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Compare/E65 vs R22

E65 vs R22

E65 (Localized adiposity) compared with R22 (Localized swelling, mass and lump of skin and subcutaneous tissue), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. R22 carries an Excludes1 note covering E65: “localized adiposity (E65)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E65Localized adiposityR22Localized swelling, mass and lump of skin and subcutaneous tissue
Billing statusBillableNon-billable header

Report instead: R22.0, R22.1, R22.2, R22.30, R22.31

ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionLocalized adiposity is a billable ICD-10-CM diagnosis code (E65).Localized swelling, mass and lump of skin and subcutaneous tissue is a non-billable ICD-10-CM category code (R22).
Includes
Fat pad
subcutaneous nodules (localized)(superficial)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources