D22 ICD-10-CM Code: Melanocytic nevi
Compare with another code for D22Check this code on a claim
Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.
Coding at a Glance
- Official instructions
- 3 inclusion terms
Category · FY2027A non-billable heading in the tabular list: report a more specific code beneath it.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
- IncludesWhat this code covers
- atypical nevus
- blue hairy pigmented nevus
- nevus NOS
Where it sits Source: CMS/NCHS
Under:Chapter 2: NeoplasmsD10-D36 Benign neoplasms, except benign neuroendocrine tumors
Codes under D22 (9)
- D22.0Melanocytic nevi of lipBillable
- D22.1Melanocytic nevi of eyelid, including canthusNot billable
- D22.2Melanocytic nevi of ear and external auricular canalNot billable
- D22.3Melanocytic nevi of other and unspecified parts of faceNot billable
- D22.4Melanocytic nevi of scalp and neckBillable
- D22.5Melanocytic nevi of trunkBillable
- D22.6Melanocytic nevi of upper limb, including shoulderNot billable
- D22.7Melanocytic nevi of lower limb, including hipNot billable
- D22.9Melanocytic nevi, unspecifiedBillable
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for D22 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- atypical nevus
- blue hairy pigmented nevus
- nevus NOS
Coder workflow for D22
MedCoder structured workflow — derived from this code’s own official record
Before you code D22
- D22 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewD22.0, D22.1, D22.2, D22.3, D22.4, D22.5, D22.6, D22.7, D22.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Confirm the documented site and behavior (this code’s block classifies benign neoplasms), whether the site is primary or secondary, and whether the malignancy is current or a personal history: a previously excised malignancy with no further treatment and no evidence of disease is history, not current disease. Verify the site against the Table of Neoplasms. Neoplasm chapter guidelines (Guidelines I.C.2.a, I.C.2.d, I.C.2.m).
See the Table of Neoplasms entries · Guide: Active cancer vs history of cancer →
Choose the right path
- Does the documentation support one of the more specific codes beneath D22?
Yes → Select that code and continue the checks below on its own page.
No → D22 cannot be reported as written. Where the codes beneath it include an unspecified code, that code applies when the record goes no further; otherwise query for the missing detail.ReviewD22.0, D22.1, D22.2, D22.3, D22.4, D22.5, D22.6, D22.7, D22.9
Report the code beneath D22 that the documentation supports, not D22 itself. Then confirm that code is valid for the date of service on its own page.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Anatomical site
- At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
- Behavior and current-versus-history status
- Malignant, in situ, benign or uncertain; primary or secondary; current disease or personal history (Guidelines I.C.2.m).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- Not billable as written — a more specific code is required: D22.0, D22.10, D22.111, D22.112, D22.121.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
Other codes that name D22 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: I78.1 — Nevus, non-neoplastic.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 4 Excludes2 notes across 3 chapters: D18 — Hemangioma and lymphangioma, any site, D23 — Other benign neoplasms of skin, I78.1 — Nevus, non-neoplastic, Q82.5 — Congenital non-neoplastic nevus.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of D22 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run D22 with these 4 related codes in Claim Check
Hierarchy
- C00-D49 — Chapter 2: Neoplasms (C00-D49) (C00-D49)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D10-D36 — Benign neoplasms, except benign neuroendocrine tumors[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Referenced by Excludes1 notes
- I78.1 — Nevus, non-neoplastic[Excludes1]: “nevus NOS (D22.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Referenced by Excludes2 notes
- D18 — Hemangioma and lymphangioma, any site[Excludes2]: “blue or pigmented nevus (D22.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- D23 — Other benign neoplasms of skin[Excludes2]: “melanocytic nevi (D22.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- I78.1 — Nevus, non-neoplastic[Excludes2]: “blue nevus (D22.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- Q82.5 — Congenital non-neoplastic nevus[Excludes2]: “nevus NOS (D22.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Nearest codes (27)
- D22.0 — Melanocytic nevi of lip[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.1 — Melanocytic nevi of eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.10 — Melanocytic nevi of unspecified eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.11 — Melanocytic nevi of right eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.111 — Melanocytic nevi of right upper eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.112 — Melanocytic nevi of right lower eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.12 — Melanocytic nevi of left eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- D22.121 — Melanocytic nevi of left upper eyelid, including canthus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 19 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Common coding questions
MedCoder editorial
Can D22 be billed directly?
No. D22 (Melanocytic nevi) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "D22 — Melanocytic nevi." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/d22-melanocytic-nevi
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionMelanocytic nevi
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to D22 in its code family, with their registry titles.
- D22.0 — Melanocytic nevi of lip
- D22.1 — Melanocytic nevi of eyelid, including canthus
- D22.10 — Melanocytic nevi of unspecified eyelid, including canthus
- D22.11 — Melanocytic nevi of right eyelid, including canthus
- D22.111 — Melanocytic nevi of right upper eyelid, including canthus
- D22.112 — Melanocytic nevi of right lower eyelid, including canthus
- D22.12 — Melanocytic nevi of left eyelid, including canthus
- D22.121 — Melanocytic nevi of left upper eyelid, including canthus
- D22.122 — Melanocytic nevi of left lower eyelid, including canthus
- D22.2 — Melanocytic nevi of ear and external auricular canal
- D22.20 — Melanocytic nevi of unspecified ear and external auricular canal
- D22.21 — Melanocytic nevi of right ear and external auricular canal
- D22.22 — Melanocytic nevi of left ear and external auricular canal
- D22.3 — Melanocytic nevi of other and unspecified parts of face
- D22.30 — Melanocytic nevi of unspecified part of face
- D22.39 — Melanocytic nevi of other parts of face
- D22.4 — Melanocytic nevi of scalp and neck
- D22.5 — Melanocytic nevi of trunk
- D22.6 — Melanocytic nevi of upper limb, including shoulder
- D22.60 — Melanocytic nevi of unspecified upper limb, including shoulder
- D22.61 — Melanocytic nevi of right upper limb, including shoulder
- D22.62 — Melanocytic nevi of left upper limb, including shoulder
- D22.7 — Melanocytic nevi of lower limb, including hip
- D22.70 — Melanocytic nevi of unspecified lower limb, including hip
- D22.71 — Melanocytic nevi of right lower limb, including hip
- D22.72 — Melanocytic nevi of left lower limb, including hip
- D22.9 — Melanocytic nevi, unspecified