal pelvis
C65.9Malignant neoplasm of unspecified renal pelvis
C66.1Malignant neoplasm of right ureter
C66.2Malignant neoplasm of left ureter
C66.9Malignant neoplasm of unspecified ureter
C67.0Malignant neoplasm of trigone of bladder
C67.1Malignant neoplasm of dome of bladder
C67.2Malignant neoplasm of lateral wall of bladder
C67.3Malignant neoplasm of anterior wall of bladder
C67.4Malignant neoplasm of posterior wall of bladder
C67.5Malignant neoplasm of bladder neck
C67.6Malignant neoplasm of ureteric orifice
C67.7Malignant neoplasm of urachus
C67.8Malignant neoplasm of overlapping sites of bladder
C67.9Malignant neoplasm of bladder, unspecified
C68.0Malignant neoplasm of urethra
C68.1Malignant neoplasm of paraurethral glands
C68.8Malignant neoplasm of overlapping sites of urinary organs
C68.9Malignant neoplasm of urinary organ, unspecified
C69.00Malignant neoplasm of unspecified conjunctiva
C69.01Malignant neoplasm of right conjunctiva
C69.02Malignant neoplasm of left conjunctiva
C69.10Malignant neoplasm of unspecified cornea
C69.11Malignant neoplasm of right cornea
C69.12Malignant neoplasm of left cornea
C69.20Malignant neoplasm of unspecified retina
C69.21Malignant neoplasm of right retina
C69.22Malignant neoplasm of left retina
C69.30Malignant neoplasm of unspecified choroid
C69.31Malignant neoplasm of right choroid
C69.32Malignant neoplasm of left choroid
C69.40Malignant neoplasm of unspecified ciliary body
C69.41Malignant neoplasm of right ciliary body
C69.42Malignant neoplasm of left ciliary body
C69.50Malignant neoplasm of unspecified lacrimal gland and duct
C69.51Malignant neoplasm of right lacrimal gland and duct
C69.52Malignant neoplasm of left lacrimal gland and duct
C69.60Malignant neoplasm of unspecified orbit

Showing the first 400 of 484 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 97008?

Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 484 ICD-10 diagnosis codes that support medical necessity for CPT 97008. 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 97008 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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