Does This Diagnosis Support This Code Under the LCD?
Whether a diagnosis supports a HCPCS or CPT code under the Medicare billing and coding articles for a state.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- HCPCS or CPT code
- 29877
- ICD-10-CM diagnosis codes, separated by commas
- M17.11
- State where the service is furnished
- NY
Result: At least one article does not accept these diagnoses for 29877 in NY.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- HCPCS or CPT code
- ICD-10-CM diagnosis codes, separated by commas
- State where the service is furnished
How this is calculated
Citation
CMS Medicare Coverage Database billing and coding articles (weekly export): each article's code groups and covered and non-covered ICD-10-CM groups, paired by group, for the contractors serving the state. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.