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ICD-10 Guide
ICD-10 CodesD22.39

D22.39

Billable

Melanocytic nevi of other parts of face

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

Code Description

ICD-10 D22.39 is a billable code used to indicate a diagnosis of melanocytic nevi of other parts of face.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors of melanocytes, the cells responsible for pigment production in the skin. The ICD-10 code D22.39 specifically refers to melanocytic nevi located on parts of the face that are not classified under other specific codes. These nevi can vary in size, shape, and color, and while they are generally harmless, they may require monitoring for changes that could indicate malignancy. Clinically, these nevi are often asymptomatic but can be a cosmetic concern for patients. Management typically involves observation, and if there are changes in appearance or symptoms such as itching or bleeding, further evaluation may be warranted. Surgical excision may be considered for cosmetic reasons or if there is suspicion of atypical features. Follow-up care is essential to monitor for any changes in the nevi, and patients should be educated on skin self-examinations to identify any new or changing lesions.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Specificity of the location on the face
  • Differentiation from other skin lesions
  • Documentation of benign nature
  • Monitoring for changes over time

Audit Risk Factors

  • Inadequate documentation of the benign nature of the nevi
  • Failure to document the location accurately
  • Lack of follow-up notes on changes in the nevi
  • Misclassification of nevi as malignant

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, monitoring of existing nevi, and evaluation of new lesions.

Billing Considerations

Ensure clear documentation of benign characteristics and any patient concerns regarding appearance.

Plastic Surgery

Documentation Requirements

Pre-operative assessments, surgical notes, and post-operative follow-up documentation.

Common Clinical Scenarios

Surgical excision of nevi for cosmetic reasons or suspicion of atypical features.

Billing Considerations

Document the rationale for excision and any histopathological findings.

Coding Guidelines

Inclusion Criteria

Use D22.39 When
  • According to ICD
  • 10 guidelines, D22
  • 39 should be used when documenting melanocytic nevi located on parts of the face not specified by other codes
  • It is important to ensure that the nevi are documented as benign and that any changes are noted

Exclusion Criteria

Do NOT use D22.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

Used when a benign nevus is excised for cosmetic reasons.

Documentation Requirements

Document the size, location, and reason for excision.

Specialty Considerations

Plastic surgeons should ensure clear documentation of the procedure and any histopathological findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding conditions like melanocytic nevi, improving the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding conditions like melanocytic nevi, improving the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 D22.39 and D22.30?

D22.39 is used for melanocytic nevi located on specific parts of the face, while D22.30 is for unspecified sites. D22.39 provides more specificity for coding purposes.