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ICD-10 Guide
ICD-10 CodesD22.22

D22.22

Billable

Melanocytic nevi of left ear and external auricular canal

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

Code Description

ICD-10 D22.22 is a billable code used to indicate a diagnosis of melanocytic nevi of left ear and external auricular canal.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors of melanocytes, the cells responsible for pigment production in the skin. When located on the left ear and external auricular canal, these nevi can vary in appearance, size, and number. They are typically asymptomatic but may occasionally become irritated or inflamed due to friction or trauma. Melanocytic nevi are generally considered benign; however, monitoring is essential to detect any changes that could indicate malignant transformation. Diagnosis is primarily clinical, often confirmed through dermatoscopic examination. In some cases, a biopsy may be warranted if there are atypical features. Management usually involves observation, but excision may be recommended for symptomatic nevi or those with suspicious characteristics. Follow-up care is crucial to ensure that any changes in the nevi are promptly addressed, and patients should be educated about self-examination techniques to monitor for changes in size, shape, or color.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Specificity of the anatomical location (left ear and external auricular canal)
  • Benign nature of the nevi, reducing complexity in coding
  • Limited differential diagnoses for melanocytic nevi
  • Clear documentation requirements for benign neoplasms

Audit Risk Factors

  • Inadequate documentation of the nevi's characteristics
  • Failure to document the location accurately
  • Lack of follow-up notes on changes in the nevi
  • Improper coding of related procedures or treatments

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

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

Common Clinical Scenarios

Routine skin examinations, monitoring of existing nevi, and excision of symptomatic nevi.

Billing Considerations

Ensure clear documentation of benign versus malignant characteristics to avoid misclassification.

Otolaryngology

Documentation Requirements

Documentation of any auditory symptoms or complications related to nevi in the external auricular canal.

Common Clinical Scenarios

Evaluation of ear lesions during routine check-ups or in response to patient complaints.

Billing Considerations

Consideration of the impact of nevi on hearing or ear canal function.

Coding Guidelines

Inclusion Criteria

Use D22.22 When
  • Follow the official ICD
  • CM guidelines for coding neoplasms, ensuring accurate documentation of the benign nature and specific location of the nevi
  • Include any relevant patient history and clinical findings

Exclusion Criteria

Do NOT use D22.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when excising a symptomatic nevus on the left ear.

Documentation Requirements

Document the size, location, and reason for excision.

Specialty Considerations

Dermatologists should ensure clear documentation of the benign nature.

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 billing.

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 billing.

Reimbursement & Billing Impact

billing.

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 melanoma?

A melanocytic nevus is a benign growth of melanocytes, while melanoma is a malignant tumor that can arise from nevi or de novo. Melanomas typically exhibit irregular borders, varied colors, and changes in size.