ICD↔CPT crosswalk
CPT J9260: ICD-10 codes that support medical necessity
These ICD-10-CM diagnoses support medical necessity for CPT J9260 under Medicare coverage policies (LCDs, NCDs, and Billing & Coding articles). Billing CPT J9260 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 |
|---|---|
| A63.0 | Anogenital (venereal) warts |
| B07.0 | Plantar wart |
| B07.8 | Other viral warts |
| B07.9 | Viral wart, unspecified |
| B27.00 | Gammaherpesviral mononucleosis without complication |
| B27.01 | Gammaherpesviral mononucleosis with polyneuropathy |
| B27.02 | Gammaherpesviral mononucleosis with meningitis |
| B27.09 | Gammaherpesviral mononucleosis with other complications |
| D47.3 | Essential (hemorrhagic) thrombocythemia |
| D47.Z1 | Post-transplant lymphoproliferative disorder (PTLD) |
| D59.0 | Drug-induced autoimmune hemolytic anemia |
| D59.10 | Autoimmune hemolytic anemia, unspecified |
| D59.11 | Warm autoimmune hemolytic anemia |
| D59.12 | Cold autoimmune hemolytic anemia |
| D59.13 | Mixed type autoimmune hemolytic anemia |
| D59.19 | Other autoimmune hemolytic anemia |
| D68.311 | Acquired hemophilia |
| D68.32 | Hemorrhagic disorder due to extrinsic circulating anticoagulants |
| D68.4 | Acquired coagulation factor deficiency |
| D69.0 | Allergic purpura |
| D69.3 | Immune thrombocytopenic purpura |
| D69.41 | Evans syndrome |
| D69.42 | Congenital and hereditary thrombocytopenia purpura |
| D69.49 | Other primary thrombocytopenia |
| D89.811 | Chronic graft-versus-host disease |
| G35.A | Relapsing-remitting multiple sclerosis |
| G35.B0 | Primary progressive multiple sclerosis, unspecified |
| G35.B1 | Active primary progressive multiple sclerosis |
| G35.B2 | Non-active primary progressive multiple sclerosis |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified |
| G35.C1 | Active secondary progressive multiple sclerosis |
| G35.C2 | Non-active secondary progressive multiple sclerosis |
| G36.0 | Neuromyelitis optica [Devic] |
| G61.81 | Chronic inflammatory demyelinating polyneuritis |
| G70.00 | Myasthenia gravis without (acute) exacerbation |
| G70.01 | Myasthenia gravis with (acute) exacerbation |
| G72.41 | Inclusion body myositis [IBM] |
| G72.49 | Other inflammatory and immune myopathies, not elsewhere classified |
| H40.1111 | Primary open-angle glaucoma, right eye, mild stage |
| H40.1112 | Primary open-angle glaucoma, right eye, moderate stage |
| H40.1113 | Primary open-angle glaucoma, right eye, severe stage |
| H40.1114 | Primary open-angle glaucoma, right eye, indeterminate stage |
| H40.1121 | Primary open-angle glaucoma, left eye, mild stage |
| H40.1122 | Primary open-angle glaucoma, left eye, moderate stage |
| H40.1123 | Primary open-angle glaucoma, left eye, severe stage |
| H40.1124 | Primary open-angle glaucoma, left eye, indeterminate stage |
| H40.1131 | Primary open-angle glaucoma, bilateral, mild stage |
| H40.1132 | Primary open-angle glaucoma, bilateral, moderate stage |
| H40.1133 | Primary open-angle glaucoma, bilateral, severe stage |
| H40.1134 | Primary open-angle glaucoma, bilateral, indeterminate stage |
| H40.1211 | Low-tension glaucoma, right eye, mild stage |
| H40.1212 | Low-tension glaucoma, right eye, moderate stage |
| H40.1213 | Low-tension glaucoma, right eye, severe stage |
| H40.1214 | Low-tension glaucoma, right eye, indeterminate stage |
| H40.1221 | Low-tension glaucoma, left eye, mild stage |
| H40.1222 | Low-tension glaucoma, left eye, moderate stage |
| H40.1223 | Low-tension glaucoma, left eye, severe stage |
| H40.1224 | Low-tension glaucoma, left eye, indeterminate stage |
| H40.1231 | Low-tension glaucoma, bilateral, mild stage |
| H40.1232 | Low-tension glaucoma, bilateral, moderate stage |
| H40.1233 | Low-tension glaucoma, bilateral, severe stage |
