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v1.0.0
ICD-10 Guide
ICD-10 CodesD22.0

D22.0

Billable

Melanocytic nevi of lip

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D22.0 is a billable code used to indicate a diagnosis of melanocytic nevi of lip.

Key Diagnostic Point:

Melanocytic nevi, commonly referred to as moles, are benign tumors of melanocytes, the cells responsible for pigment production in the skin. When located on the lip, these nevi can present as small, pigmented lesions that may vary in color from brown to black. They are typically asymptomatic and can be flat or raised. Melanocytic nevi of the lip are generally considered benign and do not pose a significant health risk; however, they can be cosmetically concerning for some patients. Diagnosis is usually made through clinical examination, and in some cases, a biopsy may be performed to rule out malignancy, especially if there are changes in size, shape, or color. Management often involves monitoring for changes, and if desired for cosmetic reasons, surgical excision may be performed. Follow-up is typically recommended to ensure no changes occur in the nevi, which could indicate potential malignancy. Education on sun protection and skin monitoring is also essential for patients with melanocytic nevi.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear diagnostic criteria for benign nevi
  • Well-defined anatomical location
  • Limited need for extensive documentation
  • Low likelihood of complications or comorbidities

Audit Risk Factors

  • Inadequate documentation of the benign nature of the nevi
  • Failure to document patient education regarding monitoring
  • Lack of follow-up notes post-excision
  • Misclassification of nevi as malignant

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed description of the lesion, including size, color, and any changes over time.

Common Clinical Scenarios

Routine skin checks, excision of nevi for cosmetic reasons, or biopsy for atypical lesions.

Billing Considerations

Ensure clear documentation of the benign nature and any patient concerns addressed.

Plastic Surgery

Documentation Requirements

Surgical notes detailing the excision procedure, margins, and histopathology results if applicable.

Common Clinical Scenarios

Reconstructive procedures following excision of nevi, especially in cosmetically sensitive areas.

Billing Considerations

Document the rationale for excision and any patient preferences regarding cosmetic outcomes.

Coding Guidelines

Inclusion Criteria

Use D22.0 When
  • According to ICD
  • 10 guidelines, D22
  • 0 is used for benign melanocytic nevi located specifically on the lip
  • It is important to ensure that the diagnosis is confirmed as benign and that any excision or treatment is documented appropriately

Exclusion Criteria

Do NOT use D22.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when a benign melanocytic nevus on the lip is excised.

Documentation Requirements

Surgical notes detailing the procedure, including size and location of the lesion.

Specialty Considerations

Ensure that the excision is documented as cosmetic or medically necessary.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like melanocytic nevi, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like melanocytic nevi, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a melanocytic nevus and a malignant melanoma?

A melanocytic nevus is a benign growth of melanocytes, while malignant melanoma is a cancerous growth that can spread to other parts of the body. Nevi are typically stable in size and color, whereas melanomas often exhibit changes in appearance.