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ICD-10 Guide
ICD-10 CodesD22.2

D22.2

Billable

Melanocytic nevi of ear and external auricular canal

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D22.2 is a billable code used to indicate a diagnosis of melanocytic nevi of ear and external auricular canal.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors that arise from melanocytes, the pigment-producing cells in the skin. When these nevi occur on the ear and external auricular canal, they can present as small, darkly pigmented lesions. These nevi are typically asymptomatic and may vary in size, shape, and color. While most melanocytic nevi are benign, it is essential to monitor them for any changes that could indicate malignancy, such as asymmetry, irregular borders, color variation, or changes in size. Diagnosis is primarily clinical, often confirmed through dermatoscopic examination. Management usually involves observation, but excision may be warranted if there are concerns about atypical features or cosmetic reasons. Follow-up is crucial to ensure that any changes in the nevi are promptly addressed, and patients should be educated about self-examination techniques to monitor their skin for new or changing lesions.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear clinical definition of the condition
  • Standardized diagnostic criteria
  • Low likelihood of complications
  • Routine management protocols

Audit Risk Factors

  • Inadequate documentation of lesion characteristics
  • Failure to note changes in nevi over time
  • Misclassification of benign nevi as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the nevi, including size, color, and any changes over time.

Common Clinical Scenarios

Routine skin examinations, management of atypical nevi, and excisional biopsies.

Billing Considerations

Ensure thorough documentation of any changes in nevi to support coding and potential excision.

Otolaryngology

Documentation Requirements

Documentation of ear examinations and any associated symptoms.

Common Clinical Scenarios

Evaluation of ear lesions, management of external ear conditions, and surgical interventions.

Billing Considerations

Document any functional impairments or cosmetic concerns related to ear nevi.

Coding Guidelines

Inclusion Criteria

Use D22.2 When
  • According to ICD
  • 10 guidelines, D22
  • 2 should be used when documenting melanocytic nevi specifically located on the ear and external auricular canal
  • It is important to ensure that the diagnosis is confirmed and that any relevant clinical findings are documented

Exclusion Criteria

Do NOT use D22.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion, face, ears, scalp

Clinical Scenario

Used when excising a benign nevus from the ear.

Documentation Requirements

Document the size and location of the lesion, as well as the reason for excision.

Specialty Considerations

Dermatologists and otolaryngologists should ensure clear documentation of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like melanocytic nevi, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like melanocytic nevi, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 is the difference between a melanocytic nevus and a malignant melanoma?

A melanocytic nevus is a benign growth of melanocytes, while malignant melanoma is a cancerous growth that can spread to other parts of the body. Melanocytic nevi are typically stable and asymptomatic, whereas melanoma may exhibit changes in size, shape, or color and can be life-threatening.