ICD↔CPT crosswalk
CPT J2430: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT J2430 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT J2430 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 |
|---|---|
| C50.011 | Malignant neoplasm of nipple and areola, right female breast |
| C50.012 | Malignant neoplasm of nipple and areola, left female breast |
| C50.021 | Malignant neoplasm of nipple and areola, right male breast |
| C50.022 | Malignant neoplasm of nipple and areola, left male breast |
| C50.111 | Malignant neoplasm of central portion of right female breast |
| C50.112 | Malignant neoplasm of central portion of left female breast |
| C50.121 | Malignant neoplasm of central portion of right male breast |
| C50.122 | Malignant neoplasm of central portion of left male breast |
| C50.211 | Malignant neoplasm of upper-inner quadrant of right female breast |
| C50.212 | Malignant neoplasm of upper-inner quadrant of left female breast |
| C50.221 | Malignant neoplasm of upper-inner quadrant of right male breast |
| C50.222 | Malignant neoplasm of upper-inner quadrant of left male breast |
| C50.311 | Malignant neoplasm of lower-inner quadrant of right female breast |
| C50.312 | Malignant neoplasm of lower-inner quadrant of left female breast |
| C50.321 | Malignant neoplasm of lower-inner quadrant of right male breast |
| C50.322 | Malignant neoplasm of lower-inner quadrant of left male breast |
| C50.411 | Malignant neoplasm of upper-outer quadrant of right female breast |
| C50.412 | Malignant neoplasm of upper-outer quadrant of left female breast |
| C50.421 | Malignant neoplasm of upper-outer quadrant of right male breast |
| C50.422 | Malignant neoplasm of upper-outer quadrant of left male breast |
| C50.511 | Malignant neoplasm of lower-outer quadrant of right female breast |
| C50.512 | Malignant neoplasm of lower-outer quadrant of left female breast |
| C50.521 | Malignant neoplasm of lower-outer quadrant of right male breast |
| C50.522 | Malignant neoplasm of lower-outer quadrant of left male breast |
| C50.611 | Malignant neoplasm of axillary tail of right female breast |
| C50.612 | Malignant neoplasm of axillary tail of left female breast |
| C50.621 | Malignant neoplasm of axillary tail of right male breast |
| C50.622 | Malignant neoplasm of axillary tail of left male breast |
| C50.811 | Malignant neoplasm of overlapping sites of right female breast |
| C50.812 | Malignant neoplasm of overlapping sites of left female breast |
| C50.821 | Malignant neoplasm of overlapping sites of right male breast |
| C50.822 | Malignant neoplasm of overlapping sites of left male breast |
| C50.911 | Malignant neoplasm of unspecified site of right female breast |
| C50.912 | Malignant neoplasm of unspecified site of left female breast |
| C50.921 | Malignant neoplasm of unspecified site of right male breast |
| C50.922 | Malignant neoplasm of unspecified site of left male breast |
| C61 | Malignant neoplasm of prostate |
| C79.51 | Secondary malignant neoplasm of bone |
| C79.52 | Secondary malignant neoplasm of bone marrow |
| C90.00 | Multiple myeloma not having achieved remission |
| C90.01 | Multiple myeloma in remission |
| C90.02 | Multiple myeloma in relapse |
| D05.11 | Intraductal carcinoma in situ of right breast |
| D05.12 | Intraductal carcinoma in situ of left breast |
| D05.81 | Other specified type of carcinoma in situ of right breast |
| D05.82 | Other specified type of carcinoma in situ of left breast |
| D05.91 | Unspecified type of carcinoma in situ of right breast |
| D05.92 | Unspecified type of carcinoma in situ of left breast |
| E83.52 | Hypercalcemia |
| M61.011 | Myositis ossificans traumatica, right shoulder |
| M61.012 | Myositis ossificans traumatica, left shoulder |
| M61.021 | Myositis ossificans traumatica, right upper arm |
| M61.022 | Myositis ossificans traumatica, left upper arm |
| M61.031 | Myositis ossificans traumatica, right forearm |
| M61.032 | Myositis ossificans traumatica, left forearm |
| M61.041 | Myositis ossificans traumatica, right hand |
| M61.042 | Myositis ossificans traumatica, left hand |
| M61.051 | Myositis ossificans traumatica, right thigh |
| M61.052 | Myositis ossificans traumatica, left thigh |
| M61.061 | Myositis ossificans traumatica, right lower leg |
| M61.062 | Myositis ossificans traumatica, left lower leg |
| M61.071 | Myositis ossificans traumatica, right ankle and foot |
| M61.072 | Myositis ossificans traumatica, left ankle and foot |
| M61.08 | Myositis ossificans traumatica, other site |
| M61.09 | Myositis ossificans traumatica, multiple sites |
| M61.111 | Myositis ossificans progressiva, right shoulder |
| M61.112 | Myositis ossificans progressiva, left shoulder |
| M61.121 | Myositis ossificans progressiva, right upper arm |
| M61.122 | Myositis ossificans progressiva, left upper arm |
| M61.131 | Myositis ossificans progressiva, right forearm |
| M61.132 | Myositis ossificans progressiva, left forearm |
| M61.141 | Myositis ossificans progressiva, right hand |
| M61.142 | Myositis ossificans progressiva, left hand |
| M61.144 | Myositis ossificans progressiva, right finger(s) |
| M61.145 | Myositis ossificans progressiva, left finger(s) |
| M61.151 | Myositis ossificans progressiva, right thigh |
| M61.152 | Myositis ossificans progressiva, left thigh |
| M61.161 | Myositis ossificans progressiva, right lower leg |
| M61.162 | Myositis ossificans progressiva, left lower leg |
| M61.171 | Myositis ossificans progressiva, right ankle |
| M61.172 | Myositis ossificans progressiva, left ankle |
