CPT 98967: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT 98967 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT 98967 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 |
|---|---|
| B91 | Sequelae of poliomyelitis |
| E08.44 | Diabetes mellitus due to underlying condition with diabetic amyotrophy |
| E08.52 | Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene |
| E09.44 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy |
| E09.52 | Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E10.44 | Type 1 diabetes mellitus with diabetic amyotrophy |
| E10.52 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy |
| E11.52 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene |
| G04.1 | Tropical spastic paraplegia |
| G14 | Postpolio syndrome |
| G24.02 | Drug induced acute dystonia |
| G24.09 | Other drug induced dystonia |
| G24.2 | Idiopathic nonfamilial dystonia |
| G24.3 | Spasmodic torticollis |
| G24.8 | Other dystonia |
| 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 |
| 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 |
| G56.11 | Other lesions of median nerve, right upper limb |
| G56.12 | Other lesions of median nerve, left upper limb |
| G56.21 | Lesion of ulnar nerve, right upper limb |
| G56.22 | Lesion of ulnar nerve, left upper limb |
| G56.31 | Lesion of radial nerve, right upper limb |
| G56.32 | Lesion of radial nerve, left upper limb |
| G56.41 | Causalgia of right upper limb |
| G56.42 | Causalgia of left upper limb |
| G56.81 | Other specified mononeuropathies of right upper limb |
| G56.82 | Other specified mononeuropathies of left upper limb |
| G57.01 | Lesion of sciatic nerve, right lower limb |
| G57.02 | Lesion of sciatic nerve, left lower limb |
| G57.11 | Meralgia paresthetica, right lower limb |
| G57.12 | Meralgia paresthetica, left lower limb |
| G57.21 | Lesion of femoral nerve, right lower limb |
| G57.22 | Lesion of femoral nerve, left lower limb |
| G57.31 | Lesion of lateral popliteal nerve, right lower limb |
| G57.32 | Lesion of lateral popliteal nerve, left lower limb |
| G57.41 | Lesion of medial popliteal nerve, right lower limb |
| G57.42 | Lesion of medial popliteal nerve, left lower limb |
| G57.51 | Tarsal tunnel syndrome, right lower limb |
| G57.52 | Tarsal tunnel syndrome, left lower limb |
| G57.61 | Lesion of plantar nerve, right lower limb |
| G57.62 | Lesion of plantar nerve, left lower limb |
| G57.71 | Causalgia of right lower limb |
| G57.72 | Causalgia of left lower limb |
| G57.81 | Other specified mononeuropathies of right lower limb |
| G57.82 | Other specified mononeuropathies of left lower limb |
| G57.91 | Unspecified mononeuropathy of right lower limb |
| G57.92 | Unspecified mononeuropathy of left lower limb |
| G58.0 | Intercostal neuropathy |
| G58.7 | Mononeuritis multiplex |
| G60.0 | Hereditary motor and sensory neuropathy |
| G80.3 | Athetoid cerebral palsy |
| G81.01 | Flaccid hemiplegia affecting right dominant side |
| G81.02 | Flaccid hemiplegia affecting left dominant side |
| G81.03 | Flaccid hemiplegia affecting right nondominant side |
| G81.04 | Flaccid hemiplegia affecting left nondominant side |
| G81.11 | Spastic hemiplegia affecting right dominant side |
| G81.12 | Spastic hemiplegia affecting left dominant side |
| G81.13 | Spastic hemiplegia affecting right nondominant side |
| G81.14 | Spastic hemiplegia affecting left nondominant side |
| G81.91 | Hemiplegia, unspecified affecting right dominant side |
| G81.92 | Hemiplegia, unspecified affecting left dominant side |
| G81.93 | Hemiplegia, unspecified affecting right nondominant side |
| G81.94 | Hemiplegia, unspecified affecting left nondominant side |
| G82.21 | Paraplegia, complete |
| G82.22 | Paraplegia, incomplete |
| G82.51 | Quadriplegia, C1-C4 complete |
| G82.52 | Quadriplegia, C1-C4 incomplete |
| G82.53 | Quadriplegia, C5-C7 complete |
| G82.54 | Quadriplegia, C5-C7 incomplete |
| G83.0 | Diplegia of upper limbs |
| G83.11 | Monoplegia of lower limb affecting right dominant side |
| G83.12 | Monoplegia of lower limb affecting left dominant side |
| G83.13 | Monoplegia of lower limb affecting right nondominant side |
| G83.14 | Monoplegia of lower limb affecting left nondominant side |
| G83.21 | Monoplegia of upper limb affecting right dominant side |
| G83.22 | Monoplegia of upper limb affecting left dominant side |
| G83.23 | Monoplegia of upper limb affecting right nondominant side |
| G83.24 | Monoplegia of upper limb affecting left nondominant side |
| G83.31 | Monoplegia, unspecified affecting right dominant side |
| G83.32 | Monoplegia, unspecified affecting left dominant side |
| G83.33 | Monoplegia, unspecified affecting right nondominant side |
| G83.34 | Monoplegia, unspecified affecting left nondominant side |
| G83.4 | Cauda equina syndrome |
| G83.5 | Locked-in state |
| G83.81 | Brown-Sequard syndrome |
| G83.82 | Anterior cord syndrome |
| G83.83 | Posterior cord syndrome |
| G83.84 | Todd's paralysis (postepileptic) |
| G83.89 | Other specified paralytic syndromes |
| G83.9 | Paralytic syndrome, unspecified |
| G90.521 | Complex regional pain syndrome I of right lower limb |
