CPT G0153: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT G0153 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT G0153 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 |
|---|---|
| F01.518 | Vascular dementia, unspecified severity, with other behavioral disturbance |
| F01.A18 | Vascular dementia, mild, with other behavioral disturbance |
| F01.B18 | Vascular dementia, moderate, with other behavioral disturbance |
| F01.C18 | Vascular dementia, severe, with other behavioral disturbance |
| F02.818 | Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance |
| F02.A18 | Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance |
| F02.B18 | Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance |
| F02.C18 | Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance |
| F80.1 | Expressive language disorder |
| F80.2 | Mixed receptive-expressive language disorder |
| F80.4 | Speech and language development delay due to hearing loss |
| F80.81 | Childhood onset fluency disorder |
| F80.82 | Social pragmatic communication disorder |
| F81.0 | Specific reading disorder |
| F81.81 | Disorder of written expression |
| F82 | Specific developmental disorder of motor function |
| F88 | Other disorders of psychological development |
| F95.2 | Tourette's disorder |
| F98.29 | Other feeding disorders of infancy and early childhood |
| F98.5 | Adult onset fluency disorder |
| G30.0 | Alzheimer's disease with early onset |
| G30.1 | Alzheimer's disease with late onset |
| G30.8 | Other Alzheimer's disease |
| G30.9 | Alzheimer's disease, unspecified |
| G31.80 | Leukodystrophy, unspecified |
| G31.85 | Corticobasal degeneration |
| G31.86 | Alexander disease |
| G31.87 | Primary progressive apraxia of speech |
| G36.0 | Neuromyelitis optica [Devic] |
| G36.1 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] |
| G36.8 | Other specified acute disseminated demyelination |
| G36.9 | Acute disseminated demyelination, unspecified |
| G37.0 | Diffuse sclerosis of central nervous system |
| G37.1 | Central demyelination of corpus callosum |
| G37.2 | Central pontine myelinolysis |
| G37.4 | Subacute necrotizing myelitis of central nervous system |
| G37.5 | Concentric sclerosis [Balo] of central nervous system |
| G37.9 | Demyelinating disease of central nervous system, unspecified |
| G70.81 | Lambert-Eaton syndrome in disease classified elsewhere |
| G71.11 | Myotonic muscular dystrophy |
| G71.12 | Myotonia congenita |
| G71.13 | Myotonic chondrodystrophy |
| G71.14 | Drug induced myotonia |
| G71.19 | Other specified myotonic disorders |
| G71.20 | Congenital myopathy, unspecified |
| G71.21 | Nemaline myopathy |
| G71.220 | X-linked myotubular myopathy |
| G71.228 | Other centronuclear myopathy |
| G71.29 | Other congenital myopathy |
| G72.0 | Drug-induced myopathy |
| G72.1 | Alcoholic myopathy |
| G72.2 | Myopathy due to other toxic agents |
| G72.3 | Periodic paralysis |
| G73.1 | Lambert-Eaton syndrome in neoplastic disease |
| G80.0 | Spastic quadriplegic cerebral palsy |
| G80.1 | Spastic diplegic cerebral palsy |
| G80.2 | Spastic hemiplegic cerebral palsy |
| G80.3 | Athetoid cerebral palsy |
| G80.4 | Ataxic cerebral palsy |
| G80.8 | Other cerebral palsy |
| G80.9 | Cerebral palsy, unspecified |
| H90.0 | Conductive hearing loss, bilateral |
| H90.11 | Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side |
| H90.12 | Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side |
| H90.3 | Sensorineural hearing loss, bilateral |
| H90.41 | Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side |
| H90.42 | Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side |
| H90.6 | Mixed conductive and sensorineural hearing loss, bilateral |
| H90.71 | Mixed conductive and sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side |
| H90.72 | Mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side |
| H90.A11 | Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side |
| H90.A12 | Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral side |
| H90.A21 | Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side |
| H90.A22 | Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side |
| H90.A31 | Mixed conductive and sensorineural hearing loss, unilateral, right ear with restricted hearing on the contralateral side |
| H90.A32 | Mixed conductive and sensorineural hearing loss, unilateral, left ear with restricted hearing on the contralateral side |
| H91.3 | Deaf nonspeaking, not elsewhere classified |
| H93.221 | Diplacusis, right ear |
