Q82.5
Q82.5: Congenital non-neoplastic nevus
Billable / specific codeICD-10-CMPOA exempt
Q82.5 is a billable, specific ICD-10-CM code for congenital non-neoplastic nevus. It is valid for submission on a claim.
Check Q82.5 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Birthmark NOS
- Flammeus Nevus
- Portwine Nevus
- Sanguineous Nevus
- Strawberry Nevus
- Vascular Nevus NOS
- Verrucous Nevus
Excludes1 inherited from the categories above Q82.5
A category’s note binds every code beneath it.
Other codes that can never be billed with Q82.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q82.5 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
- A57482Billing and Coding: Removal of Benign Skin Lesions
Alphabetic index entries that lead here
- Birthmark
- Port wine nevus, mark, or stain
- Mark›port wine
- Mark›raspberry
- Mark›strawberry
- Nevus›comedonicus
- Nevus›flammeus
- Nevus›portwine
- Nevus›sanguineous
- Nevus›strawberry
- Nevus›unius lateris
- Nevus›Unna's
Code history
Unchanged in every release from FY2024 to FY2027.