| G90.522 | Complex regional pain syndrome I of left lower limb |
| G90.523 | Complex regional pain syndrome I of lower limb, bilateral |
| H53.411 | Scotoma involving central area, right eye |
| H53.412 | Scotoma involving central area, left eye |
| H53.413 | Scotoma involving central area, bilateral |
| H53.461 | Homonymous bilateral field defects, right side |
| H53.462 | Homonymous bilateral field defects, left side |
| H53.47 | Heteronymous bilateral field defects |
| H53.481 | Generalized contraction of visual field, right eye |
| H53.482 | Generalized contraction of visual field, left eye |
| H53.483 | Generalized contraction of visual field, bilateral |
| H54.0X33 | Blindness right eye category 3, blindness left eye category 3 |
| H54.0X34 | Blindness right eye category 3, blindness left eye category 4 |
| H54.0X35 | Blindness right eye category 3, blindness left eye category 5 |
| H54.0X43 | Blindness right eye category 4, blindness left eye category 3 |
| H54.0X44 | Blindness right eye category 4, blindness left eye category 4 |
| H54.0X45 | Blindness right eye category 4, blindness left eye category 5 |
| H54.0X53 | Blindness right eye category 5, blindness left eye category 3 |
| H54.0X54 | Blindness right eye category 5, blindness left eye category 4 |
| H54.0X55 | Blindness right eye category 5, blindness left eye category 5 |
| H54.10 | Blindness, one eye, low vision other eye, unspecified eyes |
| H54.1131 | Blindness right eye category 3, low vision left eye category 1 |
| H54.1132 | Blindness right eye category 3, low vision left eye category 2 |
| H54.1141 | Blindness right eye category 4, low vision left eye category 1 |
| H54.1142 | Blindness right eye category 4, low vision left eye category 2 |
| H54.1151 | Blindness right eye category 5, low vision left eye category 1 |
| H54.1152 | Blindness right eye category 5, low vision left eye category 2 |
| H54.1213 | Low vision right eye category 1, blindness left eye category 3 |
| H54.1214 | Low vision right eye category 1, blindness left eye category 4 |
| H54.1215 | Low vision right eye category 1, blindness left eye category 5 |
| H54.1223 | Low vision right eye category 2, blindness left eye category 3 |
| H54.1224 | Low vision right eye category 2, blindness left eye category 4 |
| H54.1225 | Low vision right eye category 2, blindness left eye category 5 |
| H54.2X11 | Low vision right eye category 1, low vision left eye category 1 |
| H54.2X12 | Low vision right eye category 1, low vision left eye category 2 |
| H54.2X21 | Low vision right eye category 2, low vision left eye category 1 |
| H54.2X22 | Low vision right eye category 2, low vision left eye category 2 |
| H54.3 | Unqualified visual loss, both eyes |
| H54.40 | Blindness, one eye, unspecified eye |
| H54.413A | Blindness right eye category 3, normal vision left eye |
| H54.414A | Blindness right eye category 4, normal vision left eye |
| H54.415A | Blindness right eye category 5, normal vision left eye |
| H54.42A3 | Blindness left eye category 3, normal vision right eye |
| H54.42A4 | Blindness left eye category 4, normal vision right eye |
| H54.42A5 | Blindness left eye category 5, normal vision right eye |
| H54.50 | Low vision, one eye, unspecified eye |
| H54.511A | Low vision right eye category 1, normal vision left eye |
| H54.512A | Low vision right eye category 2, normal vision left eye |
| H54.52A1 | Low vision left eye category 1, normal vision right eye |
| H54.52A2 | Low vision left eye category 2, normal vision right eye |
| H54.60 | Unqualified visual loss, one eye, unspecified |
| H54.61 | Unqualified visual loss, right eye, normal vision left eye |
| H54.62 | Unqualified visual loss, left eye, normal vision right eye |
| H54.7 | Unspecified visual loss |
| H54.8 | Legal blindness, as defined in USA |
| H81.11 | Benign paroxysmal vertigo, right ear |
| H81.12 | Benign paroxysmal vertigo, left ear |
| H81.13 | Benign paroxysmal vertigo, bilateral |
| H81.21 | Vestibular neuronitis, right ear |
| H81.22 | Vestibular neuronitis, left ear |
| H81.23 | Vestibular neuronitis, bilateral |
| H83.2X1 | Labyrinthine dysfunction, right ear |
| H83.2X2 | Labyrinthine dysfunction, left ear |
| H83.2X3 | Labyrinthine dysfunction, bilateral |
| I20.81 | Angina pectoris with coronary microvascular dysfunction |
| I20.89 | Other forms of angina pectoris |
| I20.9 | Angina pectoris, unspecified |
| I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm |
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris |
| I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris |
| I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm |
| I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris |
| I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm |
| I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris |
| I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm |
| I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris |
