D22.9 — Melanocytic nevi, unspecified
D22.9 is a billable, specific ICD-10-CM code for melanocytic nevi, unspecified. It is valid for submission on a claim.
Risk adjustment
D22.9 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D22.9 is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56695Billing and Coding: Implantable Infusion Pump
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
- A57452Billing and Coding: Peripheral Nerve Blocks
How D22.9 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D22.9.
- Nevus
- Sutton's nevus
- Blue›nevus
- Nevus›skin
- Nevus›Sutton's benign
- Nevus›skin›nail
Related codes at this level
Codes that share D22. If D22.9 is not quite right, the correct code is usually one of these.
- D22.0Melanocytic nevi of lip
- D22.1Melanocytic nevi of eyelid, including canthus
- D22.2Melanocytic nevi of ear and external auricular canal
- D22.3Melanocytic nevi of other and unspecified parts of face
- D22.4Melanocytic nevi of scalp and neck
- D22.5Melanocytic nevi of trunk
- D22.6Melanocytic nevi of upper limb, including shoulder
- D22.7Melanocytic nevi of lower limb, including hip
Questions about D22.9
- Is D22.9 a billable ICD-10-CM code?
- Yes. D22.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D22.9 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).