| H40.1234 | Low-tension glaucoma, bilateral, indeterminate stage |
| H40.1311 | Pigmentary glaucoma, right eye, mild stage |
| H40.1312 | Pigmentary glaucoma, right eye, moderate stage |
| H40.1313 | Pigmentary glaucoma, right eye, severe stage |
| H40.1314 | Pigmentary glaucoma, right eye, indeterminate stage |
| H40.1321 | Pigmentary glaucoma, left eye, mild stage |
| H40.1322 | Pigmentary glaucoma, left eye, moderate stage |
| H40.1323 | Pigmentary glaucoma, left eye, severe stage |
| H40.1324 | Pigmentary glaucoma, left eye, indeterminate stage |
| H40.1331 | Pigmentary glaucoma, bilateral, mild stage |
| H40.1332 | Pigmentary glaucoma, bilateral, moderate stage |
| H40.1333 | Pigmentary glaucoma, bilateral, severe stage |
| H40.1334 | Pigmentary glaucoma, bilateral, indeterminate stage |
| H40.1411 | Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage |
| H40.1412 | Capsular glaucoma with pseudoexfoliation of lens, right eye, moderate stage |
| H40.1413 | Capsular glaucoma with pseudoexfoliation of lens, right eye, severe stage |
| H40.1414 | Capsular glaucoma with pseudoexfoliation of lens, right eye, indeterminate stage |
| H40.1421 | Capsular glaucoma with pseudoexfoliation of lens, left eye, mild stage |
| H40.1422 | Capsular glaucoma with pseudoexfoliation of lens, left eye, moderate stage |
| H40.1423 | Capsular glaucoma with pseudoexfoliation of lens, left eye, severe stage |
| H40.1424 | Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage |
| H40.1431 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, mild stage |
| H40.1432 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, moderate stage |
| H40.1433 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, severe stage |
| H40.1434 | Capsular glaucoma with pseudoexfoliation of lens, bilateral, indeterminate stage |
| H40.151 | Residual stage of open-angle glaucoma, right eye |
| H40.152 | Residual stage of open-angle glaucoma, left eye |
| H40.153 | Residual stage of open-angle glaucoma, bilateral |
| H40.211 | Acute angle-closure glaucoma, right eye |
| H40.212 | Acute angle-closure glaucoma, left eye |
| H40.213 | Acute angle-closure glaucoma, bilateral |
| H40.2211 | Chronic angle-closure glaucoma, right eye, mild stage |
| H40.2212 | Chronic angle-closure glaucoma, right eye, moderate stage |
| H40.2213 | Chronic angle-closure glaucoma, right eye, severe stage |
| H40.2214 | Chronic angle-closure glaucoma, right eye, indeterminate stage |
| H40.2221 | Chronic angle-closure glaucoma, left eye, mild stage |
| H40.2222 | Chronic angle-closure glaucoma, left eye, moderate stage |
| H40.2223 | Chronic angle-closure glaucoma, left eye, severe stage |
| H40.2224 | Chronic angle-closure glaucoma, left eye, indeterminate stage |
| H40.2231 | Chronic angle-closure glaucoma, bilateral, mild stage |
| H40.2232 | Chronic angle-closure glaucoma, bilateral, moderate stage |
| H40.2233 | Chronic angle-closure glaucoma, bilateral, severe stage |
| H40.2234 | Chronic angle-closure glaucoma, bilateral, indeterminate stage |
| H40.231 | Intermittent angle-closure glaucoma, right eye |
| H40.232 | Intermittent angle-closure glaucoma, left eye |
| H40.233 | Intermittent angle-closure glaucoma, bilateral |
| H40.241 | Residual stage of angle-closure glaucoma, right eye |
| H40.242 | Residual stage of angle-closure glaucoma, left eye |
| H40.243 | Residual stage of angle-closure glaucoma, bilateral |
| H40.31X1 | Glaucoma secondary to eye trauma, right eye, mild stage |
| H40.31X2 | Glaucoma secondary to eye trauma, right eye, moderate stage |
| H40.31X3 | Glaucoma secondary to eye trauma, right eye, severe stage |
| H40.31X4 | Glaucoma secondary to eye trauma, right eye, indeterminate stage |
| H40.32X1 | Glaucoma secondary to eye trauma, left eye, mild stage |