| I69.031 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.032 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.033 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.034 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.041 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.042 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.043 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.044 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.051 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.052 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.053 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.054 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.061 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.062 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.063 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.064 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.065 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral |
| I69.090 | Apraxia following nontraumatic subarachnoid hemorrhage |
| I69.091 | Dysphagia following nontraumatic subarachnoid hemorrhage |
| I69.092 | Facial weakness following nontraumatic subarachnoid hemorrhage |
| I69.093 | Ataxia following nontraumatic subarachnoid hemorrhage |
| I69.131 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.132 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.133 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.134 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.141 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.142 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.143 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.144 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.151 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.152 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.153 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.154 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.161 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.162 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.163 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.164 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.165 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral |
| I69.190 | Apraxia following nontraumatic intracerebral hemorrhage |
| I69.191 | Dysphagia following nontraumatic intracerebral hemorrhage |
| I69.192 | Facial weakness following nontraumatic intracerebral hemorrhage |
| I69.193 | Ataxia following nontraumatic intracerebral hemorrhage |
| I69.231 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.232 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.233 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.234 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.241 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.242 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.243 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.244 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.251 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.252 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.253 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.254 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.261 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.262 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.263 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.264 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.265 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral |
| I69.290 | Apraxia following other nontraumatic intracranial hemorrhage |
| I69.291 | Dysphagia following other nontraumatic intracranial hemorrhage |
| I69.292 | Facial weakness following other nontraumatic intracranial hemorrhage |
| I69.293 | Ataxia following other nontraumatic intracranial hemorrhage |
| I69.331 | Monoplegia of upper limb following cerebral infarction affecting right dominant side |
| I69.332 | Monoplegia of upper limb following cerebral infarction affecting left dominant side |
| I69.333 | Monoplegia of upper limb following cerebral infarction affecting right non-dominant side |
| I69.334 | Monoplegia of upper limb following cerebral infarction affecting left non-dominant side |
| I69.341 | Monoplegia of lower limb following cerebral infarction affecting right dominant side |
| I69.342 | Monoplegia of lower limb following cerebral infarction affecting left dominant side |
| I69.343 | Monoplegia of lower limb following cerebral infarction affecting right non-dominant side |
| I69.344 | Monoplegia of lower limb following cerebral infarction affecting left non-dominant side |
| I69.351 | Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side |
| I69.352 | Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side |
| I69.353 | Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side |
| I69.354 | Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side |
| I69.361 | Other paralytic syndrome following cerebral infarction affecting right dominant side |
| I69.362 | Other paralytic syndrome following cerebral infarction affecting left dominant side |
| I69.363 | Other paralytic syndrome following cerebral infarction affecting right non-dominant side |
| I69.364 | Other paralytic syndrome following cerebral infarction affecting left non-dominant side |
