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ICD-10 Guide
ICD-10 CodesD22.7

D22.7

Billable

Melanocytic nevi of lower limb, including hip

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

Code Description

ICD-10 D22.7 is a billable code used to indicate a diagnosis of melanocytic nevi of lower limb, including hip.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors of melanocytes, the cells responsible for pigment production in the skin. The lower limb, including the hip, is a common site for these nevi. They can vary in size, shape, and color, often appearing as small, dark spots on the skin. While most melanocytic nevi are benign and do not require treatment, they can sometimes change in appearance, leading to concerns about potential malignancy. Regular monitoring is essential, especially for patients with multiple nevi or a family history of skin cancer. Management typically involves observation, but if a nevus exhibits atypical features, excisional biopsy may be warranted to rule out melanoma. Follow-up care includes periodic skin examinations to monitor for changes in existing nevi and the development of new lesions. Education on sun protection and skin self-examinations is also crucial for patients with melanocytic nevi.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear clinical definition of the condition
  • Well-established diagnostic criteria
  • Standard management protocols
  • Limited need for extensive documentation

Audit Risk Factors

  • Inconsistent documentation of nevus characteristics
  • Failure to document follow-up plans
  • Inadequate patient education records
  • Misclassification of benign nevi as malignant

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 excisional biopsies.

Billing Considerations

Ensure thorough documentation of any atypical features and patient education on self-monitoring.

Primary Care

Documentation Requirements

Record of skin examinations and patient history regarding skin lesions.

Common Clinical Scenarios

Annual skin checks, referrals to dermatology for suspicious lesions.

Billing Considerations

Document patient concerns and family history of skin cancer.

Coding Guidelines

Inclusion Criteria

Use D22.7 When
  • According to ICD
  • 10 guidelines, D22
  • 7 is used for benign melanocytic nevi located specifically on the lower limb, including the hip
  • It is important to document the exact location and characteristics of the nevus to ensure accurate coding

Exclusion Criteria

Do NOT use D22.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when a nevus is excised for biopsy or removal.

Documentation Requirements

Document the size, location, and reason for excision.

Specialty Considerations

Dermatology may require additional notes on the histopathological findings.

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 melanoma?

A melanocytic nevus is a benign growth of melanocytes, while melanoma is a malignant tumor that arises from these cells. Melanomas typically exhibit irregular borders, varied colors, and changes in size, whereas nevi are usually uniform in appearance.