| H40.32X2 | Glaucoma secondary to eye trauma, left eye, moderate stage |
| H40.32X3 | Glaucoma secondary to eye trauma, left eye, severe stage |
| H40.32X4 | Glaucoma secondary to eye trauma, left eye, indeterminate stage |
| H40.33X1 | Glaucoma secondary to eye trauma, bilateral, mild stage |
| H40.33X2 | Glaucoma secondary to eye trauma, bilateral, moderate stage |
| H40.33X3 | Glaucoma secondary to eye trauma, bilateral, severe stage |
| H40.33X4 | Glaucoma secondary to eye trauma, bilateral, indeterminate stage |
| H40.41X1 | Glaucoma secondary to eye inflammation, right eye, mild stage |
| H40.41X2 | Glaucoma secondary to eye inflammation, right eye, moderate stage |
| H40.41X3 | Glaucoma secondary to eye inflammation, right eye, severe stage |
| H40.41X4 | Glaucoma secondary to eye inflammation, right eye, indeterminate stage |
| H40.42X1 | Glaucoma secondary to eye inflammation, left eye, mild stage |
| H40.42X2 | Glaucoma secondary to eye inflammation, left eye, moderate stage |
| H40.42X3 | Glaucoma secondary to eye inflammation, left eye, severe stage |
| H40.42X4 | Glaucoma secondary to eye inflammation, left eye, indeterminate stage |
| H40.43X1 | Glaucoma secondary to eye inflammation, bilateral, mild stage |
| H40.43X2 | Glaucoma secondary to eye inflammation, bilateral, moderate stage |
| H40.43X3 | Glaucoma secondary to eye inflammation, bilateral, severe stage |
| H40.43X4 | Glaucoma secondary to eye inflammation, bilateral, indeterminate stage |
| H40.51X1 | Glaucoma secondary to other eye disorders, right eye, mild stage |
| H40.51X2 | Glaucoma secondary to other eye disorders, right eye, moderate stage |
| H40.51X3 | Glaucoma secondary to other eye disorders, right eye, severe stage |
| H40.51X4 | Glaucoma secondary to other eye disorders, right eye, indeterminate stage |
| H40.52X1 | Glaucoma secondary to other eye disorders, left eye, mild stage |
| H40.52X2 | Glaucoma secondary to other eye disorders, left eye, moderate stage |
| H40.52X3 | Glaucoma secondary to other eye disorders, left eye, severe stage |
| H40.52X4 | Glaucoma secondary to other eye disorders, left eye, indeterminate stage |
| H40.53X1 | Glaucoma secondary to other eye disorders, bilateral, mild stage |
| H40.53X2 | Glaucoma secondary to other eye disorders, bilateral, moderate stage |
| H40.53X3 | Glaucoma secondary to other eye disorders, bilateral, severe stage |
| H40.53X4 | Glaucoma secondary to other eye disorders, bilateral, indeterminate stage |
| H40.61X1 | Glaucoma secondary to drugs, right eye, mild stage |
| H40.61X2 | Glaucoma secondary to drugs, right eye, moderate stage |
| H40.61X3 | Glaucoma secondary to drugs, right eye, severe stage |
| H40.61X4 | Glaucoma secondary to drugs, right eye, indeterminate stage |
| H40.62X1 | Glaucoma secondary to drugs, left eye, mild stage |
| H40.62X2 | Glaucoma secondary to drugs, left eye, moderate stage |
| H40.62X3 | Glaucoma secondary to drugs, left eye, severe stage |
| H40.62X4 | Glaucoma secondary to drugs, left eye, indeterminate stage |
| H40.63X1 | Glaucoma secondary to drugs, bilateral, mild stage |
| H40.63X2 | Glaucoma secondary to drugs, bilateral, moderate stage |
| H40.63X3 | Glaucoma secondary to drugs, bilateral, severe stage |
| H40.63X4 | Glaucoma secondary to drugs, bilateral, indeterminate stage |
| H40.811 | Glaucoma with increased episcleral venous pressure, right eye |
| H40.812 | Glaucoma with increased episcleral venous pressure, left eye |
| H40.813 | Glaucoma with increased episcleral venous pressure, bilateral |
| H40.821 | Hypersecretion glaucoma, right eye |
| H40.822 | Hypersecretion glaucoma, left eye |
| H40.823 | Hypersecretion glaucoma, bilateral |
| H40.831 | Aqueous misdirection, right eye |
| H40.832 | Aqueous misdirection, left eye |