| I69.365 | Other paralytic syndrome following cerebral infarction, bilateral |
| I69.390 | Apraxia following cerebral infarction |
| I69.391 | Dysphagia following cerebral infarction |
| I69.392 | Facial weakness following cerebral infarction |
| I69.393 | Ataxia following cerebral infarction |
| I69.831 | Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side |
| I69.832 | Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side |
| I69.833 | Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side |
| I69.834 | Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side |
| I69.841 | Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side |
| I69.842 | Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side |
| I69.843 | Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side |
| I69.844 | Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side |
| I69.851 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side |
| I69.852 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side |
| I69.853 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side |
| I69.854 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side |
| I69.861 | Other paralytic syndrome following other cerebrovascular disease affecting right dominant side |
| I69.862 | Other paralytic syndrome following other cerebrovascular disease affecting left dominant side |
| I69.863 | Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side |
| I69.864 | Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side |
| I69.865 | Other paralytic syndrome following other cerebrovascular disease, bilateral |
| I69.890 | Apraxia following other cerebrovascular disease |
| I69.891 | Dysphagia following other cerebrovascular disease |
| I69.892 | Facial weakness following other cerebrovascular disease |
| I69.893 | Ataxia following other cerebrovascular disease |
| I70.231 | Atherosclerosis of native arteries of right leg with ulceration of thigh |
| I70.232 | Atherosclerosis of native arteries of right leg with ulceration of calf |
| I70.233 | Atherosclerosis of native arteries of right leg with ulceration of ankle |
| I70.234 | Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot |
| I70.235 | Atherosclerosis of native arteries of right leg with ulceration of other part of foot |
| I70.238 | Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg |
| I70.241 | Atherosclerosis of native arteries of left leg with ulceration of thigh |
| I70.242 | Atherosclerosis of native arteries of left leg with ulceration of calf |
| I70.243 | Atherosclerosis of native arteries of left leg with ulceration of ankle |
| I70.244 | Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot |
| I70.245 | Atherosclerosis of native arteries of left leg with ulceration of other part of foot |
| I70.248 | Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg |
| I70.431 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh |
| I70.432 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf |
| I70.433 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle |
| I70.434 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.435 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.438 | Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.441 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh |
| I70.442 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf |
| I70.443 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle |
| I70.444 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.445 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.448 | Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.461 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg |
| I70.462 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg |
| I70.463 | Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.531 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh |
| I70.532 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf |
| I70.533 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle |
| I70.534 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.535 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.538 | Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.541 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh |
| I70.542 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf |
| I70.543 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle |
| I70.544 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.545 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.548 | Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.561 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg |
| I70.562 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg |
| I70.563 | Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.631 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh |
| I70.632 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf |
| I70.633 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle |
| I70.634 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.635 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.638 | Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.641 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh |
