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ICD-10 Guide
ICD-10 CodesD22.10

D22.10

Billable

Melanocytic nevi of unspecified eyelid, including canthus

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

Code Description

ICD-10 D22.10 is a billable code used to indicate a diagnosis of melanocytic nevi of unspecified eyelid, including canthus.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors that arise from melanocytes, the pigment-producing cells in the skin. When located on the eyelid or canthus, these nevi can vary in appearance, size, and color. They are typically asymptomatic and may be present at birth or develop over time. While most melanocytic nevi are benign, they can occasionally undergo changes that warrant further evaluation to rule out malignancy. The eyelid region is particularly sensitive due to its anatomical structure and function, making careful assessment and management crucial. Treatment options may include observation, surgical excision, or cosmetic procedures, depending on the size, location, and patient preference. Regular follow-up is recommended to monitor for any changes in the nevi, especially if there is a history of atypical moles or skin cancer in the patient’s family. Documentation should include the size, color, and any changes observed in the nevi during follow-up visits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of nevi
  • Need for differentiation from malignant lesions
  • Documentation of changes over time
  • Potential for multiple nevi on the eyelid

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to note changes in size or appearance
  • Misclassification of benign nevi as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the nevi, including size, color, and any changes over time.

Common Clinical Scenarios

Evaluation of new or changing nevi, management of multiple nevi, and cosmetic concerns.

Billing Considerations

Consideration of patient history, family history of skin cancer, and the need for biopsy if changes are noted.

Ophthalmology

Documentation Requirements

Assessment of visual function and any impact of nevi on eyelid function.

Common Clinical Scenarios

Management of nevi affecting eyelid function or appearance, and coordination with dermatology for excision.

Billing Considerations

Understanding the implications of eyelid nevi on ocular health and potential surgical interventions.

Coding Guidelines

Inclusion Criteria

Use D22.10 When
  • According to ICD
  • 10 guidelines, D22
  • 10 should be used when documenting melanocytic nevi located on the eyelid or canthus without further specification
  • It is important to ensure that the documentation supports the diagnosis and that any changes in the nevi are noted

Exclusion Criteria

Do NOT use D22.10 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 is excised from the eyelid.

Documentation Requirements

Document the size, location, and reason for excision.

Specialty Considerations

Dermatology and ophthalmology may both be involved in the excision process.

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 patient records and facilitating better tracking of treatment outcomes.

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 patient records and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like melanocytic nevi, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

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 D22.10 and D22.11?

D22.10 refers to melanocytic nevi of unspecified eyelid, while D22.11 specifies nevi of the right eyelid. Accurate coding depends on the precise location of the nevus.