Caduvo Blog HCPCS codes Medicare HCPCS codes by ICD-10 diagnosis 10,801 ICD-10-CM diagnoses with the HCPCS Level II codes whose Medicare billing and coding articles list them as covered diagnoses, the DMEPOS fee schedule amounts for those codes and the policy articles themselves. A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Diagnoses by ICD-10-CM chapter Chapter 1: Certain infectious and parasitic diseases (A00–B99, 273 diagnoses)Chapter 2: Neoplasms (C00–D49, 1,469 diagnoses)Chapter 3: Diseases of the blood and immune mechanism (D50–D89, 135 diagnoses)Chapter 4: Endocrine, nutritional and metabolic diseases (E00–E89, 504 diagnoses)Chapter 5: Mental, behavioral and neurodevelopmental disorders (F01–F99, 856 diagnoses)Chapter 6: Diseases of the nervous system (G00–G99, 502 diagnoses)Chapter 7: Diseases of the eye and adnexa (H00–H59, 227 diagnoses)Chapter 8: Diseases of the ear and mastoid process (H60–H95, 23 diagnoses)Chapter 9: Diseases of the circulatory system (I00–I99, 1,065 diagnoses)Chapter 10: Diseases of the respiratory system (J00–J99, 184 diagnoses)Chapter 11: Diseases of the digestive system (K00–K95, 176 diagnoses)Chapter 12: Diseases of the skin and subcutaneous tissue (L00–L99, 396 diagnoses)Chapter 13: Diseases of the musculoskeletal system and connective tissue (M00–M99, 1,648 diagnoses)Chapter 14: Diseases of the genitourinary system (N00–N99, 78 diagnoses)Chapter 15: Pregnancy, childbirth and the puerperium (O00–O9A, 30 diagnoses)Chapter 16: Certain conditions originating in the perinatal period (P00–P96, 1 diagnoses)Chapter 17: Congenital malformations and chromosomal abnormalities (Q00–Q99, 141 diagnoses)Chapter 18: Symptoms, signs and abnormal findings (R00–R99, 245 diagnoses)Chapter 19: Injury, poisoning and other consequences of external causes (S00–T88, 2,626 diagnoses)Chapter 20: Codes for special purposes (U00–U85, 2 diagnoses)Chapter 21: External causes of morbidity (V00–Y99, 3 diagnoses)Chapter 22: Factors influencing health status and contact with health services (Z00–Z99, 217 diagnoses)Diagnoses listed by the most policies G35.A — Relapsing-remitting multiple sclerosis (39 articles, 125 HCPCS codes)G35.C1 — Active secondary progressive multiple sclerosis (35 articles, 117 HCPCS codes)G35.B1 — Active primary progressive multiple sclerosis (34 articles, 116 HCPCS codes)G35.B2 — Non-active primary progressive multiple sclerosis (34 articles, 116 HCPCS codes)G35.C2 — Non-active secondary progressive multiple sclerosis (34 articles, 116 HCPCS codes)C79.31 — Secondary malignant neoplasm of brain (26 articles, 122 HCPCS codes)G35.B0 — Primary progressive multiple sclerosis, unspecified (26 articles, 102 HCPCS codes)G35.C0 — Secondary progressive multiple sclerosis, unspecified (26 articles, 102 HCPCS codes)M54.2 — Cervicalgia (25 articles, 35 HCPCS codes)B20 — Human immunodeficiency virus [HIV] disease (24 articles, 128 HCPCS codes)C79.32 — Secondary malignant neoplasm of cerebral meninges (24 articles, 103 HCPCS codes)C79.49 — Secondary malignant neoplasm of other parts of nervous system (24 articles, 103 HCPCS codes)C50.211 — Malignant neoplasm of upper-inner quadrant of right female breast (23 articles, 125 HCPCS codes)C50.212 — Malignant neoplasm of upper-inner quadrant of left female breast (23 articles, 125 HCPCS codes)C70.0 — Malignant neoplasm of cerebral meninges (23 articles, 101 HCPCS codes)E11.52 — Type 2 diabetes mellitus with diabetic peripheral angiopathy with… (23 articles, 156 HCPCS codes)Z94.1 — Heart transplant status (23 articles, 70 HCPCS codes)C50.011 — Malignant neoplasm of nipple and areola, right female breast (22 articles, 123 HCPCS codes)C50.012 — Malignant neoplasm of nipple and areola, left female breast (22 articles, 123 HCPCS codes)C50.111 — Malignant neoplasm of central portion of right female breast (22 articles, 123 HCPCS codes)C50.112 — Malignant neoplasm of central portion of left female breast (22 articles, 123 HCPCS codes)C50.311 — Malignant neoplasm of lower-inner quadrant of right female breast (22 articles, 123 HCPCS codes)C50.312 — Malignant neoplasm of lower-inner quadrant of left female breast (22 articles, 123 HCPCS codes)C50.411 — Malignant neoplasm of upper-outer quadrant of right female breast (22 articles, 123 HCPCS codes)HCPCS code lookup
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