| H93.222 | Diplacusis, left ear |
| H93.223 | Diplacusis, bilateral |
| H93.241 | Temporary auditory threshold shift, right ear |
| H93.242 | Temporary auditory threshold shift, left ear |
| H93.243 | Temporary auditory threshold shift, bilateral |
| H93.25 | Central auditory processing disorder |
| H93.291 | Other abnormal auditory perceptions, right ear |
| H93.292 | Other abnormal auditory perceptions, left ear |
| H93.293 | Other abnormal auditory perceptions, bilateral |
| I69.010 | Attention and concentration deficit following nontraumatic subarachnoid hemorrhage |
| I69.012 | Visuospatial deficit and spatial neglect following nontraumatic subarachnoid hemorrhage |
| I69.013 | Psychomotor deficit following nontraumatic subarachnoid hemorrhage |
| I69.014 | Frontal lobe and executive function deficit following nontraumatic subarachnoid hemorrhage |
| I69.015 | Cognitive social or emotional deficit following nontraumatic subarachnoid hemorrhage |
| I69.018 | Other symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage |
| I69.019 | Unspecified symptoms and signs involving cognitive functions following nontraumatic subarachnoid hemorrhage |
| I69.020 | Aphasia following nontraumatic subarachnoid hemorrhage |
| I69.021 | Dysphasia following nontraumatic subarachnoid hemorrhage |
| I69.022 | Dysarthria following nontraumatic subarachnoid hemorrhage |
| I69.023 | Fluency disorder following nontraumatic subarachnoid hemorrhage |
| I69.028 | Other speech and language deficits following nontraumatic subarachnoid hemorrhage |
| I69.090 | Apraxia following nontraumatic subarachnoid hemorrhage |
| I69.091 | Dysphagia following nontraumatic subarachnoid hemorrhage |
| I69.092 | Facial weakness following nontraumatic subarachnoid hemorrhage |
| I69.110 | Attention and concentration deficit following nontraumatic intracerebral hemorrhage |
| I69.112 | Visuospatial deficit and spatial neglect following nontraumatic intracerebral hemorrhage |
| I69.114 | Frontal lobe and executive function deficit following nontraumatic intracerebral hemorrhage |
| I69.115 | Cognitive social or emotional deficit following nontraumatic intracerebral hemorrhage |
| I69.118 | Other symptoms and signs involving cognitive functions following nontraumatic intracerebral hemorrhage |
| I69.120 | Aphasia following nontraumatic intracerebral hemorrhage |
| I69.121 | Dysphasia following nontraumatic intracerebral hemorrhage |
| I69.122 | Dysarthria following nontraumatic intracerebral hemorrhage |
| I69.123 | Fluency disorder following nontraumatic intracerebral hemorrhage |
| I69.128 | Other speech and language deficits following nontraumatic intracerebral hemorrhage |
| I69.190 | Apraxia following nontraumatic intracerebral hemorrhage |
| I69.191 | Dysphagia following nontraumatic intracerebral hemorrhage |
| I69.192 | Facial weakness following nontraumatic intracerebral hemorrhage |
| I69.210 | Attention and concentration deficit following other nontraumatic intracranial hemorrhage |
| I69.212 | Visuospatial deficit and spatial neglect following other nontraumatic intracranial hemorrhage |
| I69.214 | Frontal lobe and executive function deficit following other nontraumatic intracranial hemorrhage |
| I69.215 | Cognitive social or emotional deficit following other nontraumatic intracranial hemorrhage |
| I69.220 | Aphasia following other nontraumatic intracranial hemorrhage |
| I69.221 | Dysphasia following other nontraumatic intracranial hemorrhage |
| I69.222 | Dysarthria following other nontraumatic intracranial hemorrhage |
| I69.223 | Fluency disorder following other nontraumatic intracranial hemorrhage |
| I69.228 | Other speech and language deficits following other nontraumatic intracranial hemorrhage |
| 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 |
| I69.310 | Attention and concentration deficit following cerebral infarction |
| I69.312 | Visuospatial deficit and spatial neglect following cerebral infarction |
| I69.313 | Psychomotor deficit following cerebral infarction |
| I69.314 | Frontal lobe and executive function deficit following cerebral infarction |
| I69.315 | Cognitive social or emotional deficit following cerebral infarction |
| I69.320 | Aphasia following cerebral infarction |
| I69.321 | Dysphasia following cerebral infarction |
| I69.322 | Dysarthria following cerebral infarction |
| I69.323 | Fluency disorder following cerebral infarction |
| I69.328 | Other speech and language deficits following cerebral infarction |
| I69.390 | Apraxia following cerebral infarction |
