R22 vs R60
R22 (Localized swelling, mass and lump of skin and subcutaneous tissue) compared with R60 (Edema, not elsewhere classified), 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 R60: “edema (R60.-)”
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
| R22Localized swelling, mass and lump of skin and subcutaneous tissue | R60Edema, not elsewhere classified | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Localized swelling, mass and lump of skin and subcutaneous tissue is a non-billable ICD-10-CM category code (R22). | Edema, not elsewhere classified is a non-billable ICD-10-CM category code (R60). |
| Includes | 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