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ICD-10 Guide
ICD-10 CodesD22.3

D22.3

Billable

Melanocytic nevi of other and unspecified parts of face

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

Code Description

ICD-10 D22.3 is a billable code used to indicate a diagnosis of melanocytic nevi of other and unspecified parts of face.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors that arise from melanocytes, the pigment-producing cells in the skin. The code D22.3 specifically refers to melanocytic nevi located on other and unspecified parts of the face, which may include areas not typically categorized under more specific facial regions. These nevi can vary in size, color, and shape, and while they are generally benign, they can sometimes be mistaken for malignant lesions. Clinical evaluation often involves a thorough dermatological examination, and in some cases, dermatoscopy may be utilized to assess the characteristics of the nevi. Management typically includes monitoring for changes in size, shape, or color, and surgical excision may be considered if there are concerns about malignancy or for cosmetic reasons. Follow-up care is essential to ensure that any changes in the nevi are promptly addressed, and patients are often educated on self-examination techniques to monitor their skin health.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Limited specificity in the code for exact location on the face
  • Variability in clinical presentation of nevi
  • Potential overlap with other skin lesions
  • Need for accurate documentation of benign nature

Audit Risk Factors

  • Inadequate documentation of the benign nature of the nevi
  • Failure to specify the exact location on the face
  • Misclassification as malignant lesions
  • 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 checks, evaluation of changing moles, and excision of suspicious nevi.

Billing Considerations

Ensure clear documentation of benign findings to avoid misclassification.

Plastic Surgery

Documentation Requirements

Pre-operative and post-operative notes detailing the excision and cosmetic outcomes.

Common Clinical Scenarios

Surgical removal of nevi for cosmetic reasons or due to patient concerns.

Billing Considerations

Document the rationale for excision and any histopathological findings.

Coding Guidelines

Inclusion Criteria

Use D22.3 When
  • According to ICD
  • 10 coding guidelines, D22
  • 3 should be used when documenting benign melanocytic nevi located on unspecified parts of the face
  • It is important to ensure that the nevi are confirmed as benign through clinical evaluation or histopathological examination

Exclusion Criteria

Do NOT use D22.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion including margins

Clinical Scenario

Used when a benign nevus is excised for cosmetic reasons.

Documentation Requirements

Document the size of the lesion and the margins excised.

Specialty Considerations

Plastic surgeons should document the cosmetic outcome and patient satisfaction.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skin lesions, improving the accuracy of diagnoses and treatment plans. D22.3 provides a clear classification for benign nevi on the face, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin lesions, improving the accuracy of diagnoses and treatment plans. D22.3 provides a clear classification for benign nevi on the face, facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of skin lesions, improving the accuracy of diagnoses and treatment plans. D22.3 provides a clear classification for benign nevi on the face, facilitating better patient management.

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 D22.3 and D23.9?

D22.3 specifically refers to melanocytic nevi of the face, while D23.9 is a more general code for other benign neoplasms of the skin that do not fall under the melanocytic category.