Localized swelling, mass and lump of skin and subcutaneous tissue
ICD-10 R22 is a billable code used to indicate a diagnosis of localized swelling, mass and lump of skin and subcutaneous tissue.
R22 is used to classify localized swelling, masses, or lumps that occur in the skin and subcutaneous tissue. These findings can arise from various etiologies, including benign tumors, cysts, infections, or inflammatory processes. The clinical presentation may vary from a small, painless lump to a larger, tender mass, depending on the underlying cause. Common causes include lipomas, sebaceous cysts, abscesses, and dermatofibromas. The diagnosis typically involves a thorough clinical examination, patient history, and may require imaging studies or biopsy for definitive diagnosis. It is essential to document the size, location, and characteristics of the mass, as well as any associated symptoms such as pain, redness, or drainage. Accurate coding is crucial for appropriate treatment and reimbursement, as well as for tracking epidemiological data related to skin and subcutaneous tissue disorders.
Detailed patient history, physical examination findings, and any imaging or lab results.
Patients presenting with a new lump or swelling during a routine check-up or follow-up visit.
Ensure to document any changes in size or symptoms over time.
Acute care documentation including vital signs, immediate assessment findings, and any interventions performed.
Patients presenting with acute swelling due to trauma, infection, or allergic reaction.
Document the urgency of the condition and any immediate treatment provided.
When a lump is excised for further evaluation.
Document the size, location, and type of lesion excised.
Ensure that the excision is medically necessary and well-documented.
Document the size, location, characteristics of the mass, and any associated symptoms. Include any relevant imaging or lab results.