| M61.174 | Myositis ossificans progressiva, right foot |
| M61.175 | Myositis ossificans progressiva, left foot |
| M61.177 | Myositis ossificans progressiva, right toe(s) |
| M61.178 | Myositis ossificans progressiva, left toe(s) |
| M61.18 | Myositis ossificans progressiva, other site |
| M61.19 | Myositis ossificans progressiva, multiple sites |
| M61.211 | Paralytic calcification and ossification of muscle, right shoulder |
| M61.212 | Paralytic calcification and ossification of muscle, left shoulder |
| M61.221 | Paralytic calcification and ossification of muscle, right upper arm |
| M61.222 | Paralytic calcification and ossification of muscle, left upper arm |
| M61.231 | Paralytic calcification and ossification of muscle, right forearm |
| M61.232 | Paralytic calcification and ossification of muscle, left forearm |
| M61.241 | Paralytic calcification and ossification of muscle, right hand |
| M61.242 | Paralytic calcification and ossification of muscle, left hand |
| M61.251 | Paralytic calcification and ossification of muscle, right thigh |
| M61.252 | Paralytic calcification and ossification of muscle, left thigh |
| M61.261 | Paralytic calcification and ossification of muscle, right lower leg |
| M61.262 | Paralytic calcification and ossification of muscle, left lower leg |
| M61.271 | Paralytic calcification and ossification of muscle, right ankle and foot |
| M61.272 | Paralytic calcification and ossification of muscle, left ankle and foot |
| M61.28 | Paralytic calcification and ossification of muscle, other site |
| M61.29 | Paralytic calcification and ossification of muscle, multiple sites |
| M80.011A | Age-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture |
| M80.012A | Age-related osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture |
| M80.021A | Age-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture |
| M80.022A | Age-related osteoporosis with current pathological fracture, left humerus, initial encounter for fracture |
| M80.031A | Age-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture |
| M80.032A | Age-related osteoporosis with current pathological fracture, left forearm, initial encounter for fracture |
| M80.041A | Age-related osteoporosis with current pathological fracture, right hand, initial encounter for fracture |
| M80.042A | Age-related osteoporosis with current pathological fracture, left hand, initial encounter for fracture |
| M80.051A | Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
| M80.052A | Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
| M80.061A | Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture |
| M80.062A | Age-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture |
| M80.071A | Age-related osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture |
| M80.072A | Age-related osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture |
| M80.08XA | Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
| M80.0B1A | Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture |
| M80.0B1D | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing |
| M80.0B1G | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B1K | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion |
| M80.0B1P | Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion |
| M80.0B1S | Age-related osteoporosis with current pathological fracture, right pelvis, sequela |
| M80.0B2A | Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture |
| M80.0B2D | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing |
| M80.0B2G | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B2K | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion |
| M80.0B2P | Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion |
| M80.0B2S | Age-related osteoporosis with current pathological fracture, left pelvis, sequela |
| M80.0B9A | Age-related osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture |
| M80.0B9D | Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing |
| M80.0B9G | Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing |
| M80.0B9K | Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion |
| M80.0B9P | Age-related osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion |
| M80.0B9S | Age-related osteoporosis with current pathological fracture, unspecified pelvis, sequela |
| M80.811A | Other osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture |
| M80.812A | Other osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture |
| M80.821A | Other osteoporosis with current pathological fracture, right humerus, initial encounter for fracture |
| M80.822A | Other osteoporosis with current pathological fracture, left humerus, initial encounter for fracture |
| M80.831A | Other osteoporosis with current pathological fracture, right forearm, initial encounter for fracture |
| M80.832A | Other osteoporosis with current pathological fracture, left forearm, initial encounter for fracture |
| M80.841A | Other osteoporosis with current pathological fracture, right hand, initial encounter for fracture |
| M80.842A | Other osteoporosis with current pathological fracture, left hand, initial encounter for fracture |
| M80.851A | Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
| M80.852A | Other osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
| M80.861A | Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture |
| M80.862A | Other osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture |
| M80.871A | Other osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture |
| M80.872A | Other osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture |
