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ICD-10 Guide
ICD-10 CodesD22.72

D22.72

Billable

Melanocytic nevi of left lower limb, including hip

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

Code Description

ICD-10 D22.72 is a billable code used to indicate a diagnosis of melanocytic nevi of left lower limb, including hip.

Key Diagnostic Point:

Melanocytic nevi, commonly known as moles, are benign tumors of melanocytes, the cells responsible for producing melanin in the skin. The presence of melanocytic nevi on the left lower limb, including the hip, indicates localized growths that are typically asymptomatic and do not pose significant health risks. 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. Management often involves regular dermatological examinations to assess any changes in the nevi's appearance. If a nevus exhibits atypical features, such as asymmetry, irregular borders, multiple colors, or a diameter larger than 6mm, further evaluation or excision may be warranted. Follow-up care is essential to ensure that any changes are promptly addressed, and patients are often advised on sun protection measures to prevent further skin damage. Overall, while melanocytic nevi are benign, vigilance is necessary to differentiate them from potentially malignant lesions.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Specificity of the anatomical location (left lower limb, including hip)
  • Clear distinction between benign and malignant lesions
  • Standardized documentation practices for dermatological conditions
  • Limited need for extensive diagnostic testing

Audit Risk Factors

  • Inadequate documentation of the nevus characteristics
  • Failure to note changes in size or appearance during follow-up
  • Misclassification of benign nevi as malignant
  • Lack of patient education on monitoring nevi

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed descriptions of the nevus, including size, shape, color, and any changes observed.

Common Clinical Scenarios

Routine skin examinations, monitoring of existing nevi, and evaluation of new lesions.

Billing Considerations

Ensure thorough documentation of any atypical features that may require further investigation.

Primary Care

Documentation Requirements

Record of patient history regarding skin lesions and any changes noted during examinations.

Common Clinical Scenarios

Annual skin checks, patient concerns about new or changing moles.

Billing Considerations

Educate patients on self-examination techniques and the importance of reporting changes.

Coding Guidelines

Inclusion Criteria

Use D22.72 When
  • According to ICD
  • 10 guidelines, D22
  • 72 should be used when documenting benign melanocytic nevi located specifically on the left lower limb, including the hip
  • It is important to ensure that the documentation supports the diagnosis and that any changes in the nevus are noted

Exclusion Criteria

Do NOT use D22.72 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11400CPT Code

Excision, benign lesion

Clinical Scenario

When a nevus is excised due to changes in appearance.

Documentation Requirements

Document the size, location, and reason for excision.

Specialty Considerations

Dermatologists should ensure that excision margins are documented.

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 patient records and facilitating better tracking of benign skin lesions.

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 patient records and facilitating better tracking of benign skin lesions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like melanocytic nevi, improving the accuracy of patient records and facilitating better tracking of benign skin lesions.

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 significance of coding D22.72?

Coding D22.72 accurately reflects the presence of benign melanocytic nevi, which is important for patient management and monitoring for potential changes that could indicate malignancy.