| H40.833 | Aqueous misdirection, bilateral |
| H40.841 | Neovascular secondary angle closure glaucoma, right eye |
| H40.842 | Neovascular secondary angle closure glaucoma, left eye |
| H40.843 | Neovascular secondary angle closure glaucoma, bilateral |
| I77.6 | Arteritis, unspecified |
| J84.111 | Idiopathic interstitial pneumonia, not otherwise specified |
| J84.112 | Idiopathic pulmonary fibrosis |
| J84.113 | Idiopathic non-specific interstitial pneumonitis |
| J84.114 | Acute interstitial pneumonitis |
| J84.115 | Respiratory bronchiolitis interstitial lung disease |
| J84.116 | Cryptogenic organizing pneumonia |
| J84.117 | Desquamative interstitial pneumonia |
| J84.170 | Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere |
| J84.178 | Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere |
| L10.0 | Pemphigus vulgaris |
| L10.1 | Pemphigus vegetans |
| L10.2 | Pemphigus foliaceous |
| L10.3 | Brazilian pemphigus [fogo selvagem] |
| L10.4 | Pemphigus erythematosus |
| L10.5 | Drug-induced pemphigus |
| L10.81 | Paraneoplastic pemphigus |
| L10.89 | Other pemphigus |
| L12.0 | Bullous pemphigoid |
| L12.1 | Cicatricial pemphigoid |
| L12.8 | Other pemphigoid |
| L12.9 | Pemphigoid, unspecified |
| L40.0 | Psoriasis vulgaris |
| L40.1 | Generalized pustular psoriasis |
| L40.2 | Acrodermatitis continua |
| L40.3 | Pustulosis palmaris et plantaris |
| L40.4 | Guttate psoriasis |
| L40.50 | Arthropathic psoriasis, unspecified |
| L40.51 | Distal interphalangeal psoriatic arthropathy |
| L40.52 | Psoriatic arthritis mutilans |
| L40.53 | Psoriatic spondylitis |
| L40.54 | Psoriatic juvenile arthropathy |
| L40.59 | Other psoriatic arthropathy |
| L40.8 | Other psoriasis |
| L40.9 | Psoriasis, unspecified |
| M02.311 | Reiter's disease, right shoulder |
| M02.312 | Reiter's disease, left shoulder |
| M02.321 | Reiter's disease, right elbow |
| M02.322 | Reiter's disease, left elbow |
| M02.331 | Reiter's disease, right wrist |
| M02.332 | Reiter's disease, left wrist |
| M02.341 | Reiter's disease, right hand |
| M02.342 | Reiter's disease, left hand |
| M02.351 | Reiter's disease, right hip |
| M02.352 | Reiter's disease, left hip |
| M02.361 | Reiter's disease, right knee |
| M02.362 | Reiter's disease, left knee |
| M02.371 | Reiter's disease, right ankle and foot |
| M02.372 | Reiter's disease, left ankle and foot |
| M02.38 | Reiter's disease, vertebrae |
| M02.39 | Reiter's disease, multiple sites |
| M05.011 | Felty's syndrome, right shoulder |
| M05.012 | Felty's syndrome, left shoulder |
| M05.021 | Felty's syndrome, right elbow |
| M05.022 | Felty's syndrome, left elbow |
| M05.031 | Felty's syndrome, right wrist |
| M05.032 | Felty's syndrome, left wrist |
| M05.041 | Felty's syndrome, right hand |
| M05.042 | Felty's syndrome, left hand |
| M05.051 | Felty's syndrome, right hip |
| M05.052 | Felty's syndrome, left hip |
| M05.061 | Felty's syndrome, right knee |
| M05.062 | Felty's syndrome, left knee |
| M05.071 | Felty's syndrome, right ankle and foot |
| M05.072 | Felty's syndrome, left ankle and foot |
| M05.09 | Felty's syndrome, multiple sites |
| M05.211 | Rheumatoid vasculitis with rheumatoid arthritis of right shoulder |
| M05.212 | Rheumatoid vasculitis with rheumatoid arthritis of left shoulder |
| M05.221 | Rheumatoid vasculitis with rheumatoid arthritis of right elbow |
| M05.222 | Rheumatoid vasculitis with rheumatoid arthritis of left elbow |
| M05.231 | Rheumatoid vasculitis with rheumatoid arthritis of right wrist |
| M05.232 | Rheumatoid vasculitis with rheumatoid arthritis of left wrist |
| M05.241 | Rheumatoid vasculitis with rheumatoid arthritis of right hand |
| M05.242 | Rheumatoid vasculitis with rheumatoid arthritis of left hand |
| M05.251 | Rheumatoid vasculitis with rheumatoid arthritis of right hip |