| M80.88XA | Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture |
| M80.8B1A | Other osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture |
| M80.8B1D | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing |
| M80.8B1G | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B1K | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion |
| M80.8B1P | Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion |
| M80.8B1S | Other osteoporosis with current pathological fracture, right pelvis, sequela |
| M80.8B2A | Other osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture |
| M80.8B2D | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing |
| M80.8B2G | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B2K | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion |
| M80.8B2P | Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion |
| M80.8B2S | Other osteoporosis with current pathological fracture, left pelvis, sequela |
| M80.8B9A | Other osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture |
| M80.8B9D | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing |
| M80.8B9G | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with delayed healing |
| M80.8B9K | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with nonunion |
| M80.8B9P | Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with malunion |
| M80.8B9S | Other osteoporosis with current pathological fracture, unspecified pelvis, sequela |
| M81.0 | Age-related osteoporosis without current pathological fracture |
| M81.6 | Localized osteoporosis [Lequesne] |
| M81.8 | Other osteoporosis without current pathological fracture |
| M85.80 | Other specified disorders of bone density and structure, unspecified site |
| M85.811 | Other specified disorders of bone density and structure, right shoulder |
| M85.812 | Other specified disorders of bone density and structure, left shoulder |
| M85.821 | Other specified disorders of bone density and structure, right upper arm |
| M85.822 | Other specified disorders of bone density and structure, left upper arm |
| M85.831 | Other specified disorders of bone density and structure, right forearm |
| M85.832 | Other specified disorders of bone density and structure, left forearm |
| M85.841 | Other specified disorders of bone density and structure, right hand |
| M85.842 | Other specified disorders of bone density and structure, left hand |
| M85.851 | Other specified disorders of bone density and structure, right thigh |
| M85.852 | Other specified disorders of bone density and structure, left thigh |
| M85.861 | Other specified disorders of bone density and structure, right lower leg |
| M85.862 | Other specified disorders of bone density and structure, left lower leg |
| M85.871 | Other specified disorders of bone density and structure, right ankle and foot |
| M85.872 | Other specified disorders of bone density and structure, left ankle and foot |
| M85.9 | Disorder of bone density and structure, unspecified |
| M88.0 | Osteitis deformans of skull |
| M88.1 | Osteitis deformans of vertebrae |
| M88.811 | Osteitis deformans of right shoulder |
| M88.812 | Osteitis deformans of left shoulder |
| M88.821 | Osteitis deformans of right upper arm |
| M88.822 | Osteitis deformans of left upper arm |
| M88.831 | Osteitis deformans of right forearm |
| M88.832 | Osteitis deformans of left forearm |
| M88.841 | Osteitis deformans of right hand |
| M88.842 | Osteitis deformans of left hand |
| M88.851 | Osteitis deformans of right thigh |
| M88.852 | Osteitis deformans of left thigh |
| M88.861 | Osteitis deformans of right lower leg |
| M88.862 | Osteitis deformans of left lower leg |
| M88.871 | Osteitis deformans of right ankle and foot |
| M88.872 | Osteitis deformans of left ankle and foot |
| M88.88 | Osteitis deformans of other bones |
| M88.89 | Osteitis deformans of multiple sites |
| M89.9 | Disorder of bone, unspecified |
| M94.9 | Disorder of cartilage, unspecified |
| Q77.3 | Chondrodysplasia punctata |
| Q78.0 | Osteogenesis imperfecta |
| Q78.1 | Polyostotic fibrous dysplasia |
| Q78.5 | Metaphyseal dysplasia |
| Q78.6 | Multiple congenital exostoses |
| Q78.8 | Other specified osteochondrodysplasias |
| T38.0X5A | Adverse effect of glucocorticoids and synthetic analogues, initial encounter |
| T38.0X5D | Adverse effect of glucocorticoids and synthetic analogues, subsequent encounter |
| T38.0X5S | Adverse effect of glucocorticoids and synthetic analogues, sequela |
| T79.6XXA | Traumatic ischemia of muscle, initial encounter |
| T79.6XXD | Traumatic ischemia of muscle, subsequent encounter |
| T79.6XXS | Traumatic ischemia of muscle, sequela |
| Z79.52 | Long term (current) use of systemic steroids |
| Z79.810 | Long term (current) use of selective estrogen receptor modulators (SERMs) |
| Z79.811 | Long term (current) use of aromatase inhibitors |
| Z79.899 | Other long term (current) drug therapy |
| Z85.3 | Personal history of malignant neoplasm of breast |
| Z85.46 | Personal history of malignant neoplasm of prostate |
| Z92.22 | Personal history of monoclonal drug therapy |
| Z92.26 | Personal history of immune checkpoint inhibitor therapy |
Frequently asked questions
Which ICD-10 codes support medical necessity for CPT J2430?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 228 ICD-10 diagnosis codes that support medical necessity for CPT J2430. 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 J2430 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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