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ICD-10 Guide
ICD-10 CodesD22.112

D22.112

Billable

Melanocytic nevi of right lower eyelid, including canthus

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

Code Description

ICD-10 D22.112 is a billable code used to indicate a diagnosis of melanocytic nevi of right lower eyelid, including canthus.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors of melanocytes, the cells responsible for producing melanin in the skin. When located on the right lower eyelid, including the canthus, these nevi can present as pigmented lesions that may vary in size, shape, and color. While most melanocytic nevi are benign and do not require treatment, they can sometimes be mistaken for malignant lesions, necessitating careful evaluation. Clinicians typically assess these nevi through visual inspection and may utilize dermatoscopy for enhanced visualization. In cases where there is concern for atypical features or changes in the nevus, a biopsy may be performed to rule out melanoma. Management often involves monitoring for changes, and surgical excision may be indicated if the nevus becomes symptomatic or shows signs of malignancy. Follow-up care is essential to ensure that any changes in the nevus are promptly addressed, and patient education regarding skin monitoring is crucial.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Specificity of the location (right lower eyelid)
  • Benign nature of the condition
  • Clear diagnostic criteria for melanocytic nevi
  • Standard management protocols

Audit Risk Factors

  • Misclassification of benign nevi as malignant
  • Inadequate documentation of the lesion's characteristics
  • Failure to document follow-up care
  • Incorrect coding of excision procedures

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

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

Common Clinical Scenarios

Routine skin checks, evaluation of changing moles, and excision of suspicious lesions.

Billing Considerations

Ensure thorough documentation of the lesion's characteristics and any patient concerns.

Ophthalmology

Documentation Requirements

Visual acuity tests, assessment of eyelid function, and any associated symptoms.

Common Clinical Scenarios

Evaluation of eyelid lesions, management of cosmetic concerns, and surgical interventions.

Billing Considerations

Document any impact on vision or eyelid function.

Coding Guidelines

Inclusion Criteria

Use D22.112 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the location and characteristics of the nevus
  • Include any relevant patient history and management plans

Exclusion Criteria

Do NOT use D22.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when excising a melanocytic nevus on the right lower eyelid.

Documentation Requirements

Document the size of the lesion and the method of excision.

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 patient records and facilitating better management of benign skin lesions.

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 management of benign skin lesions.

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 management of benign skin lesions.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the difference between a melanocytic nevus and melanoma?

A melanocytic nevus is a benign growth of melanocytes, while melanoma is a malignant tumor that can arise from melanocytes. Melanocytic nevi are typically stable and asymptomatic, whereas melanoma may show changes in size, shape, or color and can be life-threatening.