2022 ICD-10-CM Code D22

Melanocytic nevi

Version 2021

Not Valid for Submission

ICD-10:D22
Short Description:Melanocytic nevi
Long Description:Melanocytic nevi

Code Classification

  • Neoplasms (C00–D48)
    • Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
      • Melanocytic nevi (D22)

D22 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of melanocytic nevi. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Melanocytic nevi

Non-specific codes like D22 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for melanocytic nevi:

  • BILLABLE CODE - Use D22.0 for Melanocytic nevi of lip
  • NON-BILLABLE CODE - D22.1 for Melanocytic nevi of eyelid, including canthus
  • BILLABLE CODE - Use D22.10 for Melanocytic nevi of unspecified eyelid, including canthus
  • NON-BILLABLE CODE - D22.11 for Melanocytic nevi of right eyelid, including canthus
  • NON-BILLABLE CODE - D22.12 for Melanocytic nevi of left eyelid, including canthus
  • NON-BILLABLE CODE - D22.2 for Melanocytic nevi of ear and external auricular canal
  • BILLABLE CODE - Use D22.20 for Melanocytic nevi of unspecified ear and external auricular canal
  • BILLABLE CODE - Use D22.21 for Melanocytic nevi of right ear and external auricular canal
  • BILLABLE CODE - Use D22.22 for Melanocytic nevi of left ear and external auricular canal
  • NON-BILLABLE CODE - D22.3 for Melanocytic nevi of other and unspecified parts of face
  • BILLABLE CODE - Use D22.30 for Melanocytic nevi of unspecified part of face
  • BILLABLE CODE - Use D22.39 for Melanocytic nevi of other parts of face
  • BILLABLE CODE - Use D22.4 for Melanocytic nevi of scalp and neck
  • BILLABLE CODE - Use D22.5 for Melanocytic nevi of trunk
  • NON-BILLABLE CODE - D22.6 for Melanocytic nevi of upper limb, including shoulder
  • BILLABLE CODE - Use D22.60 for Melanocytic nevi of unspecified upper limb, including shoulder
  • BILLABLE CODE - Use D22.61 for Melanocytic nevi of right upper limb, including shoulder
  • BILLABLE CODE - Use D22.62 for Melanocytic nevi of left upper limb, including shoulder
  • NON-BILLABLE CODE - D22.7 for Melanocytic nevi of lower limb, including hip
  • BILLABLE CODE - Use D22.70 for Melanocytic nevi of unspecified lower limb, including hip
  • BILLABLE CODE - Use D22.71 for Melanocytic nevi of right lower limb, including hip
  • BILLABLE CODE - Use D22.72 for Melanocytic nevi of left lower limb, including hip
  • BILLABLE CODE - Use D22.9 for Melanocytic nevi, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D22:


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Clinical Information

Information for Patients


Birthmarks

Birthmarks are abnormalities of the skin that are present when a baby is born. There are two types of birthmarks. Vascular birthmarks are made up of blood vessels that haven't formed correctly. They are usually red. Two types of vascular birthmarks are hemangiomas and port-wine stains. Pigmented birthmarks are made of a cluster of pigment cells which cause color in skin. They can be many different colors, from tan to brown, gray to black, or even blue. Moles can be birthmarks.

No one knows what causes many types of birthmarks, but some run in families. Your baby's doctor will look at the birthmark to see if it needs any treatment or if it should be watched. Pigmented birthmarks aren't usually treated, except for moles. Treatment for vascular birthmarks includes laser surgery.

Most birthmarks are not serious, and some go away on their own. Some stay the same or get worse as you get older. Usually birthmarks are only a concern for your appearance. But certain types can increase your risk of skin cancer. If your birthmark bleeds, hurts, itches, or becomes infected, call your health care provider.


[Learn More in MedlinePlus]

Moles

Moles are growths on the skin. They happen when pigment cells in the skin, called melanocytes, grow in clusters. Moles are very common. Most people have between 10 and 40 moles. A person may develop new moles from time to time, usually until about age 40. In older people, they tend to fade away.

Moles are usually pink, tan or brown. They can be flat or raised. They are usually round or oval and no larger than a pencil eraser.

About one out of every ten people has at least one unusual (or atypical) mole that looks different from an ordinary mole. They are called dysplastic nevi. They may be more likely than ordinary moles to develop into melanoma, a type of skin cancer. You should have a health care professional check your moles if they look unusual, grow larger, change in color or outline, or in any other way.

NIH: National Cancer Institute


[Learn More in MedlinePlus]

Giant congenital melanocytic nevus

Giant congenital melanocytic nevus is a skin condition characterized by an abnormally dark, noncancerous skin patch (nevus) that is composed of pigment-producing cells called melanocytes. It is present from birth (congenital) or is noticeable soon after birth. The nevus may be small in infants, but it will usually grow at the same rate the body grows and will eventually be at least 40 cm (15.75 inches) across. The nevus can appear anywhere on the body, but it is more often found on the trunk or limbs. The color ranges from tan to black and can become darker or lighter over time. The surface of a nevus can be flat, rough, raised, thickened, or bumpy; the surface can vary in different regions of the nevus, and it can change over time. The skin of the nevus is often dry and prone to irritation and itching (dermatitis). Excessive hair growth (hypertrichosis) can occur within the nevus. There is often less fat tissue under the skin of the nevus; the skin may appear thinner there than over other areas of the body.

People with giant congenital melanocytic nevus may have more than one nevus (plural: nevi). The other nevi are often smaller than the giant nevus. Affected individuals may have one or two additional nevi or multiple small nevi that are scattered over the skin; these are known as satellite or disseminated nevi.

Affected individuals may feel anxiety or emotional stress due to the impact the nevus may have on their appearance and their health. Children with giant congenital melanocytic nevus can develop emotional or behavior problems.

Some people with giant congenital melanocytic nevus develop a condition called neurocutaneous melanosis, which is the presence of pigment-producing skin cells (melanocytes) in the tissue that covers the brain and spinal cord. These melanocytes may be spread out or grouped together in clusters. Their growth can cause increased pressure in the brain, leading to headache, vomiting, irritability, seizures, and movement problems. Tumors in the brain may also develop.

Individuals with giant congenital melanocytic nevus have an increased risk of developing an aggressive form of skin cancer called melanoma, which arises from melanocytes. Estimates vary, but it is generally thought that people with giant congenital melanocytic nevus have a 5 to 10 percent lifetime risk of developing melanoma. Melanoma commonly begins in the nevus, but it can develop when melanocytes that invade other tissues, such as those in the brain and spinal cord, become cancerous. When melanoma occurs in people with giant congenital melanocytic nevus, the survival rate is low.

Other types of tumors can also develop in individuals with giant congenital melanocytic nevus, including soft tissue tumors (sarcomas), fatty tumors (lipomas), and tumors of the nerve cells (schwannomas).


[Learn More in MedlinePlus]

Common Moles, Dysplastic Nevi, and Risk of Melanoma Learn about moles and how some moles may be related to melanoma, the most serious type of skin cancer. See photos of differences between moles and cancer.
[Learn More in MedlinePlus]

Code History

  • 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 (First year ICD-10-CM implemented into the HIPAA code set)