| M05.252 | Rheumatoid vasculitis with rheumatoid arthritis of left hip |
| M05.261 | Rheumatoid vasculitis with rheumatoid arthritis of right knee |
| M05.262 | Rheumatoid vasculitis with rheumatoid arthritis of left knee |
| M05.271 | Rheumatoid vasculitis with rheumatoid arthritis of right ankle and foot |
| M05.272 | Rheumatoid vasculitis with rheumatoid arthritis of left ankle and foot |
| M05.29 | Rheumatoid vasculitis with rheumatoid arthritis of multiple sites |
| M05.311 | Rheumatoid heart disease with rheumatoid arthritis of right shoulder |
| M05.312 | Rheumatoid heart disease with rheumatoid arthritis of left shoulder |
| M05.321 | Rheumatoid heart disease with rheumatoid arthritis of right elbow |
| M05.322 | Rheumatoid heart disease with rheumatoid arthritis of left elbow |
| M05.331 | Rheumatoid heart disease with rheumatoid arthritis of right wrist |
| M05.332 | Rheumatoid heart disease with rheumatoid arthritis of left wrist |
| M05.341 | Rheumatoid heart disease with rheumatoid arthritis of right hand |
| M05.342 | Rheumatoid heart disease with rheumatoid arthritis of left hand |
| M05.351 | Rheumatoid heart disease with rheumatoid arthritis of right hip |
| M05.352 | Rheumatoid heart disease with rheumatoid arthritis of left hip |
| M05.361 | Rheumatoid heart disease with rheumatoid arthritis of right knee |
| M05.362 | Rheumatoid heart disease with rheumatoid arthritis of left knee |
| M05.371 | Rheumatoid heart disease with rheumatoid arthritis of right ankle and foot |
| M05.372 | Rheumatoid heart disease with rheumatoid arthritis of left ankle and foot |
| M05.39 | Rheumatoid heart disease with rheumatoid arthritis of multiple sites |
| M05.411 | Rheumatoid myopathy with rheumatoid arthritis of right shoulder |
| M05.412 | Rheumatoid myopathy with rheumatoid arthritis of left shoulder |
| M05.421 | Rheumatoid myopathy with rheumatoid arthritis of right elbow |
| M05.422 | Rheumatoid myopathy with rheumatoid arthritis of left elbow |
| M05.431 | Rheumatoid myopathy with rheumatoid arthritis of right wrist |
| M05.432 | Rheumatoid myopathy with rheumatoid arthritis of left wrist |
| M05.441 | Rheumatoid myopathy with rheumatoid arthritis of right hand |
| M05.442 | Rheumatoid myopathy with rheumatoid arthritis of left hand |
| M05.451 | Rheumatoid myopathy with rheumatoid arthritis of right hip |
| M05.452 | Rheumatoid myopathy with rheumatoid arthritis of left hip |
| M05.461 | Rheumatoid myopathy with rheumatoid arthritis of right knee |
| M05.462 | Rheumatoid myopathy with rheumatoid arthritis of left knee |
| M05.471 | Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot |
| M05.472 | Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot |
| M05.49 | Rheumatoid myopathy with rheumatoid arthritis of multiple sites |
| M05.511 | Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder |
| M05.512 | Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder |
| M05.521 | Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow |
| M05.522 | Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow |
| M05.531 | Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist |
| M05.532 | Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist |
| M05.541 | Rheumatoid polyneuropathy with rheumatoid arthritis of right hand |
| M05.542 | Rheumatoid polyneuropathy with rheumatoid arthritis of left hand |
| M05.551 | Rheumatoid polyneuropathy with rheumatoid arthritis of right hip |
| M05.552 | Rheumatoid polyneuropathy with rheumatoid arthritis of left hip |
| M05.561 | Rheumatoid polyneuropathy with rheumatoid arthritis of right knee |
| M05.562 | Rheumatoid polyneuropathy with rheumatoid arthritis of left knee |
| M05.571 | Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot |
| M05.572 | Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot |
