2024 ICD-10-CM Diagnosis Code R22.43

Localized swelling, mass and lump, lower limb, bilateral

ICD-10-CM Code:: R22.43
ICD-10 Code for:: Localized swelling, mass and lump, lower limb, bilateral
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
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)

R22.43 is a billable diagnosis code used to specify a medical diagnosis of localized swelling, mass and lump, lower limb, bilateral. 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:

Bilateral localized swelling of feet
Bilateral localized swelling of lower legs
Bilateral localized swelling of lower limbs
Bilateral localized swelling of toe of feet
Bilateral lower limb soft tissue mass
Bilateral mass of skin of feet
Bilateral mass of skin of lower legs
Bilateral mass of skin of lower limbs
Bilateral mass of skin of toe of feet
Bilateral mass of subcutaneous tissue of toe of feet
Bilateral nodule of subcutaneous tissue of feet
Bilateral nodule of subcutaneous tissue of lower legs
Bilateral nodule of subcutaneous tissue of toe of feet
Localized swelling of left foot
Localized swelling of left foot
Localized swelling of left lower leg
Localized swelling of left lower limb
Localized swelling of left lower limb
Localized swelling of left lower limb
Localized swelling of left lower limb
Localized swelling of right foot
Localized swelling of right foot
Localized swelling of right lower leg
Localized swelling of right lower limb
Localized swelling of right lower limb
Localized swelling of right lower limb
Localized swelling of right lower limb
Localized swelling of toe of left foot
Localized swelling of toe of right foot
Mass of skin of left lower leg
Mass of skin of left lower leg
Mass of skin of right lower leg
Mass of skin of right lower leg
Mass of skin of toe of left foot
Mass of skin of toe of left foot
Mass of skin of toe of right foot
Mass of skin of toe of right foot
Mass of subcutaneous tissue of bilateral feet
Mass of subcutaneous tissue of bilateral lower legs
Mass of subcutaneous tissue of bilateral lower limbs
Mass of subcutaneous tissue of left foot
Mass of subcutaneous tissue of left foot
Mass of subcutaneous tissue of left foot
Mass of subcutaneous tissue of left foot
Mass of subcutaneous tissue of left lower leg
Mass of subcutaneous tissue of left lower leg
Mass of subcutaneous tissue of right foot
Mass of subcutaneous tissue of right foot
Mass of subcutaneous tissue of right foot
Mass of subcutaneous tissue of right foot
Mass of subcutaneous tissue of right lower leg
Mass of subcutaneous tissue of right lower leg
Mass of subcutaneous tissue of toe of left foot
Mass of subcutaneous tissue of toe of left foot
Mass of subcutaneous tissue of toe of right foot
Mass of subcutaneous tissue of toe of right foot
Nodule of skin of bilateral feet
Nodule of skin of bilateral lower legs
Nodule of skin of bilateral lower limbs
Nodule of skin of foot
Nodule of skin of left foot
Nodule of skin of left lower limb
Nodule of skin of left toe
Nodule of skin of right foot
Nodule of skin of right lower limb
Nodule of skin of right toe
Nodule of skin of toe of bilateral feet
Nodule of skin of toe of left foot
Nodule of skin of toe of right foot
Nodule of subcutaneous tissue of bilateral lower limbs
Nodule of subcutaneous tissue of foot
Nodule of subcutaneous tissue of foot
Nodule of subcutaneous tissue of left foot
Nodule of subcutaneous tissue of left foot
Nodule of subcutaneous tissue of left lower leg
Nodule of subcutaneous tissue of left lower limb
Nodule of subcutaneous tissue of left lower limb
Nodule of subcutaneous tissue of left lower limb
Nodule of subcutaneous tissue of left lower limb
Nodule of subcutaneous tissue of right foot
Nodule of subcutaneous tissue of right foot
Nodule of subcutaneous tissue of right lower leg
Nodule of subcutaneous tissue of right lower limb
Nodule of subcutaneous tissue of right lower limb
Nodule of subcutaneous tissue of right lower limb
Nodule of subcutaneous tissue of right lower limb
Nodule of subcutaneous tissue of toe of left foot
Nodule of subcutaneous tissue of toe of right foot
Nodule on toe
Swelling of bilateral feet
Swelling of bilateral feet
Swelling of bilateral lower limbs
Swelling of bilateral lower limbs
Swelling of bilateral lower limbs
Swelling of bilateral lower limbs
Swelling of left foot
Swelling of left foot
Swelling of lower leg
Swelling of right foot
Swelling of right foot
Swelling of toe of bilateral feet
Swelling of toe of left foot
Swelling of toe of right foot

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.

R22.43 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 R22.43 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.

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.