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v1.0.0
ICD-10 Guide
ICD-10 CodesR22.2

R22.2

Localized swelling, mass and lump, trunk

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R22.2 is a billable code used to indicate a diagnosis of localized swelling, mass and lump, trunk.

Key Diagnostic Point:

Localized swelling, mass, or lump in the trunk refers to a palpable or visible abnormality in the body that is confined to the trunk area, which includes the thorax and abdomen. This condition can arise from various underlying causes, including benign tumors, cysts, infections, or inflammatory processes. Symptoms may include tenderness, pain, or changes in skin appearance over the affected area. Clinical evaluation often involves physical examination, imaging studies such as ultrasound or CT scans, and sometimes biopsy to determine the nature of the mass. The presence of localized swelling can indicate a range of conditions from harmless lipomas to more serious pathologies like malignancies. Accurate diagnosis is crucial for appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for differential diagnosis
  • Variability in clinical presentation
  • Potential for misclassification with other codes

Audit Risk Factors

  • Inadequate documentation of the mass characteristics
  • Failure to specify the location of the mass
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of follow-up documentation for ongoing conditions

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed description of the mass, including size, consistency, and tenderness, along with any associated symptoms.

Common Clinical Scenarios

Patients presenting with abdominal masses, such as hernias or lipomas.

Billing Considerations

Consideration of comorbid conditions that may affect the diagnosis or treatment plan.

Emergency Medicine

Documentation Requirements

Acute assessment of the mass, including vital signs and any immediate interventions performed.

Common Clinical Scenarios

Acute presentations of abscesses or traumatic hematomas.

Billing Considerations

Rapid assessment and documentation are crucial for timely management.

Coding Guidelines

Inclusion Criteria

Use R22.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the swelling, mass, or lump is localized to the trunk and not due to systemic conditions

Exclusion Criteria

Do NOT use R22.2 When
No specific exclusions found.

Related CPT Codes

88305CPT Code

Pathology examination, surgical

Clinical Scenario

When a biopsy of the mass is performed.

Documentation Requirements

Document the reason for the biopsy and the characteristics of the mass.

Specialty Considerations

Ensure that the pathology report correlates with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of localized conditions, improving the granularity of data for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of localized conditions, improving the granularity of data for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of localized conditions, improving the granularity of data for research and treatment outcomes.

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 should I document for R22.2?

Document the size, location, tenderness, and any associated symptoms of the mass. Include imaging results and any plans for further evaluation or treatment.