| M05.59 | Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites |
| M05.611 | Rheumatoid arthritis of right shoulder with involvement of other organs and systems |
| M05.612 | Rheumatoid arthritis of left shoulder with involvement of other organs and systems |
| M05.621 | Rheumatoid arthritis of right elbow with involvement of other organs and systems |
| M05.622 | Rheumatoid arthritis of left elbow with involvement of other organs and systems |
| M05.631 | Rheumatoid arthritis of right wrist with involvement of other organs and systems |
| M05.632 | Rheumatoid arthritis of left wrist with involvement of other organs and systems |
| M05.641 | Rheumatoid arthritis of right hand with involvement of other organs and systems |
| M05.642 | Rheumatoid arthritis of left hand with involvement of other organs and systems |
| M05.651 | Rheumatoid arthritis of right hip with involvement of other organs and systems |
| M05.652 | Rheumatoid arthritis of left hip with involvement of other organs and systems |
| M05.661 | Rheumatoid arthritis of right knee with involvement of other organs and systems |
| M05.662 | Rheumatoid arthritis of left knee with involvement of other organs and systems |
| M05.671 | Rheumatoid arthritis of right ankle and foot with involvement of other organs and systems |
| M05.672 | Rheumatoid arthritis of left ankle and foot with involvement of other organs and systems |
| M05.69 | Rheumatoid arthritis of multiple sites with involvement of other organs and systems |
| M05.711 | Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement |
| M05.712 | Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement |
| M05.721 | Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement |
| M05.722 | Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement |
| M05.731 | Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement |
| M05.732 | Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement |
| M05.741 | Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement |
| M05.742 | Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement |
| M05.751 | Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement |
| M05.752 | Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement |
| M05.761 | Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement |
| M05.762 | Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement |
| M05.771 | Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement |
| M05.772 | Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement |
| M05.79 | Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement |
| M05.7A | Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement |
| M05.811 | Other rheumatoid arthritis with rheumatoid factor of right shoulder |
| M05.812 | Other rheumatoid arthritis with rheumatoid factor of left shoulder |
| M05.821 | Other rheumatoid arthritis with rheumatoid factor of right elbow |
| M05.822 | Other rheumatoid arthritis with rheumatoid factor of left elbow |
| M05.831 | Other rheumatoid arthritis with rheumatoid factor of right wrist |
| M05.832 | Other rheumatoid arthritis with rheumatoid factor of left wrist |
| M05.841 | Other rheumatoid arthritis with rheumatoid factor of right hand |
| M05.842 | Other rheumatoid arthritis with rheumatoid factor of left hand |
| M05.851 | Other rheumatoid arthritis with rheumatoid factor of right hip |
| M05.852 | Other rheumatoid arthritis with rheumatoid factor of left hip |
| M05.861 | Other rheumatoid arthritis with rheumatoid factor of right knee |
| M05.862 | Other rheumatoid arthritis with rheumatoid factor of left knee |
| M05.871 | Other rheumatoid arthritis with rheumatoid factor of right ankle and foot |
| M05.872 | Other rheumatoid arthritis with rheumatoid factor of left ankle and foot |
