Congenital non-neoplastic nevus
ICD-10 Q82.5 is a billable code used to indicate a diagnosis of congenital non-neoplastic nevus.
Congenital non-neoplastic nevi are benign skin lesions that are present at birth or develop shortly thereafter. These nevi can vary in size, shape, and color, and they may be flat or raised. They are typically composed of an abnormal proliferation of melanocytes, which are the cells responsible for pigment production in the skin. While most congenital nevi are harmless, larger lesions may carry a risk of malignant transformation, particularly if they exceed a certain size. Clinical evaluation often involves monitoring for changes in size, color, or texture, which may indicate the need for further investigation or intervention. In pediatric patients, these lesions can be a source of parental concern, necessitating thorough counseling and education regarding their benign nature and management options. Documentation should include the size, location, and characteristics of the nevus, as well as any associated symptoms or changes over time.
Pediatric documentation should include detailed descriptions of the nevus, including size, location, and any changes observed over time. Family history and parental concerns should also be documented.
Common scenarios include routine monitoring of congenital nevi during well-child visits and referrals for surgical evaluation if changes are noted.
Considerations include the psychological impact on families and the importance of educating parents about the benign nature of most congenital nevi.
Genetic documentation may include family history of skin lesions, syndromic associations, and any genetic testing results that may relate to the nevus.
Scenarios may involve genetic counseling for families with multiple congenital nevi or those with syndromic presentations.
Considerations include the potential for genetic syndromes associated with multiple nevi, such as neurocutaneous syndromes.
Used when a congenital nevus is excised for cosmetic or medical reasons.
Documentation should include the reason for excision and details of the nevus.
Pediatric considerations include the impact of the lesion on the child's quality of life.
Congenital nevi are present at birth or develop shortly thereafter, while acquired nevi develop later in life. Accurate coding requires clear documentation to differentiate between the two.
