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v1.0.0
ICD-10 Guide
DiagnosesMole

Mole

ICD-10 Coding for Mole(D22.0, D22.9)

PRIMARY SPECIALTYDermatology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Mole?
Essential facts and insights about Mole

Key Clinical Considerations:

  • Asymptomatic or symptomatic pigmented lesions
  • Dermatoscopic examination revealing specific patterns
  • Palpation may reveal raised or flat lesions

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including lesion changes
  • Detailed description of the mole's characteristics
  • Photographic evidence when applicable

Coding Guidelines

Usage Guidelines & Examples

  • Use D22 codes for benign moles; consider D48.5 for atypical lesions.
  • Common errors include misclassifying benign moles as malignant.

Code Exclusions

Important Exclusions

  • Malignant melanoma (C43)
  • Other skin lesions (D23, D48.5)

Related ICD-10 Codes

Primary Codes
D22.9
Melanocytic nevi, unspecified
D22.0
Melanocytic nevi of face
D22.1
Melanocytic nevi of scalp and neck
D22.2
Melanocytic nevi of trunk
D22.3
Melanocytic nevi of upper limb
D22.4
Melanocytic nevi of lower limb
Differential Codes
C43.0
C43.9

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Dermatology

Specialty Applications

  • All age groups, particularly adults with changing moles
  • Dermatology clinics, primary care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include patient history, lesion description, and any changes.

Billing considerations?

Ensure accurate coding based on lesion type and location.