| I70.642 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf |
| I70.643 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle |
| I70.644 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.645 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.648 | Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.661 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg |
| I70.662 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg |
| I70.663 | Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs |
| I70.731 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh |
| I70.732 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf |
| I70.733 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle |
| I70.734 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot |
| I70.735 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot |
| I70.738 | Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg |
| I70.741 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh |
| I70.742 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf |
| I70.743 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle |
| I70.744 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot |
| I70.745 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot |
| I70.748 | Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg |
| I70.761 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg |
| I70.762 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, left leg |
| I70.763 | Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs |
| I73.01 | Raynaud's syndrome with gangrene |
| I83.011 | Varicose veins of right lower extremity with ulcer of thigh |
| I83.012 | Varicose veins of right lower extremity with ulcer of calf |
| I83.013 | Varicose veins of right lower extremity with ulcer of ankle |
| I83.014 | Varicose veins of right lower extremity with ulcer of heel and midfoot |
| I83.015 | Varicose veins of right lower extremity with ulcer other part of foot |
| I83.018 | Varicose veins of right lower extremity with ulcer other part of lower leg |
| I83.021 | Varicose veins of left lower extremity with ulcer of thigh |
| I83.022 | Varicose veins of left lower extremity with ulcer of calf |
| I83.023 | Varicose veins of left lower extremity with ulcer of ankle |
| I83.024 | Varicose veins of left lower extremity with ulcer of heel and midfoot |
| I83.025 | Varicose veins of left lower extremity with ulcer other part of foot |
| I83.028 | Varicose veins of left lower extremity with ulcer other part of lower leg |
| I83.11 | Varicose veins of right lower extremity with inflammation |
| I83.12 | Varicose veins of left lower extremity with inflammation |
| I83.211 | Varicose veins of right lower extremity with both ulcer of thigh and inflammation |
| I83.212 | Varicose veins of right lower extremity with both ulcer of calf and inflammation |
| I83.213 | Varicose veins of right lower extremity with both ulcer of ankle and inflammation |
| I83.214 | Varicose veins of right lower extremity with both ulcer of heel and midfoot and inflammation |
| I83.215 | Varicose veins of right lower extremity with both ulcer other part of foot and inflammation |
| I83.218 | Varicose veins of right lower extremity with both ulcer of other part of lower extremity and inflammation |
| I83.221 | Varicose veins of left lower extremity with both ulcer of thigh and inflammation |
| I83.222 | Varicose veins of left lower extremity with both ulcer of calf and inflammation |
| I83.223 | Varicose veins of left lower extremity with both ulcer of ankle and inflammation |
| I83.224 | Varicose veins of left lower extremity with both ulcer of heel and midfoot and inflammation |
| I83.225 | Varicose veins of left lower extremity with both ulcer other part of foot and inflammation |
| I83.228 | Varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation |
| I87.311 | Chronic venous hypertension (idiopathic) with ulcer of right lower extremity |
| I87.312 | Chronic venous hypertension (idiopathic) with ulcer of left lower extremity |
| I87.313 | Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity |
| I87.331 | Chronic venous hypertension (idiopathic) with ulcer and inflammation of right lower extremity |
| I87.332 | Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity |
| I87.333 | Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity |
| I89.0 | Lymphedema, not elsewhere classified |
| I96 | Gangrene, not elsewhere classified |
| I97.2 | Postmastectomy lymphedema syndrome |
| J18.0 | Bronchopneumonia, unspecified organism |
| J18.1 | Lobar pneumonia, unspecified organism |
| J18.2 | Hypostatic pneumonia, unspecified organism |
| J18.8 | Other pneumonia, unspecified organism |
| J18.9 | Pneumonia, unspecified organism |
Showing the first 400 of 14836 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 98967?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 14836 ICD-10 diagnosis codes that support medical necessity for CPT 98967. 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 98967 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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