2026 ICD-10-CM Diagnosis Code R22.33Localized swelling, mass and lump, upper limb, bilateral

ICD-10-CM Codes›R00–R99›R20-R23›R22

ICD-10-CM R22.33
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R22.33 is a billable ICD-10-CM diagnosis code for localized swelling, mass and lump, upper limb, bilateral. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Skin/Subcutaneous signs and symptoms.

Code Identity

ICD-10-CM Code
R22.33
Billable Status
Yes — Valid for Submission
Code Describes
Localized swelling, mass and lump, upper limb, bilateral
Short Description
Localized swelling, mass and lump, upper limb, bilateral
Same as the full description in the CMS dataset.
Parent Code
R22.3
Localized swelling, mass and lump, upper limb

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR20-R23Symptoms and signs involving the skin and subcutaneous tissue
CategoryR22Localized swelling, mass and lump of skin and subcutaneous tissue
This CodeR22.33Localized swelling, mass and lump, upper limb, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral localized swelling of finger of hands
  • Bilateral localized swelling of forearms
  • Bilateral localized swelling of hands
  • Bilateral localized swelling of thumbs
  • Bilateral localized swelling of upper limbs
  • Bilateral mass of axillary regions
  • Bilateral mass of skin of finger of hands
  • Bilateral mass of skin of forearms
  • Bilateral mass of skin of hands
  • Bilateral mass of skin of thumbs
  • Bilateral mass of skin of upper limbs
  • Bilateral mass of soft tissue of upper limbs
  • Bilateral mass of subcutaneous tissue of finger of hands
  • Bilateral mass of subcutaneous tissue of thumbs
  • Bilateral nodule of subcutaneous tissue of thumbs
  • Bilateral swelling of finger of hands
  • Bilateral swelling of upper limbs
  • Localized swelling of finger of left hand
  • Localized swelling of finger of right hand
  • Localized swelling of forearm
  • Localized swelling of left forearm
  • Localized swelling of left hand
  • Localized swelling of left thumb
  • Localized swelling of left upper limb
  • Localized swelling of right forearm
  • Localized swelling of right hand
  • Localized swelling of right thumb
  • Localized swelling of right upper limb
  • Mass of left axillary region
  • Mass of muscle of bilateral upper limbs
  • Mass of muscle of left upper limb
  • Mass of muscle of right upper limb
  • Mass of right axillary region
  • Mass of skin of finger of left hand
  • Mass of skin of finger of right hand
  • Mass of skin of left forearm
  • Mass of skin of left thumb
  • Mass of skin of right forearm
  • Mass of skin of right thumb
  • Mass of subcutaneous tissue of bilateral forearms
  • Mass of subcutaneous tissue of bilateral hands
  • Mass of subcutaneous tissue of bilateral upper limbs
  • Mass of subcutaneous tissue of finger of left hand
  • Mass of subcutaneous tissue of finger of right hand
  • Mass of subcutaneous tissue of left forearm
  • Mass of subcutaneous tissue of left thumb
  • Mass of subcutaneous tissue of right forearm
  • Mass of subcutaneous tissue of right thumb
  • Nodule of skin of bilateral forearms
  • Nodule of skin of bilateral hands
  • Nodule of skin of bilateral thumbs
  • Nodule of skin of bilateral upper limbs
  • Nodule of skin of finger of bilateral hands
  • Nodule of skin of finger of hand
  • Nodule of skin of finger of left hand
  • Nodule of skin of finger of right hand
  • Nodule of skin of forearm
  • Nodule of skin of left forearm
  • Nodule of skin of left hand
  • Nodule of skin of left thumb
  • Nodule of skin of left upper limb
  • Nodule of skin of right forearm
  • Nodule of skin of right hand
  • Nodule of skin of right thumb
  • Nodule of skin of right upper limb
  • Nodule of skin of thumb
  • Nodule of subcutaneous tissue of bilateral forearms
  • Nodule of subcutaneous tissue of bilateral hands
  • Nodule of subcutaneous tissue of bilateral upper limbs
  • Nodule of subcutaneous tissue of finger of bilateral hands
  • Nodule of subcutaneous tissue of finger of hand
  • Nodule of subcutaneous tissue of finger of left hand
  • Nodule of subcutaneous tissue of finger of right hand
  • Nodule of subcutaneous tissue of left forearm
  • Nodule of subcutaneous tissue of left hand
  • Nodule of subcutaneous tissue of left thumb
  • Nodule of subcutaneous tissue of right forearm
  • Nodule of subcutaneous tissue of right hand
  • Nodule of subcutaneous tissue of right thumb
  • Nodule on finger
  • Swelling of finger of left hand
  • Swelling of finger of right hand
  • Swollen thumb

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM014
Skin/Subcutaneous signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert R22.33 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
782.2 Local suprficial swellng
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R22.33Overview

Is R22.33 (Localized swelling, mass and lump, upper limb) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report localized swelling, mass and lump, upper limb, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R22.33 group to?

When localized swelling, mass and lump, upper limb, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, with relative weights from 0.9064 to 1.5132 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R22.33 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the localized swelling, mass and lump, upper limb, bilateral is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R22.33?

Under the General Equivalence Mappings, localized swelling, mass and lump, upper limb, bilateral converts to ICD-9-CM 782.2 (local suprficial swellng). The mapping is approximate, so confirm the match fits the documentation.

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.