| I69.391 | Dysphagia following cerebral infarction |
| I69.392 | Facial weakness following cerebral infarction |
| I69.810 | Attention and concentration deficit following other cerebrovascular disease |
| I69.812 | Visuospatial deficit and spatial neglect following other cerebrovascular disease |
| I69.813 | Psychomotor deficit following other cerebrovascular disease |
| I69.814 | Frontal lobe and executive function deficit following other cerebrovascular disease |
| I69.815 | Cognitive social or emotional deficit following other cerebrovascular disease |
| I69.820 | Aphasia following other cerebrovascular disease |
| I69.821 | Dysphasia following other cerebrovascular disease |
| I69.822 | Dysarthria following other cerebrovascular disease |
| I69.823 | Fluency disorder following other cerebrovascular disease |
| I69.828 | Other speech and language deficits following other cerebrovascular disease |
| I69.890 | Apraxia following other cerebrovascular disease |
| I69.891 | Dysphagia following other cerebrovascular disease |
| I69.892 | Facial weakness following other cerebrovascular disease |
| I69.910 | Attention and concentration deficit following unspecified cerebrovascular disease |
| I69.912 | Visuospatial deficit and spatial neglect following unspecified cerebrovascular disease |
| I69.913 | Psychomotor deficit following unspecified cerebrovascular disease |
| I69.914 | Frontal lobe and executive function deficit following unspecified cerebrovascular disease |
| I69.915 | Cognitive social or emotional deficit following unspecified cerebrovascular disease |
| I69.920 | Aphasia following unspecified cerebrovascular disease |
| I69.921 | Dysphasia following unspecified cerebrovascular disease |
| I69.922 | Dysarthria following unspecified cerebrovascular disease |
| I69.923 | Fluency disorder following unspecified cerebrovascular disease |
| I69.928 | Other speech and language deficits following unspecified cerebrovascular disease |
| I69.990 | Apraxia following unspecified cerebrovascular disease |
| I69.991 | Dysphagia following unspecified cerebrovascular disease |
| I69.992 | Facial weakness following unspecified cerebrovascular disease |
| J38.01 | Paralysis of vocal cords and larynx, unilateral |
| J38.02 | Paralysis of vocal cords and larynx, bilateral |
| J38.2 | Nodules of vocal cords |
| J38.3 | Other diseases of vocal cords |
| K14.8 | Other diseases of tongue |
| M26.211 | Malocclusion, Angle's class I |
| M26.212 | Malocclusion, Angle's class II |
| M26.213 | Malocclusion, Angle's class III |
| M26.220 | Open anterior occlusal relationship |
| M26.221 | Open posterior occlusal relationship |
| M26.23 | Excessive horizontal overlap |
| M26.24 | Reverse articulation |
| M26.25 | Anomalies of interarch distance |
| M26.29 | Other anomalies of dental arch relationship |
| Q38.1 | Ankyloglossia |
| Q38.2 | Macroglossia |
| Q38.3 | Other congenital malformations of tongue |
| R05.8 | Other specified cough |
| R06.1 | Stridor |
| R06.89 | Other abnormalities of breathing |
| R13.0 | Aphagia |
| R13.10 | Dysphagia, unspecified |
| R13.11 | Dysphagia, oral phase |
| R13.12 | Dysphagia, oropharyngeal phase |
| R13.13 | Dysphagia, pharyngeal phase |
| R13.14 | Dysphagia, pharyngoesophageal phase |
| R13.19 | Other dysphagia |
| R41.4 | Neurologic neglect syndrome |
| R41.841 | Cognitive communication deficit |
| R41.85 | Anosognosia |
| R47.01 | Aphasia |
| R47.02 | Dysphasia |
| R47.1 | Dysarthria and anarthria |
| R47.81 | Slurred speech |
| R47.82 | Fluency disorder in conditions classified elsewhere |
| R47.89 | Other speech disturbances |
| R48.0 | Dyslexia and alexia |
| R48.1 | Agnosia |
| R48.2 | Apraxia |
| R48.8 | Other symbolic dysfunctions |
| R49.0 | Dysphonia |
| R49.1 | Aphonia |
| R49.21 | Hypernasality |
| R49.22 | Hyponasality |
| R49.8 | Other voice and resonance disorders |
| R62.0 | Delayed milestone in childhood |
| R63.39 | Other feeding difficulties |
| R68.89 | Other general symptoms and signs |
| Z43.0 | Encounter for attention to tracheostomy |
| Z44.8 | Encounter for fitting and adjustment of other external prosthetic devices |
| Z96.3 | Presence of artificial larynx |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT G0153?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 217 ICD-10 diagnosis codes that support medical necessity for CPT G0153. 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 G0153 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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