| M05.89 | Other rheumatoid arthritis with rheumatoid factor of multiple sites |
| M05.8A | Other rheumatoid arthritis with rheumatoid factor of other specified site |
| M06.011 | Rheumatoid arthritis without rheumatoid factor, right shoulder |
| M06.012 | Rheumatoid arthritis without rheumatoid factor, left shoulder |
| M06.021 | Rheumatoid arthritis without rheumatoid factor, right elbow |
| M06.022 | Rheumatoid arthritis without rheumatoid factor, left elbow |
| M06.031 | Rheumatoid arthritis without rheumatoid factor, right wrist |
| M06.032 | Rheumatoid arthritis without rheumatoid factor, left wrist |
| M06.041 | Rheumatoid arthritis without rheumatoid factor, right hand |
| M06.042 | Rheumatoid arthritis without rheumatoid factor, left hand |
| M06.051 | Rheumatoid arthritis without rheumatoid factor, right hip |
| M06.052 | Rheumatoid arthritis without rheumatoid factor, left hip |
| M06.061 | Rheumatoid arthritis without rheumatoid factor, right knee |
| M06.062 | Rheumatoid arthritis without rheumatoid factor, left knee |
| M06.071 | Rheumatoid arthritis without rheumatoid factor, right ankle and foot |
| M06.072 | Rheumatoid arthritis without rheumatoid factor, left ankle and foot |
| M06.08 | Rheumatoid arthritis without rheumatoid factor, vertebrae |
| M06.09 | Rheumatoid arthritis without rheumatoid factor, multiple sites |
| M06.0A | Rheumatoid arthritis without rheumatoid factor, other specified site |
| M06.1 | Adult-onset Still's disease |
| M06.211 | Rheumatoid bursitis, right shoulder |
| M06.212 | Rheumatoid bursitis, left shoulder |
| M06.221 | Rheumatoid bursitis, right elbow |
| M06.222 | Rheumatoid bursitis, left elbow |
| M06.231 | Rheumatoid bursitis, right wrist |
| M06.232 | Rheumatoid bursitis, left wrist |
| M06.241 | Rheumatoid bursitis, right hand |
| M06.242 | Rheumatoid bursitis, left hand |
| M06.251 | Rheumatoid bursitis, right hip |
| M06.252 | Rheumatoid bursitis, left hip |
| M06.261 | Rheumatoid bursitis, right knee |
| M06.262 | Rheumatoid bursitis, left knee |
| M06.271 | Rheumatoid bursitis, right ankle and foot |
| M06.272 | Rheumatoid bursitis, left ankle and foot |
| M06.28 | Rheumatoid bursitis, vertebrae |
| M06.29 | Rheumatoid bursitis, multiple sites |
| M06.311 | Rheumatoid nodule, right shoulder |
| M06.312 | Rheumatoid nodule, left shoulder |
| M06.321 | Rheumatoid nodule, right elbow |
| M06.322 | Rheumatoid nodule, left elbow |
| M06.331 | Rheumatoid nodule, right wrist |
| M06.332 | Rheumatoid nodule, left wrist |
| M06.341 | Rheumatoid nodule, right hand |
| M06.342 | Rheumatoid nodule, left hand |
| M06.351 | Rheumatoid nodule, right hip |
| M06.352 | Rheumatoid nodule, left hip |
| M06.361 | Rheumatoid nodule, right knee |
| M06.362 | Rheumatoid nodule, left knee |
| M06.371 | Rheumatoid nodule, right ankle and foot |
| M06.372 | Rheumatoid nodule, left ankle and foot |
| M06.38 | Rheumatoid nodule, vertebrae |
| M06.39 | Rheumatoid nodule, multiple sites |
| M06.4 | Inflammatory polyarthropathy |
| M06.811 | Other specified rheumatoid arthritis, right shoulder |
| M06.812 | Other specified rheumatoid arthritis, left shoulder |
| M06.821 | Other specified rheumatoid arthritis, right elbow |
| M06.822 | Other specified rheumatoid arthritis, left elbow |
| M06.831 | Other specified rheumatoid arthritis, right wrist |
| M06.832 | Other specified rheumatoid arthritis, left wrist |
Showing the first 400 of 564 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 J9260?
Medicare coverage policies (LCDs/NCDs and Billing & Coding articles) list 564 ICD-10 diagnosis codes that support medical necessity for CPT J9260. 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 J9260 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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