2024 ICD-10-CM Diagnosis Code R22.0

Localized swelling, mass and lump, head

ICD-10-CM Code:: R22.0
ICD-10 Code for:: Localized swelling, mass and lump, head
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
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Table of Contents

Code Information
Approximate Synonyms
Clinical Classification
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00–R99)
- Symptoms and signs involving the skin and subcutaneous tissue
  (R20-R23)
  - Localized swelling, mass and lump of skin and subcutaneous tissue
    (R22)

R22.0 is a billable diagnosis code used to specify a medical diagnosis of localized swelling, mass and lump, head. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Cyst of face
Facial swelling
Finding of appearance of nasal mucosa
Finding of appearance of nasal mucosa
Head and neck swelling
Hypothalamic mass
Intracranial mass
Localized orbital swelling
Localized swelling of head
Lump on face
Mass in pinna
Mass lesion of brain
Mass of ear structure
Mass of hard palate
Mass of head
Mass of head and/or neck
Mass of lip
Mass of nasal sinus
Mass of nose
Mass of oral cavity
Mass of palate
Mass of parietal bone of skull
Mass of petrous part of temporal bone
Mass of postauricular region
Mass of preauricular region
Mass of scalp
Mass of skin of head
Mass of tongue
Mucous membrane swelling
Mucous membrane swelling
Nasal dermoid
Nasal mucosa boggy
Nodule of nasal cavity
Nodule of skin of head
Nodule of skin of nose
Nodule of soft palate
Nodule of subcutaneous tissue of head
Nodule of suprahyoid region
Pituitary mass
Subcutaneous mass of head
Swelling around eyes
Swelling of eyelid
Swelling of head
Swelling of lower jaw region
Swelling of structure of bilateral eyes
Swelling of structure of eye
Swelling of structure of left eye
Swelling of structure of right eye
Swelling over mastoid
Swollen nasal mucosa
Swollen nose
Tongue swelling

Clinical Classification

Clinical Category is Skin/Subcutaneous signs and symptoms
CCSR Category Code: SYM014
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Mass
- - head - R22.0
- - localized (skin) - R22.9
  - - head - R22.0

- Swelling (of) - R60.9
- - head (localized) - R22.0
- - localized (skin) - R22.9
  - - head - R22.0

R22.0 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
606	MINOR SKIN DISORDERS WITH MCC	09	1.5858
607	MINOR SKIN DISORDERS WITHOUT MCC	09	0.8935

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert R22.0 to ICD-9-CM

ICD-9-CM Code: 782.2 - Local suprficial swellng
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
ICD-9-CM Code: 784.2 - Swelling in head & neck
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.