Localized swelling, mass and lump, unspecified lower limb
ICD-10 R22.40 is a billable code used to indicate a diagnosis of localized swelling, mass and lump, unspecified lower limb.
R22.40 refers to localized swelling, mass, or lump in the unspecified lower limb. This code is used when a patient presents with a palpable mass or swelling in the lower extremities that cannot be specifically classified under other diagnoses. The swelling may be due to various underlying conditions, including infections, tumors, hematomas, or inflammatory processes. Clinical evaluation typically involves a thorough history and physical examination, focusing on the characteristics of the mass (size, tenderness, mobility) and associated symptoms such as pain, redness, or warmth. Diagnostic imaging (e.g., ultrasound, MRI) may be warranted to assess the mass's nature and guide further management. Laboratory tests may also be performed to rule out infectious or inflammatory causes. Accurate coding requires careful documentation of the clinical findings and any diagnostic tests performed to support the diagnosis.
Detailed history of the mass, including onset, duration, and associated symptoms; physical examination findings; and any diagnostic imaging results.
Patients presenting with unexplained swelling in the lower limb, often requiring further evaluation to rule out serious conditions.
Ensure that the documentation clearly states the reason for using R22.40 and that no other specific diagnosis applies.
Acute assessment of the mass, including vital signs, pain assessment, and immediate imaging or lab results if applicable.
Patients with acute swelling due to trauma, infection, or allergic reactions requiring rapid diagnosis and treatment.
Document the acute nature of the presentation and any interventions performed to support the use of R22.40.
Used when evaluating a patient with localized swelling in the lower limb.
Document the history, examination findings, and any treatment plans.
Ensure that the visit level reflects the complexity of the evaluation.
Use R22.40 when a patient presents with localized swelling, mass, or lump in the lower limb that cannot be classified under a more specific diagnosis.
